%0 Journal Article
%T Healthcare-Associated Bacteremia and Urinary Tract Infections in Wards A and B of Medicine Department, CNHU-HKM of Cotonou: Characteristics and Risk Factors
%A Ang¨¨le Azon-Kouanou
%A Kouessi Anthelme Agbodande
%A Faridath Ab¨¨ni Tatiane Massou
%A Dissou Affolabi
%A Roberto Dossou Tor¨¨s Kouassi Prudencio
%A Carin Ahouada
%A Komi Habada
%A Murhula Katabana Delphin
%A Djimon Marcel Zannou
%A Fabien Houngb¨¦
%J Open Journal of Internal Medicine
%P 42-53
%@ 2162-5980
%D 2018
%I Scientific Research Publishing
%R 10.4236/ojim.2018.81006
%X <b>Introduction</b>:
Healthcare-associated infections are involved in hospital long-stay and in the increase in inherent costs to patients care. <b>Objectives</b>: Objective was to describe the
characteristics of healthcare-associated bacteremia and urinary tract
infections in medical wards of CNHU-HKM of Cotonou, describe the distribution
of germs identified according to admission wards and identify factors
associated with onset of healthcare-associated infections. <b>Materials and
Methods</b>: It was a cohort study conducted from 4th April to 16th September
2016. The study population included patients admitted in wards A and B of
CNHU-HKM Medicine department for at least the past 48 hours, or readmitted in
one of the medical wards less than 14 days after their discharge from hospital. <b>Results</b>: The study included 825 patients in total. Prevalence of <span>healthcare-associated infections was 9.8%.
Bacteremia was the most represented group (65.4%). The most often
identified germs regardless of the site were respectively: <i>K. pneumonia </i>(38.5%), <i>S. aureus </i>(23.1%) <i>and E. coli </i>(20.0%). HIV+ status, internal
medicine department, nephrology and endocrinology, duration of admission and
the use of urinary catheter represent factors statistically associated with the
onset of healthcare-associated infections. <b>Conclusion</b>: Healthcare-associated
infections are a real public health issue in CNHU-HKM Medicine Department.
There is pressing need to conduct a study on clinical hygiene so as to assess
healthcare staff in practice.</span>
%K Healthcare-Associated Infections
%K Bacteremia
%K Urinary Tract Infections
%K Risk Factors
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=82238