Assessment of possible healthcare associated infection pathogens at a military hospital, Lagos State, Nigeria, November, 2015
Odekunle Bola Odegbemi1,&, Festus Oshama2, Ogbeche Ochagu2, Abiodun Ogunniyi1, Muhammad Balogun1
1Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria, 2Nigerian Navy Reference Hospital, Ojo, Lagos, Nigeria
Odekunle Bola Odegbemi, Nigeria Field Epidemiology and Laboratory Training Programme, Asokoro, Abuja, Nigeria
healthcare associated infection (HCAI) are infections among patients in hospital setting that become manifest only after 48 hours of hospital stay, which are caused by pathogens acquired in healthcare settings. Usually, HCAI are infections of urinary tract, surgical wounds, and the lower respiratory tract. They are a major cause of death and increased morbidity in hospitalized patients. In November, 2015, we assessed the prevalence of possible nosocomial pathogens at a military hospital in Lagos State, Nigeria.
hospital areas such as theatre, treatment room, nurses’ station, male surgical ward, vital signs room, accident and emergency room, labour room, and post-natal ward were randomly sampled for the survey. We collected swabs specimens from specific sites such as table tops, faucets, door handles, beddings and equipment using sterile swab sticks. The swabs were inoculated on nutrient, chocolate and McConkey agar plates and incubated at 37°C for 24 hours. We characterized isolates by Gram reaction and biochemical methods.
out of the 83 sites cultured, 31 37.3%) yielded significant growth. Organisms isolated include Staphylococcus epidermidis (32.2%), Staphylococcus aureus (22.6%), Escherichia coli (12.9%), Klebsiella pneumoniae (9.7%), Streptococcus pyrogenes (9.7%), Aspergillus spp. (9.7%) and Proteus mirabilis (3.2%) were isolated. These isolates were from sterile and non-sterile sites, fomites and hospital equipment. Non-sterile sites were less likely to have microbial growth when compared with sterile sites; (Odds ratio: 0.78, CI: 0.20 - 3.03). However, this association was not statistically significant.
possible pathogens for HCAI were isolated from vital sections of the hospital. Organisms isolated pose risk to sterile procedures and patients care with attendant burden on their recovery. We educated the hospital community on the importance of hand washing with soap and recommended adherence to regular sterilization and disinfection procedures of relevant sites where patient care is administered towards reduction of healthcare associated pathogens.
Nigeria CDC/Nigeria Field Epidemiology and Laboratory Training Programme 2<sup>nd</sup> Annual Scientific Conference (Abuja)
To create a platform for epidemiologists and public health physicians to share their scientific works, NCDC/NFELTP organized the 2nd annual scientific conference with the theme "strengthening one health through field epidemiology training" at Transcorp Hilton Hotel, Abuja, Nigeria from July 5-7, 2017. The objectives of the conference were to provide residents and graduates a forum to share findings from their field activities; provide training opportunity for trainees on scientific communication; provide an opportunity for epidemiological networking as well as create a forum to discuss pertinent public health issues. In attendance were dignitaries from the United States Centers for Disease Control and Prevention (CDC), USAID, WHO, Africa CDC, Ministries Departments and Agencies, University officials and other implementing partners. With the current rise in zoonotic diseases, the conference also featured a two-day pre-conference workshop on One Health which prioritized zoonotic infectious diseases in Nigeria using standardized prioritization methods. A second workshop focused on antimicrobial resistance. There were 38 oral presentations, 60 poster presentations and 2 plenary sessions. The presentations covered various sub-themes ranging from outbreak investigations, case management, health system strengthening, vaccine preventable diseases, communicable diseases and surveillance. The conference featured a National Night and climaxed with awards to outstanding presenters.
Dates: 05 Jul 17 - 07 Jul 17
Venue: Transcorp Hilton Hotel
Organizers: Nigeria Centre for Disease Control / Nigeria Field Epidemiology and Laboratory Training Programme
Contact person: Dr Patrick Nguku (firstname.lastname@example.org)