Profiles of microorganisms isolated from neonates’ blood cultures, incubators, cradles, ventilators, washbasins, and health-workers of Libreville University Hospital Neonatal Service: focus on infection prevention and control measures


Submitted: 5 April 2019
Accepted: 20 April 2021
Published: 18 June 2021
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Authors

Background: Nosocomial infection outbreaks in neonatal services are a serious healthcare concern in both developed and developing countries, but few studies have been conducted in sub-Saharan Africa. Objective: This study explored the etiology of septicemia in neonates and associated patterns of antimicrobial susceptibility in Gabon.
Methods: We analyzed cultures from neonates’ blood and swabs from medical personnel and equipment located in the neonatology service.
Results: Sixty-eight microorganisms were isolated from the medical personnel and equipment; 46 microorganisms were isolated from neonates’ blood culture. Klebsiella pneumoniae spp pneumoniae was the most common bacteria found in both (30.6% and 26.9%, respectively). All Klebsiella pneumoniae spp pneumonia isolates were resistant to amoxicillin with clavulanic acid, gentamycin resistance ranged from 93% to 100%, and cephalosporin resistance ranged from 33.3% to 47%.
Conclusions: Awareness of the etiology, prevalence, and outcome of nosocomial infection is the first and most important step to appropriate interventions


Supporting Agencies

National Laboratory of Public Health Gabon

Kuissi Kamgaing, E. ., Ndong, J.-C. ., Kouegnigan Rerambiah, L., & Djoba Siawaya, J. F. (2021). Profiles of microorganisms isolated from neonates’ blood cultures, incubators, cradles, ventilators, washbasins, and health-workers of Libreville University Hospital Neonatal Service: focus on infection prevention and control measures. Journal of Public Health in Africa, 12(1). https://doi.org/10.4081/jphia.2021.1075

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