دورية أكاديمية
Healthcare-Associated Infection in Surgery Department: A Big Challenge for African Surgical Teams.
| العنوان: | Healthcare-Associated Infection in Surgery Department: A Big Challenge for African Surgical Teams. |
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| المؤلفون: | Togo A; Service de Chirurgie Générale, CHU Gabriel Touré, FMOS/USTTB, Bamako, Mali., Samaké M; Surgeons Hospital Commune 4, Bamako, Mali., Sarro YS; University Clinical Research Center (UCRC) (USTTB), Bamako, Mali., Youssouf D; Bacteriologist Laboratoire Pa et KA, Bamako, Mali., Kanikomo D; Service de neurochirurgie, CHU Gabriel Touré, FMOS/USTTB, Bamako, Mali., Diop M; Service de réanimation CHU Gabriel Touré, FMOS/USTTB, Bamako, Mali., Yacaria C; Service Chirurgie Pédiatrique CHU Gabriel Touré, FMOS/USTTB, Bamako, Mali., Niani M; Service Gynécologie Obstétrique CHU Gabriel Touré, FMOS/USTTB, Bamako, Mali., Mamadou C; Service Urologie CHU Gabriel Touré, FMOS/USTTB, Bamako, Mali., Diarra B; University Clinical Research Center (UCRC) (USTTB), Bamako, Mali., Kassoum K; Bactériologie-Virologie, FMOS, MRTC, FMOS/USTTB, Bamako, Mali., Abdoulaye D; Parasitologie Mycologie, FMOS, MRTC, FMOS/USTTB, Bamako, Mali. |
| المصدر: | Journal of the West African College of Surgeons [J West Afr Coll Surg] 2023 Oct-Dec; Vol. 13 (4), pp. 73-77. Date of Electronic Publication: 2023 Sep 16. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer - Medknow Country of Publication: India NLM ID: 101597958 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2276-6944 (Print) Linking ISSN: 22766944 NLM ISO Abbreviation: J West Afr Coll Surg Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: [Mumbai] : Wolters Kluwer - Medknow Original Publication: Lagos : The West African College of Surgeons, [2011]- |
| مستخلص: | Background: Healthcare-associated infections (HAIs) are increasing in health facilities in Mali, due to health disparities and growing costs. Twenty to fifty percent of HAIs in the surgery department can be prevented with appropriate measures. Objectives: This study aimed to determine the burden of HAI and its risk factors. Materials and Methods: This was a prospective cohort study from January to June 2021 at the CHU Gabriel TOURE, Bamako, Mali. The sample size was determined based on the CDC Atlanta criteria, used to confirm HAI in surgical settings. Demographic, clinical, and biological parameters were determined. For the confirmed case of infection, the incriminated bacteria were isolated and tests were performed for the choice of drugs. Results: Of the total 1001 patients included in this study, 195 patients (19.48%) have HAIs. The types of infections were as follows: 70 cases of surgical site infections, 54 infections on burns victims, 40 urinary tract infections, and 31 cases of bacteraemia. Germs such as Escherichia Coli, Klebsiella pneumoniae, and Acinetobacter were often isolated. We found increasing hospital stays as well as some postoperative mortality related to infections. At the end of this study, corrective efforts were implemented to prevent HAI. Among them are improvements in sterilisation techniques as far as surgical materials were concerned. In addition to a surgical checklist, locally used drapes were replaced with single-use surgical supplies. Advanced training of the surgical team on things such as bladder catheterisation was also conducted in the department. It is important to put in place a committee, to prevent nosocomial infection in our hospital. The selected committee will be responsible for planning and implementing diverse strategies to prevent infections. Conclusions: The prevention of HAIs will reduce health costs and improve the quality of surgical care. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Journal of the west African college of surgeons.) |
| References: | Pan Afr Med J. 2018 Jun 20;30:143. (PMID: 30374389) Infect Control Hosp Epidemiol. 2016 Nov;37(11):1288-1301. (PMID: 27573805) Pan Afr Med J. 2013 Apr 09;14:140. (PMID: 23785545) Mali Med. 2020;35(1):43-49. (PMID: 37978759) Anesthesiology. 2021 Dec 1;135(6):1122-1131. (PMID: 34731244) Mali Med. 2020;35(1):39-42. (PMID: 37978754) |
| فهرسة مساهمة: | Keywords: Antibiotics; healthcare-associated infection; resistance |
| تواريخ الأحداث: | Date Created: 20240307 Latest Revision: 20240308 |
| رمز التحديث: | 20240308 |
| مُعرف محوري في PubMed: | PMC10914111 |
| DOI: | 10.4103/jwas.jwas_51_23 |
| PMID: | 38449556 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2276-6944 |
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| DOI: | 10.4103/jwas.jwas_51_23 |