Evidence map›Paper›PMID 24883183›Full record

ArticleAntimicrobial resistance and infection control2014

Prevalence of nosocomial infections and anti-infective therapy in Benin: results of the first nationwide survey in 2012.

Théodora Angèle Ahoyo, Honoré Sourou Bankolé, Franck Mansour Adéoti, Aimé Attolou Gbohoun, Sibylle Assavèdo, Marcellin Amoussou-Guénou, Dorothée Akoko Kindé-Gazard, Didier Pittet

Open access · goldAbstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 11 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 11 syntheses or guidelines pooled it, 98 citations in OpenAlex.

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  10. Global Incidence of Surgical Site Infection Among Patients: Systematic Review and Meta-Analysis.Inquiry : a journal of medical care organization, provision and financing
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  11. Incidence of Urinary Tract Infection Among Patients: Systematic Review and Meta-Analysis.Inquiry : a journal of medical care organization, provision and financing
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Théodora Angèle AhoyoGénie de Biologie Humaine, Ecole Polytechnique d'Abomey-Calavi, University of Abomey-Calavi, Cotonou, Benin.
Honoré Sourou BankoléGénie de Biologie Humaine, Ecole Polytechnique d'Abomey-Calavi, University of Abomey-Calavi, Cotonou, Benin.
Franck Mansour AdéotiInternational Network for Planning and Improving Quality and Safety in Health Systems in Africa (Réseau International pour la Planification et l'Amélioration de la Qualité et la Sécurité dans les établissements humains en Afrique), Abidjan, Ivory Coast.
Aimé Attolou GbohounImprovement Quality Service, Ministry of Health, Cotonou, Benin.
Sibylle AssavèdoImprovement Quality Service, Ministry of Health, Cotonou, Benin.
Marcellin Amoussou-GuénouImprovement Quality Service, Ministry of Health, Cotonou, Benin.
Dorothée Akoko Kindé-GazardMinistry of Health and Faculty of Medicine, University of Abomey-Calavi, Cotonou, Benin.
Didier PittetInfection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
Progamme National Contre le Tuberculose · BJUniversité d'Abomey-Calavi · BJUniversity of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on nosocomial infections in hospitals in low-income countries are scarce and often inconsistent. The objectives of this study were to estimate the prevalence of nosocomial infections and antimicrobial drug use in Benin hospitals.

methodsAll hospitals were invited to participate in the first national point prevalence study conducted between 10-26 October 2012 using the protocol developed by the "Hospitals in Europe Link for Infection Control through Surveillance" (HELICS) project. Infection prevalence rates and the proportion of infected patients and exposure to antimicrobials were assessed.

resultsOverall, 87% (39/45) of hospitals participated. Of 3130 inpatients surveyed, 972 nosocomial infections were identified among 597 patients, representing an overall prevalence of infected patients of 19.1%. The most frequent infections were related to the urinary tract (48.2%), vascular catheter use (34.7%), and surgical site (24.7%). 64.6% of patients surveyed were treated with antibiotics, including a significant proportion (30%) of non-infected patients and a high proportion of self-medication (40.8%). Resistance of leading nosocomial pathogens to antimicrobials included methicillin-resistance (52.5%) among Staphylococcus aureus, vancomycin resistance among enterococci (67.5%), cefotaxime resistance among Escherichia coli (67.6%), and ceftazidime resistance among Acinetobacter baumannii (100%) and Pseudomonas aeruginosa (68.2%).

conclusionsBenin has high nosocomial infection rates and calls for the implementation of new national infection control policies. Patient safety education and training of all individuals involved in healthcare delivery will be critical to highlight awareness of the burden of disease. The high use of antimicrobials needs to be addressed, particularly their indiscriminate use in non-infected patients.

Indexed as

AfricaAntibiotic useAntimicrobial resistanceCo-morbidityInfection controlLow-/middle-income countriesNational surveillanceNosocomial infectionPrevalenceSurveillance

Identifiers

PMID24883183
PMCPMC4039045
OpenAlexW2142453878

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.