Nigerian Medical Journal

ORIGINAL ARTICLE
Year
: 2011  |  Volume : 52  |  Issue : 4  |  Page : 239--243

Hospital-acquired infections in a Nigerian tertiary health facility: An audit of surveillance reports


OK Ige, AA Adesanmi, MC Asuzu 
 Department of Community Medicine, University College Hospital, Ibadan, Nigeria

Correspondence Address:
O K Ige
Department of Community Medicine, University College Hospital, Ibadan
Nigeria

Background: Hitherto efforts to implement data driven prevention guidelines for hospital-acquired infections (HAI) in Nigeria have been limited by the inadequate knowledge of the risks of these infections. This study evaluated the occurrence of HAI in a foremost tertiary health facility over a 5-year period for the purpose of reinforcing control efforts. Materials and Methods: A retrospective survey of records from the infection control unit of the University College Hospital, Ibadan, Nigeria, was done for the years 2005-09. For the 5 years studied 22,941 in-patients were reviewed and the data of those who developed infections during admission were retrieved and analyzed. The prevalence, types, and causative organisms of HAI were determined. The chi-square test was used to evaluate associations. Results: The prevalence of HAI over the 5-year period was 2.6% (95% CI: 2.4-2.8). Surgical and medical wards had the most infections (48.3%) and (20.5%) respectively. Urinary tract infection (UTI) and surgical site infection (30.7%) were the most prevalent (43.9%) HAI. UTIs were significantly higher in surgical and medical wards, surgical site infections in obstetrics and gynecology wards, and soft tissue infections and bacteremia in pediatric wards (P<0.05). Gram-negative infections occurred about four times as often as gram-positive infections with Klebsiella sp. and staphylococcus aureus being the predominant isolates (34.3%) and (20.1%) respectively. Conclusion: Efforts to limit HAI should be guided by local surveillance data if progress is to be made in improving the quality of patient care in Nigeria.


How to cite this article:
Ige O K, Adesanmi A A, Asuzu M C. Hospital-acquired infections in a Nigerian tertiary health facility: An audit of surveillance reports.Niger Med J 2011;52:239-243


How to cite this URL:
Ige O K, Adesanmi A A, Asuzu M C. Hospital-acquired infections in a Nigerian tertiary health facility: An audit of surveillance reports. Niger Med J [serial online] 2011 [cited 2024 Mar 28 ];52:239-243
Available from: https://www.nigeriamedj.com/article.asp?issn=0300-1652;year=2011;volume=52;issue=4;spage=239;epage=243;aulast=Ige;type=0