Evidence map›Paper›PMID 41327010›Full record

ArticleBMC infectious diseases2025

Bacterial-associated bloodstream infections among hospitalized patients in Lagos, Nigeria.

Christopher Oladimeji Fakorede, Kehinde O Amisu, Kabiru Olusegun Akinyemi

Abstract read
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Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Christopher Oladimeji FakoredeDepartment of Biological Sciences, Microbiology Unit, Lagos State University of Science and Technology, Ikorodu, Lagos, Nigeria. fakorede.co@lasustech.edu.ng.
Kehinde O AmisuDepartment of Microbiology, Lagos State University, Ojo, Lagos, Nigeria.
Kabiru Olusegun AkinyemiDepartment of Microbiology, Lagos State University, Ojo, Lagos, Nigeria. Kabiru.akinyemi@lasu.edu.ng.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBacterial-associated bloodstream infections (BSIs) pose a significant health challenge, particularly in low- and middle-income countries where diagnostic delays and antimicrobial resistance exacerbate outcomes. This study investigated the prevalence, clinical correlates, bacterial aetiology, and resistance profiles of BSIs among hospitalised febrile patients in Lagos, Nigeria.

methodsA total of 2,940 blood samples were collected from febrile inpatients across five healthcare centres between 2018 and 2023. Standard microbiological techniques and mass spectrometry were employed for bacterial identification. Antimicrobial susceptibility testing was performed following CLSI guidelines. Statistical analyses included chi-square tests, regression modelling, and correlation analysis.

resultsOf the 2,940 samples, 307 (10.44%) were culture-positive, with gram-negative bacteria accounting for 91.8% of isolates. Proteus spp., Escherichia coli, and Klebsiella spp. were the most prevalent pathogens. Septicaemia, bradycardia, and extreme age groups (0-10, ≥ 41 years) were significantly associated with BSIs (p < 0.0001). Multidrug resistance was highest in P. vulgaris (32.7%) and E. coli (27.9%). A strong correlation (R = 0.76) was observed between clinical diagnosis and culture positivity.

conclusionThe findings reveal a high burden of gram-negative bloodstream infections predominantly caused by Proteus spp., E. coli, and Klebsiella spp., with significant multidrug resistance, particularly in P. vulgaris and E. coli, and strong associations with septicaemia, bradycardia, extreme age groups, and clinical diagnoses.

Indexed as

BacteremiaAdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsBacteriaChildChild, PreschoolDrug Resistance, Multiple, BacterialFemaleGram-Negative BacteriaHospitalizationHumansInfantInfant, NewbornAnti-Bacterial AgentsAntimicrobial resistanceBacterial pathogensBloodstream infectionFebrile illnessMultidrug resistanceNigeria

Identifiers

PMID41327010
PMCPMC12670800

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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.