Laboratory-confirmed hospital-acquired infections: An analysis of a hospital's surveillance data in Nigeria

Iliyasu, Garba; Dayyab, Farouq Muhammad; Abubakar, Salisu; Inuwa, Salisu; Tambuwal, Sirajo Haliru; Tiamiyu, Abdulwasiu Bolaji; Habib, Zaiyad Garba; Gadanya, Muktar A; Sheshe, Abdulrahman Abba; Mijinyawa, Muhammad Sani; Aminu, Aliyu; Adamu, Muhammad Shuaibu; Mande, Kabir Mohammad; Habib, Abdulrazaq G.

doi:10.1016/j.heliyon.2018.e00720

Cited by 14 publications

(10 citation statements)

References 33 publications

(44 reference statements)

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“…20 In addition to frequent isolation S. aureus (41.46%) was highly enumerated species unlike a finding conducted in northwestern Nigeria. 21 These disparities could be due to the different data collection sessions and periods, and sampling mechanisms. As a limitation, applying an automated equipment (mass spectrometry, molecular biology), drugs sensitivity test, measuring air velocity and surface area of the sample collection rooms, and power calculation for sample size estimation as well as controls selection is important for further studies in this area.…”

Section: Discussionmentioning

confidence: 99%

Determination of the indoor air bacterial profile in Jimma University Specialized Hospital, Southwest Ethiopia

Girma¹,

Lamore

2022

SAGE Open Medicine

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Objective: Microorganisms are one of the main indoor air contaminants. In a hospital setting, a range of hospital-acquired infectious diseases are caused due to indoor air pollution. Studies conducted on hospital patients and healthcare workers revealed that indoor air pollution is causing more severe health problems than outdoor air pollution. Thus, this study aimed to determine the bacterial indoor air quality in Jimma University Specialized Hospital in southwest Ethiopia. Method: An institution-based cross-sectional study was conducted from late May to October 2020. Indoor air samples were collected through a passive method by exposing prepared sample plates for prescheduled exposure time, and bacterial species were identified using morphology and biochemical tests. Result: Based on the findings, neither of the wards showed a similar microbial concentration. Among the studied wards, the minimum and the maximum bacterial distribution ranged from 280 to 6369 cfu/m3, respectively. Staphylococcus aureus, coagulase-negative spp., Klebsiella spp., Escherichia coli, Bacillus spp., Proteus spp., and Streptococcus spp. were bacterial isolates. Statistically, the concentration of the bacteria in all the studied wards was tested significantly different ( p ⩽ 0.001). Conclusion: Among studied wards, the emergency outpatient ward showed a maximum bacterial concentration in contrast to the minor operating room. Based on the criteria of the World Health Organization on hospital-acquired infections, studied wards were highly contaminated.

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Section: Discussionmentioning

confidence: 99%

Determination of the indoor air bacterial profile in Jimma University Specialized Hospital, Southwest Ethiopia

Girma¹,

Lamore

2022

SAGE Open Medicine

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“…This study was conducted in a private teaching hospital in South-western Nigeria, in two surgical wards (male and female) of the hospital. We chose surgical wards because in Nigeria, surgical wards have the highest occurrence of HCAI when compared to other wards (Ige et al, 2011;Iliyasu et al, 2018).…”

Section: Settingmentioning

confidence: 99%

An observational study of hand hygiene compliance of surgical healthcare workers in a Nigerian teaching hospital

Ataiyero

Dyson

Graham

2022

Journal of Infection Prevention

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Background Patients sometimes contract healthcare associated infections (HCAI) which are unrelated to their primary reasons for hospital admission. Surgical site infections are the most investigated and most recurrent type of HCAI in developing countries, affecting up to one-third of surgical patients. Objective This study aimed to assess and offer context to the hand hygiene resources available in a Nigerian teaching hospital through ward infrastructure survey, and to determine the hand hygiene compliance rate among surgical healthcare workers (HCWs) in a Nigerian teaching hospital through hand hygiene observations. Methods Ward infrastructure survey was conducted in the two adult surgical wards of the hospital using the World Health Organisation (WHO) hand hygiene ward infrastructure survey form. Hand hygiene observations were monitored over seven days in the surgical wards using a modified WHO hand hygiene observation form. Results Hand hygiene resources were insufficient, below the WHO recommended minimum standards. Seven hundred hand hygiene opportunities were captured. Using SPSS version 24.0, we conducted a descriptive analysis of audit results, and results were presented according to professional group, seniority and hand hygiene opportunities of the participants. Overall hand hygiene compliance was 29.1% and compliance was less than 40% across the three professional groups of doctors, nurses and healthcare assistants. Conclusion Hand hygiene compliance rates of the surgical HCWs are comparable to those in other Sub-Saharan African countries as well as in developed countries.

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“…In Nigeria, AMR is becoming an issue of concern by the increase in prevalence of multidrug resistant foodborne pathogens in food producing animals as evident in many studies [ 5 – 8 ]. Furthermore, evidence shows that the prevalence of hospital acquired infections in Nigeria ranged from 6.3 – 15% [ 9 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

Assessing knowledge, attitude, and practices of veterinarians towards antimicrobial use and stewardship as drivers of inappropriate use in Abuja, Nigeria

2021

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Introduction Antimicrobial resistance (AMR) has recently gained worldwide recognition, as the emergence of multi-drug resistant organisms has led to increased mortality and economic burden. This study aimed to assess knowledge, attitudes, and practices of veterinarians towards rational antimicrobial prescribing and identify factors influencing use. Methods We interviewed veterinary doctors in Abuja, Nigeria using a 50-point questionnaire distributed via WhatsApp mobile application. The questionnaire inquired about their experiences, knowledge, attitudes, and practices towards AMR and stewardship. We analyzed the data by calculating frequencies and proportions. Results Of 220 registered veterinarians, 144 (65.5%) participated in the survey. Most (52.8%) were within the age group 30 - 39 years; males (72.2%), with a Master’s degree (42.4%) and worked in public service (44.4%). Three-quarters (75.7%) had good knowledge of antimicrobials; 47.2% had received training on stewardship while 88.9% reported that they believed that overuse of antimicrobials was the major contributory factor towards AMR. Antimicrobial stewardship regulations are important in veterinary practice. Veterinarians were aware of the occurrence of resistant pathogens and agreed that restricting antimicrobial use in animal health care was necessary to reduce AMR. Conclusion Most respondents referred to the veterinary formulary (VF) when in doubt of the appropriate antimicrobial agent to administer. We recommend that the VF be updated following the WHO list of critically-important-antimicrobials (CIA) and veterinarians educated not to use these CIAs in the treatment of food animals.

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Laboratory-confirmed hospital-acquired infections: An analysis of a hospital's surveillance data in Nigeria

Cited by 14 publications

References 33 publications

Determination of the indoor air bacterial profile in Jimma University Specialized Hospital, Southwest Ethiopia

Determination of the indoor air bacterial profile in Jimma University Specialized Hospital, Southwest Ethiopia

An observational study of hand hygiene compliance of surgical healthcare workers in a Nigerian teaching hospital

Assessing knowledge, attitude, and practices of veterinarians towards antimicrobial use and stewardship as drivers of inappropriate use in Abuja, Nigeria

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