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Infections caused by extended-spectrum beta-lactamases producing Enterobacteriaceae (ESBL-E) are of major concern in clinical practice because of limited therapeutic options effective to treat them. Published studies showed that ESBL-E, widely spread in Europe, United States or Asia; are also frequent in Africa. However, the impact of ESBL-E infections is(More)
Methods Retrospective analysis on hospital stays’ database in the pediatric unit at Hopital Principal de Dakar between September and November 2010. Patients with a positive bacteriological test were selected. Probable cases of HCAI were included on clinical and bacteriological data (presence of multiresistant bacteria). Cases were matched to control(More)
Results During the study period, 123 patients were followed up and 79 urine samples were made corresponding to 56.4% of all diagnostic samples. The average age of patients was 55 ± 21.22 and sex ratio of 0.97. Thirty-nine percent of patients were admitted with a neurological disorder. These patients were referred by another health facility (56.3%) came from(More)
Methods An extensive investigation was carried out. Following indicators were evaluated: existence and functionality of the infection control committee (ICC), availability of resources for hand hygiene, knowledge and perception of healthcare workers (HCW) on hand hygiene (with tools elaborated by World Health Organization), invasive procedures care and(More)
Introduction / objectives Economic data on healthcare-associated infections (HCAI) in resource-poor countries are practically nonexistent despite the importance of this issue. Healthcare costs are patients’ charges whereas minimum wages is of 72€ in Senegal. The objective of our study was to estimate the length of stay (LOS) and the mean cost of stays of(More)
Introduction Hand hygiene is an important measure to reduce the risk of infections related to care proceedings. WHO proposes to use alcohol-based hand rubas a strategy for improving hand hygiene in health care settings. As part of the implementation of this strategy, Senegal has initiated anational action planfor the installation of manufacturing unitsin(More)
CONTEXT Severe bacterial infections are not considered as a leading cause of death in young children in sub-Saharan Africa. The worldwide emergence of extended-spectrum beta-lactamase producing Enterobacteriaceae (ESBL-E) could change the paradigm, especially in neonates who are at high risk of developing healthcare-associated infections. OBJECTIVE To(More)
Results During the study period, 123 patients were followed and 30 episodes of bacteremia were described that is 21% of all the blood cultures taken. The average age of the patients was 49 years±18.31 and the sex-ratio 0.66. The majority of the patients (78.6%) were sent by a health care structure, 14.3% came from the place of residence and 7.1% were the(More)
BACKGROUND Antibiotic resistance is growing in low-income countries (LICs). Children in LICs are particularly at risk. Information on antibiotic consumption is needed to control the development and spread of resistant bacteria. METHODS To measure antibiotic consumption and related factors, a community survey was undertaken in two sites in Madagascar(More)
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