title: Healthcare-associated infection in Burkina Faso: an assessment in a district hospital.
abstract: In developing countries, few data are available on healthcare-associated infections. In Burkina Faso, there has been a failure to take into account risk management and patient safety in the quality assurance program. The main objective of our study was to carry out an assessment of healthcare-associated infection in a first level hospital. We conducted a cross-sectional study in June 2011 in the care units of Ziniaré District Hospital (Ziniaré, Burkina Faso). The hospital has been divided in three components: i) hospital population (care providers, in-patients and patients' guardians); ii) healthcare and services organization; iii) hospital environment. We included: care providers of the clinical services, hospital in-patients and patients' guardians, hospitalization infrastructure and nursing units, and all the documents relating to standards and protocols. Data collection has been done by direct observation, interviews and biological samples taken at different settings. In hospital population, care providers and patients' guardians represented a high source of infection: adherence to hygiene practice on the part of care providers was low (12/19), and no patients' guardian experienced good conditions of staying in the hospital. In healthcare and services organization, healthcare waste management represented a high-risk source of infection. In hospital environment, hygiene level of the infrastructure in the hospital rooms was low (6.67%). Prevalence of isolated bacteria was 71.8%. Urinary-tract catheters infections were the most significant in our sample, followed by surgical-site infections. In total, 56.26% (9/19) of germs were -Lactamase producers (ESBL). They were represented byEscherichia coliandKlebsiella pneumoniae.Our analysis identified clearly healthcare-associated infection as a problem in Ziniaré district hospital. Hence, a national program of quality assurance in the hospitals should now integrate the risk infectious management of healthcare-associated infections.
authors.affiliation: Health Reproduction, HIV/AIDS and Tuberculosis Research Unit, Centre MURAZ, Bobo-Dioulasso.
authors.forename: Hervé
authors.initials: H
authors.lastname: Hien
authors.affiliation: Institute of Research in Sciences of Health, Bobo-Dioulasso;; National Laboratory of Public Health, Ouagadougou.
authors.forename: Koiné Maxime
authors.initials: KM
authors.lastname: Drabo
authors.affiliation: UFR-SDS & CRIS, University of Ouagadougou, Ouagadougou.
authors.forename: Laurent
authors.initials: L
authors.lastname: Ouédraogo
authors.affiliation: Ministry of health, Ouagadougou.
authors.forename: Salifou
authors.initials: S
authors.lastname: Konfé
authors.affiliation: Région sanitaire du plateau central.
authors.forename: Sylvain
authors.initials: S
authors.lastname: Zeba
authors.affiliation: UFR-SDS & CRIS, University of Ouagadougou, Ouagadougou;; Microbiology laboratory, CHU Yalgado Ouédraogo, Ouagadougou.
authors.forename: Lassana
authors.initials: L
authors.lastname: Sangaré
authors.affiliation: Ziniaré district hospital, Ziniaré, Burkina Faso.
authors.forename: Sidzabda C
authors.initials: SC
authors.lastname: Compaoré
authors.affiliation: Institute of Research in Sciences of Health, Bobo-Dioulasso;; Nutrition, Environment and potential epidemic diseases Research Unit, Centre MURAZ, Bobo-Dioulasso.
authors.forename: Jean Bosco
authors.initials: JB
authors.lastname: Ouédraogo
authors.affiliation: Institut Régional de santé Publique (IRSP), Ouidah, Benin.
authors.forename: Edgard M
authors.initials: EM
authors.lastname: Ouendo
authors.affiliation: Institut Régional de santé Publique (IRSP), Ouidah, Benin.
authors.forename: Michel
authors.initials: M
authors.lastname: Makoutodé
authors.affiliation: Health Reproduction, HIV/AIDS and Tuberculosis Research Unit, Centre MURAZ, Bobo-Dioulasso;; UFR-SDS & CRIS, University of Ouagadougou, Ouagadougou.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Meda
keywords: district hospital.; healthcare-associated infection; risks