[Prevalence of nosocomial infections in a university hospital (Dakar, Senegal)].
Nosocomial infections constitute today a great public health problem that is still ignored or poorly mastered in our health institutions.


METHODS
A prevalence study initiated by the CLIN (committee for the prevention of nosocomial infections) was recently conducted at the Fann teaching hospital. A questionnaire was prepared and submitted to all patients that were hospitalized on the day of the study; the questionnaire allowed gathering a lot of information on exposure factors and clinical and microbiological arguments in favor of nosocomial infections.


RESULTS
One hundred and seventy-five patients (59.9% of all available beds) participated in the study. Nosocomial infections were found mostly among people between 20 and 44 years of age and predominantly in women. Fifty-eight percent of those cases were found in the neurology unit. The infections were mostly urinary (40%) and pulmonary (25%). The germs responsible were multiresistant bacteria: Enterobacter cloacae secreting broad-spectrum betalactamase, methicillinresistant Staphylococcus aureus, and Pseudomonas aeruginosa. The infected patients were usually under antibiotic treatment (80%) with various protocols, mainly monotherapy. The antibiotics used were betalactams, fluoroquinolones, and nitroimidazoles.
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Clinique des maladies infectieuses, CHNU de Fann, Dakar, Sénégal.
Ka
R
R
Dieng
C
C
Diagne
R
R
Dia
M L
ML
Fortes
L
L
Diop
B M
BM
Sow
A I
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Sow
P S
PS
D000900:Anti-Bacterial Agents / Q000145:classification / Q000627:therapeutic use; D001424:Bacterial Infections / Q000188:drug therapy / Q000635:transmission; D003428:Cross Infection / Q000453:epidemiology*; D006748:Hospital Departments / Q000706:statistics & numerical data; D006785:Hospitals, University; D006801:Humans; D007297:Inpatients; D015995:Prevalence; D012675:Senegal / Q000453:epidemiology; D011795:Surveys and Questionnaires
D000900:Anti-Bacterial Agents