Prevalence of Nosocomial Infections in Surgical Ward at Butare University Teaching Hospital
Abstract
BACKGROUND: Health care associated infections which include Nosocomial infection remain a foremost public health burden worldwide. Bacterial resistance is an increasing therapeutic challenge which is associated with nosocomial infections. Thus, the main objective of this study was to identify the prevalence of surgical site infections.
METHODS: A cross sectional quantitative study was conducted in surgery of CHUB. Patients undergone operation were recruited from January 2017 until we reach 221 patients. Clinicians followed patients on a daily basis until discharge. In case of clinical signs and symptoms of surgical site, biological specimen were collected and processed in laboratory for bacterial isolation.
RESULTS: Out of 221 patients operated in hospital, 6.8% were confirmed of bacterial nosocomial infections. The rate of surgical site infections is associated with the theatre, class of wound, where clean and clean/contaminated operations was 3.13% and 8.00% respectively which increase to 15.79% and 29.41% for contaminated and dirty/infected wound respectively. A total of 19 samples collected, Staphylococcus aureus was the identified in 6 samples accounting 37.50% and then Coagulase Negative Staphylococcus species at 25.00%.
CONCLUSIONS: Drug resistance of isolates to antimicrobials is an alarming risk of nosocomial infections considering the empirical prophylactic and treatment in places. adherence of aseptic surgical procedures and proper management of wounds is demanding in the process to counter the infection.
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References
Baker, A. W., Dicks, K. V, & Durkin, M. J. (2017). HHS Public Access, 37(5), 519–526. https://doi.org/10.1017/ice.2016.13.Epidemiology
Berriós-Torres, S. I., Umscheid, C. A., Bratzler, D. W., Leas, B., Stone, E. C., Kelz, R. R., … Schecter, W. P. (2017). Centers for disease control and prevention guideline for the prevention of surgical site infection, 2017. JAMA Surgery, 152(8), 784–791. https://doi.org/10.1001/jamasurg.2017.0904
Bizimana, J. K., Ndoli, J., Bayingana, C., Baluhe, I., Gilson, G. J., & Habimana, E. (2016). Prevalence and Risk Factors for Post Cesarean Delivery Surgical Site Infection in a Teaching Hospital Setting in Rural Rwanda : A Prospective Cross Sectional Study. International Journal of Current Microbiology and Applied Sciences, 5(6), 631–641. https://doi.org/dx.doi.org/10.20546/ijcmas.2016.506.069
Disease, C. (2002). WHO, Prevention of hospital-acquired infections - A practical guide, 2nd edition, in: W.H. Organization (Ed.), 2002. https://doi.org/10.3928/02793695-20040301-08
Neill, J. O. ’. (2014). Antimicrobial Resistance: Tackling a crisis for the health and wealth of nations The Review on Antimicrobial Resistance Chaired. HM Government Wellcome Trust, (December), 1–20. https://doi.org/10.1038/510015a
Oliphant, C. M., & Eroschenko, K. (2015). Antibiotic Resistance, Part 2: Gram-negative Pathogens. Journal for Nurse Practitioners, 11(1), 79–86. https://doi.org/10.1016/j.nurpra.2014.10.008
Shoaei, S., Sali, S., & Yousefi, H. (2017). Incidence and resistance patterns of nosocomial infections in Labbafi Nejad hospital admitted patients during 2012-2014, Tehran, Iran. Infection Epidemiology and Microbiology, 3(3), 78–81. https://doi.org/10.18869/modares.iem.3.3.78
Siddique, T., Farzand, S., Waheed, S. S., & Khan, F. (2012). Frequency and etiology of nosocomial infections in medical unit-I, nawaz sharif social security teaching hospital Lahore. Pakistan Journal of Medical and Health Sciences, 6(2), 499–501. https://doi.org/10.1109/SMC.2013.716
Tolera, M., Abate, D., Dheresa, M., & Marami, D. (2018). Bacterial Nosocomial Infections and Antimicrobial Susceptibility Pattern among Patients Admitted at Hiwot Fana Specialized University Hospital, Eastern Ethiopia. Advances in Medicine, 2018, 1–7. https://doi.org/10.1155/2018/2127814
Wondimagegn, M., Gebre, K., Getnet, B., & Meku, D. (2012). Postoperative infections and antimicrobial resistance pattern of bacterial isolates among patients admitted at Felege Hiwot referral hospital, Bahidar, Ethiopia. Ethiopian Journal of Health Sciences, 22(1), 9–12.
Xu, Z., Zhou, H., Lei, L., Li, H., Yu, W., Fu, Z., … Yin, P. (2017). Incidence of Cancer in Shenzhen, Guangdong Province during 2001-2015: A Retrospective Population-Based Study. International Journal of Environmental Research and Public Health, 14(10), 1137. https://doi.org/10.3390/ijerph14101137
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