Incidence, pathogens and resistance patterns of nosocomial infections at a rural hospital in Gabon
Open accessAbstract
Background: Nosocomial infections pose substantial risk to patients receiving care in hospitals. In Africa, this problem is aggravated by inadequate infection control due to poor hygiene, resource and structural constraints, deficient surveillance data and lack of awareness regarding nosocomial infections. We carried out this study to determine the incidence and spectrum of nosocomial infections, pathogens and antibiotic resistance patterns in a tertiary regional hospital in Lambaréné, Gabon. Methods: This prospective case study was carried out over a period of six months at the Albert Schweitzer Hospital, Lambaréné, Gabon. All patients admitted to the departments of surgery, gynecology/obstetrics and internal medicine were screened daily for signs and symptoms of hospital-acquired infections. Results: A total of 2925 patients were screened out of which 46 nosocomial infections (1.6%) were diagnosed. These comprised 20 (44%) surgical-site infections, 12 (26%) urinary-tract infections, 9 (20%) bacteraemias and 5 (11%) other infections. High rates of nosocomial infections were found after hysterectomies (12%) and Caesarean sections (6%). Most frequent pathogens were Staphylococcus aureus and Escherichia coli. Eight (40%) of 20 identified E. coli and Klebsiella spp. strains were ESBL-producing organisms. Conclusion: The cumulative incidence of nosocomial infections in this study was low; however, the high rates of surgical site infections and multi-resistant pathogens necessitate urgent comprehensive interventions of infection control.
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Nosocomial UTIs are understudied and likely underestimated in resource-limited settings.
“which are understudied and likely underestimated in resource-limited settings.[5, 22]”
From Antimicrobial-resistant infections among postpartum women at a Ugandan referral hospital (2017) · cites this paper as [22]
The Background says that few studies have examined nosocomial infections in developing countries and that their overall magnitude remains largely underestimated. The Results identify urinary-tract infections among the infections studied, but the paper does not specifically say that nosocomial UTIs are understudied or underestimated. (LLM, conf=0.84)
Experimental — accuracy not yet measuredMore than 50% of healthcare-associated infections associated with Klebsiella pneumoniae are reportedly extended-spectrum beta-lactamase producers.
“More than 50% of healthcare-associated infections associated with K. pneumoniae are reportedly ESBL producers, 119”
From Antimicrobial Resistance Rates and Surveillance in Sub-Saharan Africa: Where Are We Now? (2022) · cites this paper as [119]
The Background reports that 8 of 10 K. pneumoniae isolates from surgical-site infections in a Tanzanian study were ESBL producers, supporting a reported rate above 50% in that setting. But this paper’s own Gabon findings, in Discussion and conclusions, were exactly 3 of 6 (50%); the unqualified claim does not distinguish the two settings. (LLM, conf=0.85)
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- Authors
- Scherbaum, M., Kösters, K., Mürbeth, R. E., Ngoa, U. A., Kremsner, P. G., Lell, B., & Alabi, A.
- Affiliations
- Albert Schweitzer Hospital (GA)
- Corresponding author
- Lell, Bertrand
- Venue
- BMC Infectious Diseases
- Published
- 2014-03-04
- Volume
- 14
- Issue
- 1
- Pages
- 124-124
- ISSN
- 1471-2334 (ISSN-L)
- PMC
- PMC3943987
- OpenAlex
- W2092277096
- Cited by
- 72
- References
- 35
- Citations by year
- 2025: 5 · 2024: 4 · 2023: 9 · 2022: 10 · 2021: 6 · 2020: 10 · 2019: 7 · 2018: 9 · 2017: 6 · 2016: 4 · 2015: 1 · 2014: 1
- FWCI
- 2.81
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Infectious Diseases (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Deutsche Forschungsgemeinschaft
- Topics
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Nosocomial Infections in ICU
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Antibiotic Resistance in Bacteria
- Keywords
- nosocomial infections, surgical site infection, urinary tract infection, bacteremia, antibiotic resistance, extended-spectrum beta-lactamase, Escherichia coli, Klebsiella, Staphylococcus aureus, infection control, rural hospitals, Gabon
- MeSH terms
- Adult, Anti-Bacterial Agents, Bacteria, Bacterial Infections, Cross Infection, Female, Gabon, Hospitals, Rural, Humans, Male, Incidence, Drug Resistance, Bacterial, Young Adult
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