| Hospital-acquired infections in a Nigerian tertiary health facility: An audit of surveillance reports. | |
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MedLine Citation:
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PMID: 22529506 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Hitherto efforts to implement data driven prevention guidelines for hospital-acquired infections (HAI) in Nigeria have been limited by the inadequate knowledge of the risks of these infections. This study evaluated the occurrence of HAI in a foremost tertiary health facility over a 5-year period for the purpose of reinforcing control efforts. MATERIALS AND METHODS: A retrospective survey of records from the infection control unit of the University College Hospital, Ibadan, Nigeria, was done for the years 2005-09. For the 5 years studied 22,941 in-patients were reviewed and the data of those who developed infections during admission were retrieved and analyzed. The prevalence, types, and causative organisms of HAI were determined. The chi-square test was used to evaluate associations. RESULTS: The prevalence of HAI over the 5-year period was 2.6% (95% CI: 2.4-2.8). Surgical and medical wards had the most infections (48.3%) and (20.5%) respectively. Urinary tract infection (UTI) and surgical site infection (30.7%) were the most prevalent (43.9%) HAI. UTIs were significantly higher in surgical and medical wards, surgical site infections in obstetrics and gynecology wards, and soft tissue infections and bacteremia in pediatric wards (P<0.05). Gram-negative infections occurred about four times as often as gram-positive infections with Klebsiella sp. and staphylococcus aureus being the predominant isolates (34.3%) and (20.1%) respectively. CONCLUSION: Efforts to limit HAI should be guided by local surveillance data if progress is to be made in improving the quality of patient care in Nigeria. |
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Authors:
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O K Ige; A A Adesanmi; M C Asuzu |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Nigerian medical journal : journal of the Nigeria Medical Association Volume: 52 ISSN: 0300-1652 ISO Abbreviation: Niger Med J Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2012-04-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0315137 Medline TA: Niger Med J Country: Nigeria |
Other Details:
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Languages: eng Pagination: 239-43 Citation Subset: - |
Affiliation:
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Department of Community Medicine, University College Hospital, Ibadan, Nigeria. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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