Bacteriology of Healthcare-Associated Infections in the Gynecology and Obstetrics Department of CHU Gabriel Touré
2019
Introduction: Healthcare-associated infections (HAIs) are a public health
issue. An infection is said to be associated with the care if it occurs during
or after the care of a patient, and if it was neither present nor incubation at
the beginning of the care. Objective: The purpose of this work was to study the bacteriology of infections
associated with obstetric care in the gynecology-obstetrics department of CHU
Gabriel Toure. Patients and Methods: This is an epidemiological, descriptive, analytical
study conducted in the gynecology-obstetrics department of the CHU Gabriel
Toure, from April 11th, 2016 to August 29th, 2016 (5
months). Data collection focused on the clinical and laboratory characteristics
of healthcare-associated infections in patients during their hospitalization.
Included in the study were any patients hospitalized in the Gynecology and
Obstetrics Department who agreed to participate in the study. The criteria used
to diagnose the associated infection were those of the Atlanta CDC. Operative
wound monitoring was done up to the 30th postoperative day. Results: We have recorded 200 patients, out of whom 138 were operated on and 23
cases of bacterial infection associated with care (11.50%). The average age of
the patients was 32.52 years ± 13.36 years against 29.36 years ± 10.28 years
for the patients who did not present the infection. Seven point five percent of
the evacuated patients had an infection associated with care. The most common
types of infection were surgical site infection (60.86%), urinary tract
infection (26.08%), endometritis and sepsis with 13.04% each. The isolated
organisms were all resistant to Amoxicillin, to Amoxicillin + Clavulanic acid
(88.88%) and to
Ciprofloxacin (77.77%). The average duration of hospitalization for patients
who developed the infection was 14.70 days. The lethality was 1.50%. The
average cost of management of patients who developed the surgical site
infection was 119,837 FCFA. Conclusion: The bacterial infections associated with the care
remain frequent in our service and dominated by the infections of the operating
site. Isolated organisms were all resistant to amoxicillin in 88.88% case
ciprofloxacin.
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