title: [Prevalence of nosocomial infections in a university hospital (Dakar, Senegal)].
abstract: 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.
authors.affiliation: Clinique des maladies infectieuses, CHNU de Fann, Dakar, Sénégal.
authors.forename: N M
authors.initials: NM
authors.lastname: Dia
authors.forename: R
authors.initials: R
authors.lastname: Ka
authors.forename: C
authors.initials: C
authors.lastname: Dieng
authors.forename: R
authors.initials: R
authors.lastname: Diagne
authors.forename: M L
authors.initials: ML
authors.lastname: Dia
authors.forename: L
authors.initials: L
authors.lastname: Fortes
authors.forename: B M
authors.initials: BM
authors.lastname: Diop
authors.forename: A I
authors.initials: AI
authors.lastname: Sow
authors.forename: P S
authors.initials: PS
authors.lastname: Sow
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents