RESEARCH ARTICLE


Fighting Nosocomial Infection Rates in the General Surgery Department of the Teaching Hospital Gabriel Toure in Bamako, Mali



Togo A.*, 1, Traore A.1, Kante L.1, Coulibaly Y.1, Diango D.2, Keita M.1, Diallo S.2, Dembele B.T.1, Diakite I.1, Diani N.2, Samake B.2, Traore B.A.1, Diallo G.1
1 Departments of general surgery and paediatric surgery CHU Gabriel Touré, PB 267 Bamako, Mali
2 Department of anaesthesiology CHU Gabriel Touré, BP 267 Bamako Mali
3 Laboratory CHU Gabriel Touré, BP 267 Bamako Mali


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© 2010 Togo et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Centre Hospitalo- Universitaire Gabriel Toure, BP 267 Bamako, Mali, Maitre assistant en chirurgie générale, CHU Gabriel Touré, BP: 267 Bamako, France; Tel: 0022366903964; E-mail: ap.togo@yahoo.fr


Abstract

Nosocomial infections (NI) or hospital-acquired diseases are indicators of the quality of care. This study conducted in Mali aimed to determine the frequency of nosocomial infections, to recognize the risk factors, to identify the pathogens and their sensitivity to antibiotics and to determine the additional cost of care. The study lasted 6 months from January to June 2007, and the diagnosis of nosocomial infections was based on criteria from the USA C.D.C (Center for Disease Control). We identified 460 patients and 44 among them (9.6%) were affected by nosocomial infections, which included 31 cases of surgical site infections (57.4%), 9 cases of infections on burns (16.7%), 7 cases of lung infections (13%), and 7 cases of urinary tract infections (13%). The most frequently isolated bacteria were Escherichia coli (44%). All isolated bacteria were resistant to amoxicillin and 46% were sensitive to ciprofloxacin. The risk factors for infection were emergency surgery, ASA (American Society of Anaesthesiology) class and the type of surgery defined by Altemeir. The preoperative preparation of the patients, the strict respect of hygiene and asepsis to the operating room can reduce the frequency of NI in our country.

Keywords: Nosocomial infections, developing countries, risk factors.