Laboratory-confirmed hospital-acquired infections: An analysis of a hospital's surveillance data in Nigeria

TY - JOUR

T1 - Laboratory-confirmed hospital-acquired infections

T2 - An analysis of a hospital's surveillance data in Nigeria

AU - Iliyasu, Garba

AU - Dayyab, Farouq Muhammad

AU - Abubakar, Salisu

AU - Inuwa, Salisu

AU - Tambuwal, Sirajo Haliru

AU - Tiamiyu, Abdulwasiu Bolaji

AU - Habib, Zaiyad Garba

AU - Gadanya, Muktar Ahmed

AU - Sheshe, Abdulrahman Abba

AU - Mijinyawa, Muhammad Sani

AU - Aminu, Aliyu

AU - Adamu, Muhammad Shuaibu

AU - Mande, Kabir Mohammad

AU - Habib, Abdulrazaq Garba

N1 - Copyright: © 2018 The Authors. Published by Elsevier Ltd.

PY - 2018/8

Y1 - 2018/8

N2 - Objective: Hospital-acquired infections (HAI) are a global problem and a major public health concern in hospitals throughout the world. Quantification of HAI is needed in developing countries; hence we describe the results of a 2-year surveillance data in a tertiary hospital in Nigeria.Methodology: This study is a 2-year review using secondary data collected at a tertiary referral center in northwestern Nigeria. The data was collected using surveillance forms modeled based on the Centre for Disease Control (CDC) protocol. Descriptive statistics were used to present results as frequencies and percentages.Result: 518 patients developed HAI out of 8216 patients giving an overall prevalence of 6.3%. The mean age of the patients was 35.98 years (±15.92). Males constituted 281 (54.2%). UTI 223 (43.1%) was the most prevalent HAI. Overall, E. coli 207 (40.0%) was the most frequent isolates followed by P. aerugenosa 80 (15.4%). There was a high prevalence of cloxacillin resistant S. aureus (67.9%) and gram-negative rods resistant to third-generation cephalosporins. Trimethoprim-sulfamethoxazole resistance across the board was more than 90%.Conclusion: There is a high burden of HAI especially UTI in our hospital with resistance to commonly used antibiotics documented.

AB - Objective: Hospital-acquired infections (HAI) are a global problem and a major public health concern in hospitals throughout the world. Quantification of HAI is needed in developing countries; hence we describe the results of a 2-year surveillance data in a tertiary hospital in Nigeria.Methodology: This study is a 2-year review using secondary data collected at a tertiary referral center in northwestern Nigeria. The data was collected using surveillance forms modeled based on the Centre for Disease Control (CDC) protocol. Descriptive statistics were used to present results as frequencies and percentages.Result: 518 patients developed HAI out of 8216 patients giving an overall prevalence of 6.3%. The mean age of the patients was 35.98 years (±15.92). Males constituted 281 (54.2%). UTI 223 (43.1%) was the most prevalent HAI. Overall, E. coli 207 (40.0%) was the most frequent isolates followed by P. aerugenosa 80 (15.4%). There was a high prevalence of cloxacillin resistant S. aureus (67.9%) and gram-negative rods resistant to third-generation cephalosporins. Trimethoprim-sulfamethoxazole resistance across the board was more than 90%.Conclusion: There is a high burden of HAI especially UTI in our hospital with resistance to commonly used antibiotics documented.

KW - Infectious disease

KW - Public health

UR - https://www.scopus.com/pages/publications/85050875161

U2 - 10.1016/j.heliyon.2018.e00720

DO - 10.1016/j.heliyon.2018.e00720

M3 - Article

AN - SCOPUS:85050875161

SN - 2405-8440

VL - 4

JO - Heliyon

JF - Heliyon

IS - 8

M1 - e00720

ER -