Evidence map›Paper›PMID 41195257›Full record

ArticleInfection and drug resistance2025

Impact of Clinical Factors on Nosocomial Infections and Bacterial Resistance in Resuscitation Settings in Abidjan, Côte d'Ivoire: Retrospective Cross-Sectional Study.

Kouamé Koffi Isidore, Mobio N'kan Michael Paterne, Bouh Kouesseu Judith, Konan Kouassi Jean, Coulibaly Klinna Theodore, Toure Walamitien Cyril, Sai Servais Sontia, Bable Koffi Suy, Kouakou Homawo José, Yapo Yapo Paul

Abstract read
In one paragraph

Article in Infection and drug resistance, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Kouamé Koffi IsidoreDepartment of Anesthesia, Resuscitation, and Emergency Medicine, Felix Houphouët Boigny University, Abidjan, Ivory Coast.ORCID 0000-0003-4192-929X
Mobio N'kan Michael PaterneDepartment of Anesthesia, Resuscitation, and Emergency Medicine, Felix Houphouët Boigny University, Abidjan, Ivory Coast.
Bouh Kouesseu JudithDepartment of Anesthesia, Resuscitation, and Emergency Medicine, Felix Houphouët Boigny University, Abidjan, Ivory Coast.
Konan Kouassi JeanDepartment of Anesthesia, Resuscitation, and Emergency Medicine, Felix Houphouët Boigny University, Abidjan, Ivory Coast.
Coulibaly Klinna TheodoreDepartment of Anesthesia, Resuscitation, and Emergency Medicine, Felix Houphouët Boigny University, Abidjan, Ivory Coast.
Toure Walamitien CyrilDepartment of Anesthesia, Resuscitation, and Emergency Medicine, Felix Houphouët Boigny University, Abidjan, Ivory Coast.
Sai Servais SontiaDepartment of Anesthesia, Resuscitation, and Emergency Medicine, Felix Houphouët Boigny University, Abidjan, Ivory Coast.ORCID 0009-0002-8780-7124
Bable Koffi SuyDepartment of Anesthesia, Resuscitation, and Emergency Medicine, Felix Houphouët Boigny University, Abidjan, Ivory Coast.
Kouakou Homawo JoséDepartment of Anesthesia, Resuscitation, and Emergency Medicine, Felix Houphouët Boigny University, Abidjan, Ivory Coast.
Yapo Yapo PaulDepartment of Anesthesia, Resuscitation, and Emergency Medicine, Felix Houphouët Boigny University, Abidjan, Ivory Coast.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Nosocomial infections (NIs) are a key indicator of healthcare quality. This study aimed to identify the main determinants of NIs in the intensive care unit (ICU) of Yopougon University Hospital, providing updated local data to improve care quality and guide prevention strategies. Methods: This was a retrospective, descriptive, and analytical cross-sectional study conducted over 11 months in the ICU. Results: We recorded 55 NIs, representing 17.52% of ICU admissions. The male-to-female ratio was 1.80, with an average age of 42.00 ± 20.29 years. Hypertension (28.34%) and diabetes (8.92%) were the most common comorbidities. The leading causes for admission were consciousness disorders (18.47%), stroke (16.88%), and polytrauma (15.29%). Common invasive procedures included urinary catheter insertion (61.78%), mechanical ventilation (35.99%), venous catheter insertion (13.38%), and external ventricular drain (EVD) insertion (5.73%). Germs were identified in 17 cases (5.41% of NIs), with Klebsiella (29.41%), Pseudomonas (35.29%), and Escherichia coli (17.65%) being the most common. Other germs included Staphylococcus aureus, Acinetobacter spp. and Enterobacter spp. Antibacterial resistance was found in 64.70% of isolates. Factors independently associated with NIs were recent surgery (excluding immediate postoperative), obesity, EVD insertion, anemia, and prolonged hospitalization. Patients with hemodynamic instability or from the surgery department were less likely to develop NIs. Conclusion: This study highlights risk factors such as comorbidities, invasive procedures, and bacterial resistance, emphasizing the need to strengthen hospital infrastructure, adopt prevention policies, and research antibiotic resistance. It stresses managing comorbidities, adhering to aseptic protocols, and involving the public in prevention efforts.

Indexed as

bacterial resistanceclinicals factorsimpactintensive carenosocomial infectionsoccurrence

Identifiers

PMID41195257
PMCPMC12583227

What OpenQuestion holds

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Registered trials

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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.