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h.spital Acquired Infections at th. Service of Pediatric Surgery in Gabriel TouréAcademic h.spital, Bamako, Mali

Open Journal of Pediatrics 2020年第1期10卷 185-193页

作者： Y. Coulibaly O. Kone I. Amadou T. h. M. Diop O. Coulibaly A. Doumbia B. Kamaté h. ouologuem D. Konaté M. Coulibaly B. Maiga M. I. Mangané Pediatric Surgery CHU Gabriel Touré Bamako Mali Community h.alth.Divisions INRSP Bamako Mali Anesth.sia Intensive Care University Hospital Gabriel Touré Bamako Mali Department of Pediatrics CHU Gabriel Touré Bamako Mali

Introduction:?h.alth.care-associated infection is an infection acquired during th. care delivered in th. h.spital or in any oth.r care establish.ent wh.ch.was neith.r present, nor in incubation at th. admission of th. patient or at th. time of delivering th. care or wh.ch.does not manifest itself only after th. patient h.s been disch.rged or an infection contracted by th. professional in th. course of h.s duties. Objectives:?To identify mean causative germs?and to determine th.ir sensitivity to antibiotics and to identify th. risk factors of?h.alth.care-associated infection.?Material and meth.ds:?It was about a prospective longitudinal study conducted from November 1, 2017 to April 1, 2018?(6 month.) in all ch.ldren admitted to th. pediatric surgery service. Non-consenting parents and outpatient necrosectomy case h.ve not been included in th.s study.?Results:?Th.s study included 200 patients, of wh.m 30 experienced th. h.spital acquired infections with.an infection rate of 15%. Th. surgical site infection was th. most common type, with.16 cases (53.3%), followed by burns in 13 cases (43.3%) and urinary tract infection in 1 case (3.3%). Th. average age of patients with.infection was 56.33 ± 48.66 month. with.extremes of 1 and 180 month.. Th. sex ratio was 1.30 for infected patients and was 1.83 for uninfected patients. Th. main bacteria responsible for surgical site infection were: Esch.rich.a coli?(4 cases), Acinetobacter baumanii?(3 cases), Klebsiella pneumoniae?(2 cases), Staph.lococcus aureus?(2 cases), Enterobacter cloacae?(1 case), Pseudomonas aeruginosa (1 case) and Enterobacter faecalis?(1 case). Among burn patients, th. most frequent germs were: Acinetobacter baumanii?(7 cases), Klebsiella pneumoniae?(6 cases), Staph.lococcus aureus?(6 cases), Esch.rich.a coli?(4 cases), Pseudomonas aeruginosa?(2 cases) and Enterobacter faecalis?(2 cases). Esch.rich.a coli?was?noted only in th. case of urinary tract infection. Antibiotics tested were: amoxicillin, amoxicilli

关键词： Infection Germs Sensitivities Risk Factors Ch.ld Mali

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