Author(s)

Angèle Azon-Kouanou^1*, Kouessi Anthelme Agbodande¹, Faridath Abèni Tatiane Massou², Dissou Affolabi², Roberto Dossou Torès Kouassi Prudencio¹, Carin Ahouada¹, Komi Habada¹, Murhula Katabana Delphin¹, Djimon Marcel Zannou¹, Fabien Houngbé¹

¹Internal Medicine Department, National Teaching Hospital Hubert Koutoukou Maga of Cotonou, Bénin.
²Bacteriology-Virology Department, National Teaching Hospital Hubert Koutoukou Maga of Cotonou, Bénin.

Introduction: Healthcare-associated infections are involved in hospital long-stay and in the increase in inherent costs to patients care. Objectives: Objective was to describe the characteristics of healthcare-associated bacteremia and urinary tract infections in medical wards of CNHU-HKM of Cotonou, describe the distribution of germs identified according to admission wards and identify factors associated with onset of healthcare-associated infections. Materials and Methods: It was a cohort study conducted from 4th April to 16th September 2016. The study population included patients admitted in wards A and B of CNHU-HKM Medicine department for at least the past 48 hours, or readmitted in one of the medical wards less than 14 days after their discharge from hospital. Results: The study included 825 patients in total. Prevalence of healthcare-associated infections was 9.8%. Bacteremia was the most represented group (65.4%). The most often identified germs regardless of the site were respectively: K. pneumonia (38.5%), S. aureus (23.1%) and E. coli (20.0%). HIV+ status, internal medicine department, nephrology and endocrinology, duration of admission and the use of urinary catheter represent factors statistically associated with the onset of healthcare-associated infections. Conclusion: Healthcare-associated infections are a real public health issue in CNHU-HKM Medicine Department. There is pressing need to conduct a study on clinical hygiene so as to assess healthcare staff in practice.

Healthcare-Associated Infections, Bacteremia, Urinary Tract Infections, Risk Factors

Azon-Kouanou, A. , Agbodande, K. , Massou, F. , Affolabi, D. , Prudencio, R. , Ahouada, C. , Habada, K. , Delphin, M. , Zannou, D. and Houngbé, F. (2018) Healthcare-Associated Bacteremia and Urinary Tract Infections in Wards A and B of Medicine Department, CNHU-HKM of Cotonou: Characteristics and Risk Factors. Open Journal of Internal Medicine, 8, 42-53. doi: 10.4236/ojim.2018.81006.