title: [Prevalence of nosocomial infections in two hospitals in Conakry (Guinea)].
abstract: BACKGROUND
  Nosocomial infections can be prevented by applying simple hygiene rules. However, they have not been sufficiently studied in the Republic of Guinea. For this purpose, we conducted a one-day study in the Conakry University Hospital surgery wards and intensive care units.
  
  
  METHODS
  Fourteen units (12 surgical wards and 2 intensive care units) participated in the study.
  
  
  RESULTS
  A total of 310 patients were included. A nosocomial infection was observed in 62 patients, [20%, 95%CI 15.9-24.8%]. Surgical site infections were significantly more frequent with 42/62 cases [67.7%, 95%CI 55.3-78.1%, p = 0.0001] than other types of infections (urinary tract, skin and digestive) with 20/62 cases [32.3% 95%CI 21.9-44.6%]. The average hospital stay of 29.1 ± 23.4 days [95%CI, 23.2 ± 35.04] for patients with nosocomial infection was significantly different (p = 0.0001) from that observed in patients without nosocomial infection: 15.9 ± 16.3 days [95%CI, 13.8 ± 17.9]. Staphylococcus aureus was the pathogen most commonly isolated: 32/62 (51.6%; 95%CI 39.5-63.6%). Escherichia coli infection was identified in the bladder catheters of 13 patients [20.9%, 95%CI 12.7-32.6%]. Finally, five deaths were observed among the 62 patients with nosocomial infection.
  
  
  CONCLUSIONS
  This study shows that nosocomial infections are common in Conakry University Hospital. Further studies must be conducted to identify the risk factors for nosocomial infections and to propose solutions.
authors.forename: Alpha Kabinet
authors.initials: AK
authors.lastname: Keita
authors.forename: Naman
authors.initials: N
authors.lastname: Doumbouya
authors.forename: Mamadou Saliou
authors.initials: MS
authors.lastname: Sow
authors.forename: Bintou
authors.initials: B
authors.lastname: Konaté
authors.forename: Yacouba
authors.initials: Y
authors.lastname: Dabo
authors.forename: Daniel Agbo
authors.initials: DA
authors.lastname: Panzo
authors.forename: Mamady
authors.initials: M
authors.lastname: Keita
mesh_terms: D000328:Adult; D003428:Cross Infection / Q000453:epidemiology*; D005260:Female; D016701:Guinea; D006785:Hospitals, University; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D015995:Prevalence