Fighting Nosocomial Infection Rates in the General Surgery Department of the Teaching Hospital Gabriel Toure in Bamako, Mali

Togo A,Diallo G,Diallo S,Traore B.A,Diango D,Samake B,Keita M,Dembele B.T,Traore A,Kante L,Coulibaly Y,Diani N,Diakite I

doi:10.2174/18741967010030100087

Abstract

Nosocomial infections (NI) or hospital-acquired diseases are indicators of the quality of care. This study conducted in Mali aimed to determine the frequency of nosocomial infections, to recognize the risk factors, to identify the pathogens and their sensitivity to antibiotics and to determine the additional cost of care. The study lasted 6 months from January to June 2007, and the diagnosis of nosocomial infections was based on criteria from the USA C.D.C (Center for Disease Control). We identified 460 patients and 44 among them (9.6%) were affected by nosocomial infections, which included 31 cases of surgical site infections (57.4%), 9 cases of infections on burns (16.7%), 7 cases of lung infections (13%), and 7 cases of urinary tract infections (13%). The most frequently isolated bacteria were Escherichia coli (44%). All isolated bacteria were resistant to amoxicillin and 46% were sensitive to ciprofloxacin. The risk factors for infection were emergency surgery, ASA (American Society of Anaesthesiology) class and the type of surgery defined by Altemeir. The preoperative preparation of the patients, the strict respect of hygiene and asepsis to the operating room can reduce the frequency of NI in our country.

Highlights

Nosocomial infections (NI) are responsible for increased morbidity, mortality, hospital stay and costs of patient care [1]
Determine the rate of NI in our facility, identify the risk factors and define which bacteria are most responsible for the diseases and their sensitivity to antibiotics, propose measures to reduce the rate of NI and evaluate the added costs derived from complications
Forty-four patients were affected by a nosocomial infection, yielding a NI rate of 9.56%

Summary

Introduction

Nosocomial infections (NI) are responsible for increased morbidity, mortality, hospital stay and costs of patient care [1]. The rate of NI found in the surgical and rehabilitation services of Gabriel Toure hospital and of the CHU Point G was 10.2% [7] and 13.8% [8], respectively

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Results

Discussion

Conclusion