Annals of Tropical Medicine and Public Health
Home About us Ahead Of Print Instructions Submission Subscribe Advertise Contact e-Alerts Editorial Board Login 
Users Online:257
  Print this page  Email this page Small font sizeDefault font sizeIncrease font size
ORIGINAL ARTICLE
Year : 2013  |  Volume : 6  |  Issue : 1  |  Page : 23-29

Healthcare-associated infections in three hospitals in Dschang, West Region, Cameroon


Department of Animal Biology, University of Dschang, P.O. Box 67 Dschang, West Region, Cameroon

Correspondence Address:
N Fusi-Ngwa Catherine Kesah
Department of Animal Biology, University of Dschang, P. O. Box 67, Dschang, West Region
Cameroon
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.115174

Rights and Permissions

Background: There is a dearth of knowledge on healthcare-associated infections (HAIs) in Cameroon. This study scrutinized HAI prevention and burden in three hospitals in Dschang, West Region of the country, in order to inform on current practices. Materials and Methods: From September 2008 to April 2009, patient records in three hospitals were assessed, questionnaires administered, and hand washing examined in 29 consenting nurses. A retrospective study on nosocomial infections (NIs) was performed by reviewing the records of 12917 in-patients who survived longer than 72 hours and were not transferred to other hospitals. Modified National Healthcare Safety Network protocols were employed and data analyzed using SPSS. Results: Study respondents (77%, P 0.0089) were aware of HAI control but lacked detailed knowledge including the five moments for hand hygiene. Of 35 staff evaluated, 74% (P 0.0093) used non-disposable hand towels, 9% disposable and a further 9% air-dried hands after washing. An alarming 72% of hand cultures grew coagulase-negative staphylococcus, Enteroccocus, Bacillus, fungi, Klebsiella, Enterobacter and other coliforms indicating fecal contamination. NI rates averaged 2.6 infections/100 admissions and four infected patients/1000 patient days; 17.4% and 12 infected patients/1000 days in surgical patients. Surgical site (38%), respiratory (26%), gastrointestinal (19%), bloodstream (8%) and urinary (7%) infections were predominant NIs, with a mean development time of 7-11 days and prolonged hospital stay by 12 days. Cost constraints precluded routine culture and antibiotic susceptibility testing; thus no data on clinical pathogens. Conclusion: Scrupulous hand hygiene and rub usage, adequate care facilities, staff education and HAI surveillance were paramount.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed3811    
    Printed188    
    Emailed2    
    PDF Downloaded15    
    Comments [Add]    

Recommend this journal