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- Title
ASPECTS EPIDEMIO-CLINIQUES DES INFECTIONS ASSOCIEES AUX SOINS (IAS) DANS LE SERVICE DE REANIMATION DU CHU GABRIEL TOURE.
- Authors
Diop, Th M.; Mangané, M.; Almeimoune, A. A.; Dembélé, A. S.; Daou, E.; Bagayoko, A.; Coulibaly, M. T.; Kassogué, A.; Ouatarra, K.; Doumbia, M. Z.; Bomou, Y.; Konaté, M.; Togo, A.; Diango, M. D.
- Abstract
An infection is said to be associated with care (IAS) when it occurs during or after a patient's management (PEC). A delay of at least 48 hours after admission is commonly accepted to distinguish a nosocomial infection from a community infection. in 2009, WHO estimated that 1.4 million people were sick in the world after hospital-acquired infections. This prevalence remains largely underestimated in Sub - Saharan Africa, and particularly in Mali, which led us to initiate this work, which aimed to describe the epidemiological and clinical aspects of nosocomial infections, determine their frequency and identify the germs responsible. Material and methods: This was a prospective study, over 12 months from January 1st to December 31st, 2016, in the resuscitation department of CHU Gabriel Touré. Including all patients with a temperature greater than or equal to 38 ° C occurring after at least 48 hours of admission. The data were collected through the survey cards and medical records. The input and analysis made respectively from Epi info software and the 2016 Office Pack (Word, Excel, Power Point). Results: During our study of 200 hospitalized patients we collected 35 IAS cases, a prevalence of 17.5%. The male sex was predominant with 60.5% and a sex ratio = 1.53. The average age was 34.28 ± 19.11 years old. The traumatized head with 10 cases (28.5%) were the most represented, followed by surgery postoperative 7 cases (20%) and burned 5 cases (14.2%). We carried out 51 samples (15 bronchial samples all positive, 13 ECBUs of which 11 positive, 7 blood cultures, one positive, 12 swabs all positive). The diagnoses retained were: ventilated lung disease 12 cases (34.3%), urinary infection alone 8 cases (22.9%), 6 cases (17.1%) of surgical site infection, 6 cases (17.1%) ) of soft tissue infection and 3 cases (8.6%) of pneumopathy associated with urinary tract infection. The germs found were multidrug-resistant bacilli (BMR), for bronchial samples (Klebsialla pneumoniae, Acinetobacter baumanii, Echerichia coli). ECBU were found 08 cases of Echerichia coli and 01 case of enterococcus faecalus, and 2 cases of association Echerichia coli and enterococcus faecalus; blood cultures: staphylococcus aureus. The swabs found: Klebsialla pneumonia, Echerichia coli, Acinetobacter baumanii enterobacter, cloecae, Staphylococcus aureus, Providencia stuartii, Proteus mirabilis. The average duration of treatment of patients with IAS was 8 days with extremes of 2 to 15 days. The mortality was 57.1%. Conclusion: This study allowed us to notice a resistance of different germs to antibiotics. It is therefore necessary to change the behavior of our health care facilities in order to meet this challenge.
- Publication
Mali Médical, 2020, Vol 35, Issue 1, p25
- ISSN
0464-7874
- Publication type
Article