Prospective surveillance was conducted from Dec 2011–Dec 2014 in 17 wards at three hospitals in Kenya. Hospital acquired infections (HAIs); definitions were adapted from the CDC’s National Healthcare Safety Network. Nonspecific (fever-associated) HAI, was defined as patient who has been on the surveillance ward >3 calendar days and has new onset (i.e. not present in the past 3 calendar days) of fever or hypothermia (>38°C or <35°C).Trained healthcare workers at each site systematically identified patients admitted in the surveillance wards who met the case definition for HAIs. They recorded data on clinical symptoms , any antibiotic given and any investigation done to identify the pathogens associated with the HAIs. Prevalence was reported per 100 admissions.
Overall prevalence of HAI was 4.4 per 100 patient admissions. Differences were noted by hospital and ward type (Table). A total of 1002 cases of HAIs were detected in 862 patients. Of 1002 HAIs identified,80.0% were non-specific fever associated HAI, 10.2% were respiratory infections, 4.7% were urinary tract infections(UTI), 3.0% were diarrhea and 1.8% were blood stream infections(BSI). Prevalence of HAI was highest in medical (5.1%) and paediatric (4.9) wards. All the patients were prescribed antibiotics without a sensitivity test.
High number of non-specific fever associated HAI cases was identified followed by respiratory HAI. Infection control priorities in Kenya should focus in identifying and preventing specific HAIs. Relatively high prevalence of HAIs in paediatrics, Medical and in ICUs wards suggests that infection prevention practices (e.g., hand hygiene, cohorting practices, reprocessing of ventilator tubing) should be assessed and improved in these settings.
L. Ndegwa, None
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