Ka Daye, Yongola Osongo Emery, Diallo Fatoumata, Lo Ahmadou, Shinga Wembulua Bruce, Sarr Catherine, Sarr Maimouna, Mbaye Mame Diarra, Diagne Pape Amath, Diallo Mamadou Baila, Fall Abdou Aziz, Fall Ndéye Maguette, Sy El Hadj Cheikh Ndiaye, Seydi Moussa
Fann University Hospital, Dakar, Senegal.
Public Health Technical Advisor, Dakar, Senegal.
IJID Reg. 2025 Jan 16;14:100569. doi: 10.1016/j.ijregi.2025.100569. eCollection 2025 Mar.
This study aimed to determine the prevalence of health care-associated infections (HAIs) at Fann Hospital, describe the profile of patients with HAI, and identify the causative pathogens.
This was a cross-sectional survey of the records of patients hospitalized in eight departments of the Fann University Hospital for a microbiologically confirmed HAI from January 1, 2024 to March 31, 2024. Data were collected using an HAI surveillance form and analyzed using R software version 4.4.0.
Over a 3-month period, 62 cases of HAI were recorded out of a total of 1725 patients, giving a hospital attack rate of 3.5%. The median age of the patients was 59 years (interquartile range: 68-47). Males predominated (54.8%). Hospitalized patients came directly from their homes (40.3%) or from other university hospitals (35.5%). Arterial hypertension (29%) and diabetes mellitus (19.3%) were the main comorbidities. A history of previous surgery was found in 8% of the cases. Fever was the most common clinical manifestation (71%), followed by respiratory symptoms (29%). The medical devices used were venous (100%) and urinary catheters (54.5%). The most frequently isolated bacteria were (23.6%), (21.8%), and (21.8%). In terms of the resistance phenotype, 43.6% and 21.8% of patients had extended-spectrum β-lactamase-producing Enterobacteriaceae and methicillin-resistant , respectively. During hospitalization, 45 patients received nonspecific antibiotic therapy at the time of HAI. Death occurred in 11 patients, representing a fatality rate of 17.7%.
The quarterly prevalence of HAIs was high in our hospital. Therefore, it is necessary to investigate the factors associated with their occurrence.
本研究旨在确定范恩医院医疗保健相关感染（HAIs）的患病率，描述HAI患者的特征，并确定致病病原体。
这是一项横断面调查，对2024年1月1日至2024年3月31日在范恩大学医院八个科室住院且微生物学确诊为HAI的患者记录进行调查。使用HAI监测表收集数据，并使用R软件版本4.4.0进行分析。
在3个月的时间里，1725名患者中记录了62例HAI病例，医院感染发病率为3.5%。患者的中位年龄为59岁（四分位间距：68 - 47）。男性占主导（54.8%）。住院患者直接来自家中（40.3%）或其他大学医院（35.5%）。动脉高血压（29%）和糖尿病（19.3%）是主要的合并症。8%的病例有既往手术史。发热是最常见的临床表现（71%），其次是呼吸道症状（29%）。使用的医疗设备是静脉导管（100%）和尿管（54.5%）。最常分离出的细菌是[此处原文缺失细菌名称]（23.6%）、[此处原文缺失细菌名称]（21.8%）和[此处原文缺失细菌名称]（21.8%）。就耐药表型而言，分别有43.6%和21.8%的患者产超广谱β-内酰胺酶肠杆菌科细菌和耐甲氧西林[此处原文缺失细菌名称]。住院期间，45名患者在发生HAI时接受了非特异性抗生素治疗。11名患者死亡，病死率为17.7%。
我院HAIs的季度患病率较高。因此，有必要调查与其发生相关的因素。
