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Healthcare-associated infection in Burkina Faso: an assessment in a district hospital

Hervé Hien, Koiné Maxime Darbo, Laurent Ouédraogo, Salifou Konfé, Sylvain Zeba, Lassana Sangaré, Sidzabda C. Compaoré, Jean Bosco Ouédraogo, Edgard M. Ouendo, Michel Makoutodé, Nicolas Meda
  • Hervé Hien
    Health Reproduction, HIV/AIDS and Tuberculosis Research Unit, Centre MURAZ, Bobo-Dioulasso, Burkina Faso | hien_herve@hotmail.com
  • Koiné Maxime Darbo
    Institute of Research in Sciences of Health, Bobo-Dioulasso; National Laboratory of Public Health, Ouagadougou, Burkina Faso
  • Laurent Ouédraogo
    UFR-SDS & CRIS, University of Ouagadougou, Ouagadougou, Burkina Faso
  • Salifou Konfé
    Ministry of health, Ouagadougou, Burkina Faso
  • Sylvain Zeba
    Région sanitaire du plateau central, Burkina Faso
  • Lassana Sangaré
    UFR-SDS & CRIS, University of Ouagadougou, Ouagadougou; Microbiology laboratory, CHU Yalgado Ouédraogo, Ouagadougou, Burkina Faso
  • Sidzabda C. Compaoré
    Ziniaré district hospital, Ziniaré, Burkina Faso;, Burkina Faso
  • Jean Bosco Ouédraogo
    Institute of Research in Sciences of Health, Bobo-Dioulasso; Nutrition, Environment and potential epidemic diseases Research Unit, Centre MURAZ, Bobo-Dioulasso, Burkina Faso
  • Edgard M. Ouendo
    Institut Régional de santé Publique (IRSP), Ouidah, Benin
  • Michel Makoutodé
    Institut Régional de santé Publique (IRSP), Ouidah, Benin
  • Nicolas Meda
    Health Reproduction, HIV/AIDS and Tuberculosis Research Unit, Centre MURAZ, Bobo-Dioulasso; UFR-SDS & CRIS, University of Ouagadougou, Ouagadougou, Burkina Faso

Abstract

In developing countries, few data are available on healthcare-associated infections. In Burkina Faso, there has been a failure to take into account risk management and patient safety in the quality assurance program. The main objective of our study was to carry out an assessment of healthcare-associated infection in a first level hospital. We conducted a crosssectional study in June 2011 in the care units of Ziniaré District Hospital (Ziniaré, Burkina Faso). The hospital has been divided in three components: i) hospital population (care providers, in-patients and patients’ guardians); ii) healthcare and services organization; iii) hospital environment. We included: care providers of the clinical services, hospital inpatients and patients’ guardians, hospitalization infrastructure and nursing units, and all the documents relating to standards and protocols. Data collection has been done by direct observation, interviews and biological samples taken at different settings. In hospital population, care providers and patients’ guardians represented a high source of infection: adherence to hygiene practice on the part of care providers was low (12/19), and no patients’ guardian experienced good conditions of staying in the hospital. In healthcare and services organization, healthcare waste management represented a high-risk source of infection. In hospital environment, hygiene level of the infrastructure in the hospital rooms was low (6.67%). Prevalence of isolated bacteria was 71.8%. Urinary-tract catheters infections were the most significant in our sample, followed by surgical-site infections. In total, 56.26% (9/19) of germs were -Lactamase producers (ESBL). They were represented by Escherichia coli and Klebsiella pneumoniae. Our analysis identified clearly healthcare-associated infection as a problem in Ziniaré district hospital. Hence, a national program of quality assurance in the hospitals should now integrate the risk infectious management of healthcare-associated infections.

Keywords

risks, healthcare-associated infection, district hospital.

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Submitted: 2011-10-24 21:34:16
Published: 2012-12-18 12:46:59
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Copyright (c) 2012 Hervé Hien, Koiné Maxime Darbo, Laurent Ouédraogo, Salifou Konfé, Sylvain Zeba, Lassana Sangaré, Sidzabda C. Compaoré, Jean Bosco Ouédraogo, Edgard M. Ouendo, Michel Makoutodé, Nicolas Meda

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