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Open Access 01-12-2014 | Research article

Incidence, pathogens and resistance patterns of nosocomial infections at a rural hospital in Gabon

Authors: Micha Scherbaum, Katrin Kösters, Raymund Egid Mürbeth, Ulysse Ateba Ngoa, Peter Gottfried Kremsner, Bertrand Lell, Abraham Alabi

Published in: BMC Infectious Diseases | Issue 1/2014

Abstract

Background

Nosocomial infections pose substantial risk to patients receiving care in hospitals. In Africa, this problem is aggravated by inadequate infection control due to poor hygiene, resource and structural constraints, deficient surveillance data and lack of awareness regarding nosocomial infections. We carried out this study to determine the incidence and spectrum of nosocomial infections, pathogens and antibiotic resistance patterns in a tertiary regional hospital in Lambaréné, Gabon.

Methods

This prospective case study was carried out over a period of six months at the Albert Schweitzer Hospital, Lambaréné, Gabon. All patients admitted to the departments of surgery, gynecology/obstetrics and internal medicine were screened daily for signs and symptoms of hospital-acquired infections.

Results

A total of 2925 patients were screened out of which 46 nosocomial infections (1.6%) were diagnosed. These comprised 20 (44%) surgical-site infections, 12 (26%) urinary-tract infections, 9 (20%) bacteraemias and 5 (11%) other infections. High rates of nosocomial infections were found after hysterectomies (12%) and Caesarean sections (6%). Most frequent pathogens were Staphylococcus aureus and Escherichia coli. Eight (40%) of 20 identified E. coli and Klebsiella spp. strains were ESBL-producing organisms.

Conclusion

The cumulative incidence of nosocomial infections in this study was low; however, the high rates of surgical site infections and multi-resistant pathogens necessitate urgent comprehensive interventions of infection control.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2334/14/124/prepub

Title: Incidence, pathogens and resistance patterns of nosocomial infections at a rural hospital in Gabon
Authors: Micha Scherbaum
Katrin Kösters
Raymund Egid Mürbeth
Ulysse Ateba Ngoa
Peter Gottfried Kremsner
Bertrand Lell
Abraham Alabi
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: BMC Infectious Diseases / Issue 1/2014
Electronic ISSN: 1471-2334
DOI: https://doi.org/10.1186/1471-2334-14-124

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