title: Epidemiology of community-onset bloodstream infections in Bouaké, central Côte d'Ivoire.
abstract: Bacterial bloodstream infections (BSI) account for considerable morbidity worldwide, but epidemiological data from resource-constrained tropical settings are scarce. We analysed 293 blood cultures from patients presenting to a regional referral hospital in Bouaké, central Côte d'Ivoire, to determine the aetiology of community-onset BSI. The prevalence of bacteraemia was 22.5%, with children being most commonly affected. Enterobacteriaceae (predominantly Klebsiella pneumoniae and Salmonella enterica) accounted for 94% of BSI. Staphylococcus aureus was the only relevant Gram-positive pathogen. Clinical signs and symptoms were not significantly associated with blood culture positivity after controlling for malaria.
authors.affiliation: Laboratoire de Bactériologie-Virologie, Cote d'Ivoire ; Unité de Formation et Recherche Sciences Médicales, Université Alassane Ouattara de Bouaké, Bouaké, Côte d'Ivoire.
authors.forename: C
authors.initials: C
authors.lastname: Akoua-Koffi
authors.affiliation: Laboratoire de Bactériologie-Virologie, Cote d'Ivoire ; Unité de Formation et Recherche Sciences Médicales, Université Alassane Ouattara de Bouaké, Bouaké, Côte d'Ivoire.
authors.forename: H
authors.initials: H
authors.lastname: Tia
authors.affiliation: Service de Pédiatrie, Centre Hospitalier Universitaire de Bouaké, Cote d'Ivoire ; Unité de Formation et Recherche Sciences Médicales, Université Alassane Ouattara de Bouaké, Bouaké, Côte d'Ivoire.
authors.forename: J K
authors.initials: JK
authors.lastname: Plo
authors.affiliation: Laboratoire de Bactériologie-Virologie, Cote d'Ivoire ; Unité de Formation et Recherche Sciences Médicales, Université Alassane Ouattara de Bouaké, Bouaké, Côte d'Ivoire.
authors.forename: P
authors.initials: P
authors.lastname: Monemo
authors.affiliation: Laboratoire de Bactériologie-Virologie, Cote d'Ivoire.
authors.forename: A
authors.initials: A
authors.lastname: Cissé
authors.affiliation: Service de Pédiatrie, Centre Hospitalier Universitaire de Bouaké, Cote d'Ivoire ; Unité de Formation et Recherche Sciences Médicales, Université Alassane Ouattara de Bouaké, Bouaké, Côte d'Ivoire.
authors.forename: C
authors.initials: C
authors.lastname: Yao
authors.affiliation: Service de Pédiatrie, Centre Hospitalier Universitaire de Bouaké, Cote d'Ivoire ; Unité de Formation et Recherche Sciences Médicales, Université Alassane Ouattara de Bouaké, Bouaké, Côte d'Ivoire.
authors.forename: P J
authors.initials: PJ
authors.lastname: Yenan
authors.affiliation: Laboratoire de Bactériologie-Virologie, Cote d'Ivoire ; Unité de Formation et Recherche Sciences Médicales, Université Alassane Ouattara de Bouaké, Bouaké, Côte d'Ivoire.
authors.forename: F S
authors.initials: FS
authors.lastname: Touré
authors.affiliation: Laboratoire de Bactériologie-Virologie, Cote d'Ivoire ; Unité de Formation et Recherche Sciences Médicales, Université Alassane Ouattara de Bouaké, Bouaké, Côte d'Ivoire.
authors.forename: V
authors.initials: V
authors.lastname: Ilupeju
authors.affiliation: Department of Medicine, University of Toronto, Toronto, Ontario, Canada ; Divisions of Internal Medicine and Infectious Diseases, Toronto General Hospital, Toronto, Ontario, Canada.
authors.forename: I I
authors.initials: II
authors.lastname: Bogoch
authors.affiliation: Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Switzerland ; University of Basel, Basel, Switzerland.
authors.forename: J
authors.initials: J
authors.lastname: Utzinger
authors.affiliation: Institute of Medical Microbiology and Hygiene, Saarland University, Homburg/Saar, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Herrmann
authors.affiliation: Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Switzerland ; University of Basel, Basel, Switzerland ; Institute of Medical Microbiology and Hygiene, Saarland University, Homburg/Saar, Germany.
authors.forename: S L
authors.initials: SL
authors.lastname: Becker
keywords: Bacteraemia; Côte d’Ivoire; Enterobacteriaceae; Klebsiella pneumoniae; Salmonella enterica