Original Research

Healthcare-associated infection in Burkina Faso: An assessment in a district hospital

Hervé Hien, Koiné M. Darbo, Laurent Ouédraogo, Salifou Konfé, Sylvain Zeba, Lassana Sangaré, Sidzabda C. Compaoré, Jean B. Ouédraogo, Edgard M. Ouendo, Michel Makoutodé, Nicolas Meda
Journal of Public Health in Africa | Vol 3, No 2 | a1084 | DOI: https://doi.org/10.4081/jphia.2012.e29 | © 2024 Hervé Hien, Koiné M. Darbo, Laurent Ouédraogo, Salifou Konfé, Sylvain Zeba, Lassana Sangaré, Sidzabda C. Compaoré, Jean B. Ouédraogo, Edgard M. Ouendo, Michel Makoutodé, Nicolas Meda | This work is licensed under CC Attribution 4.0
Submitted: 27 November 2024 | Published: 22 October 2012

About the author(s)

Hervé Hien, Health Reproduction, HIV/AIDS and Tuberculosis Research Unit, Centre MURAZ, Bobo-Dioulasso, Burkina Faso
Koiné M. Darbo, Institute of Research in Sciences of Health, Bobo-Dioulasso, Région Sanitaire Du Plateau Central; and, National Laboratory of Public Health, Ouagadougou, Burkina Faso
Laurent Ouédraogo, UFR-SDS & CRIS, University of Ouagadougou, Ouagadougou, Burkina Faso
Salifou Konfé, Ministry of health, Ouagadougou, Burkina Faso
Sylvain Zeba, Région Sanitaire Du Plateau Central, Burkina Faso
Lassana Sangaré, UFR-SDS & CRIS, University of Ouagadougou, Ouagadougou; Microbiology laboratory, CHU Yalgado Ouédraogo, Ouagadougou, Burkina Faso
Sidzabda C. Compaoré, Ziniaré district hospital, Ziniaré, Burkina Faso
Jean B. Ouédraogo, Institute of Research in Sciences of Health, Bobo-Dioulasso, Burkina Faso; and, Nutrition, Environment and potential epidemic diseases Research Unit, Centre MURAZ, Bobo-Dioulasso
Edgard M. Ouendo, Institut Régional de santé Publique (IRSP), Ouidah, Burkina Faso
Michel Makoutodé, Institut Régional de santé Publique (IRSP), Ouidah, Burkina Faso
Nicolas Meda, Health Reproduction, HIV/AIDS and Tuberculosis Research Unit, Centre MURAZ, Bobo-Dioulasso, Burkina Faso; and, UFR-SDS & CRIS, University of Ouagadougou, Ouagadougou, Burkina Faso

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Abstract

In developing countries, few data are available on healthcare-associated infections. In Burkina Faso, there has been a failure to take into account risk management and patient safety in the quality assurance program. The main objective of our study was to carry out an assessment of healthcare-associated infection in a first level hospital. We conducted a crosssectional study in June 2011 in the care units of Ziniaré District Hospital (Ziniaré, Burkina Faso). The hospital has been divided in three components: i) hospital population (care providers, in-patients and patients’ guardians); ii) healthcare and services organization; iii) hospital environment. We included: care providers of the clinical services, hospital inpatients and patients’ guardians, hospitalization infrastructure and nursing units, and all the documents relating to standards and protocols. Data collection has been done by direct observation, interviews and biological samples taken at different settings. In hospital population, care providers and patients’ guardians represented a high source of infection: adherence to hygiene practice on the part of care providers was low (12/19), and no patients’ guardian experienced good conditions of staying in the hospital. In healthcare and services organization, healthcare waste management represented a high-risk source of infection. In hospital environment, hygiene level of the infrastructure in the hospital rooms was low (6.67%). Prevalence of isolated bacteria was 71.8%. Urinary-tract catheters infections were the most significant in our sample, followed by surgical-site infections. In total, 56.26% (9/19) of germs were -Lactamase producers (ESBL). They were represented by Escherichia coli and Klebsiella pneumoniae. Our analysis identified clearly healthcare-associated infection as a problem in Ziniaré district hospital. Hence, a national program of quality assurance in the hospitals should now integrate the risk infectious management of healthcare-associated infections.

Keywords

risks; healthcare-associated infection; district hospital

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