NDLI: Risk factors for wound infection in health care facilities in Buea, Cameroon: aerobic bacterial pathogens and antibiogram of isolates.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kihla, Akoachere Jane-Francis Tatah Ngunde, Palle John Evelyn, Mbianda Soupsop Gerard, Nkwelang Ndip, Roland Ndip
Spatial Coverage	Cameroon
Description	Country affiliation: Cameroon Author Affiliation: Kihla AJ ( Department of Microbiology and Parasitology, Faculty of Science, University of Buea, Buea, Cameroon ); Ngunde PJ ( Department of clinical science, Faculty of health Sciences, University of Buea, Buea, Cameroon.); Evelyn MS ( Department of Microbiology and Parasitology, Faculty of Science, University of Buea, Buea, Cameroon.); Gerard N ( Department of Microbiology and Parasitology, Faculty of Science, University of Buea, Buea, Cameroon.); Ndip RN ( Department of Microbiology and Parasitology, Faculty of Science, University of Buea, Buea, Cameroon )
Abstract	INTRODUCTION: Wound infection is a significant clinical challenge in hospitals in developing countries where proper healthcare delivery is hampered by limited resources. This study investigated the antibiotic susceptibility pattern of bacteria causing wound infection and risk factors for infection among hospitalized patients in Buea, Cameroon, to generate findings which could drive reformation of policies on infection control. METHODS: Aerobic bacteria were isolated from 212 swabs collected from patients with clinically diagnosed infected wounds. Risk factors for wound infection were investigated. Antibiotic susceptibility of isolates was determined by disk diffusion technique. The Chi-square test was employed to determine significant differences in isolation and distribution of organisms in various specimens. Differences were considered significant at P<0.05. RESULTS: Twelve bacteria species were isolated from 169 (79.7%) specimens. Staphylococcus aureus, Pseudomonas aeruginosa and Klebsiella pneumoniae, the predominant isolates in all wound types exhibited a high preponderance of multidrug resistant strains. High rate of infection was attributed to lack of constant water supply and breakdown of sterilization equipment during the study period. Highest diversity of pathogens occurred in open wounds. There were no significant differences (P>0.05) in isolation of pathogens with respect to age, gender and wound type. Co-existing morbidity increased risk of wound infection. Isolates were susceptible to fluoroquinolones and resistant to oxacillin. CONCLUSION: Wound infection with resistant bacteria constitutes a significant cause of morbidity in the study area. Findings reiterate the need to strengthen infection control and drug dispensing policies, and greater collaboration between microbiologists and medical practioners to stem the spread of resistant bacteria.
File Format	HTM / HTML
e-ISSN	19378688
DOI	10.11604/pamj.2014.18.6.2304
Journal	Pan African Medical Journal
Volume Number	18
Language	English
Publisher	African Field Epidemiology Network
Publisher Date	2014-01-01
Publisher Place	Uganda
Access Restriction	Open
Subject Keyword	Discipline Medicine Anti-bacterial Agents Pharmacology Bacteria Isolation & Purification Wound Infection Epidemiology Adolescent Cameroon Child, Preschool Drug Resistance, Bacterial Hospitalization Infant Microbial Sensitivity Tests Risk Factors Microbiology
Content Type	Text
Resource Type	Article

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