Browsing by Author "Takalmawa, Hamisu U."

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    Molecular characterization of Acinetobacter baumannii from patients with prolonged hospital stays in three tertiary hospitals of Kano Metropolis, Northwestern Nigeria
    (African Journal of Microbiology Research, 2019) Bashir, Alkali; Aliero, Adamu A.; Idris, Abdurrazak M.; Takalmawa, Hamisu U.; Faruk, Sarkinfada; Agwu, Ezera
    Acinetobacter baumannii is one of the most important opportunistic bacterial pathogens that cause serious health care associated complications in hospitalized patients. This leads to prolong hospital stay which increase cost to both healthcare provider and family of the patients. The study aimed at molecular characterisation of A. baumannii from patients with prolonged hospital stays in three tertiary hospitals of Kano Metropolis, Northwestern Nigeria. A total of 401 samples were collected from orthopedic and post-surgical wound infections, urine, urine catheters and nasal intubation. Acinetobacter spp was isolated using standard microbiological methods. Identification of A. baumannii isolates were done using Phynotypic methods such as culture on Leed Acinetobacter medium, conventional biochemical tests and API 20NE. Suspect Acinetobacter species were further identified using polymerase chain reaction (PCR) and Sanger sequence typing methods. Out of 401 samples collected 138 (34.4%) were positives by yield suspect bacterial isolates 14 (10.1%) of which were suspect A. baumannii. The results of confirmatory sequence typing of isolates showed that 9 (6.5%) of suspect Acinetobacter spp were A. baumannii. The result of susceptibility test showed that A. baumannii isolates were highly resistance to Ampicillin\ salbactam 13 (92.8%) and least resistance to Ciprofloxacin 2 (14.3%) and Amikacin 3 (21.4). The results of this finding showed presence of A. baumannii species resistant to conventional antibiotics and associated with prolonged duration of patients admission in the three studied hospitals. There is need for improved sanitary working condition and proper patients management to reduce the spread of this health care associated infection agent.
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    Risk Factors and Bacteriological Assessment of Patients on Prolonged Hospital Admission at Murtala Muhammad Specialist Hospital Kano State, Nigeria
    (IOSR Journal of Nursing and Health Science, 2020) Bashir, Alkali; Abubakar, Muhammad H.; Takalmawa, Hamisu U.; Agwu, Ezera
    Abstract: Background: Prolonged hospital admissions of patients remain a challenge to healthcare providers and seekers, particularly in resource-limited settings. Bacterial infections contribute significantly to prolonged stay despite numerous advances in research updates on nosocomial bacterial infections, including many suggestions on associated risk factors. This study aimed at evaluating the risk factors and bacteriology of patients on prolonged hospital admission at Murtala Muhammad specialist hospital Kano state (MMSH), Nigeria. Methods: A descriptive cross-sectional and retrospective study design was used to determine the prevalence of healthcare-associated infections (HCAIs) and prolonged hospital stay, respectively. One hundred and forty (140) swabs and urine samples were collected from the medical, surgical, and accident/orthopedic wards at MMSH. Samples were processed using standard microbiological methods. Prolong hospital stay and its associated factors were assessed using health records and closed-ended questionnaires, respectively. Result: The prevalence of healthcare-associated infections (HCAIs) and prolonged hospital stay were 41.43% and 50.50%, respectively. The prevalence of HCAIs, according to the site of infection, showed that urinary tract infections (UTIs) had the highest prevalence of 58.89%. The distribution of bacterial pathogens showed E. coli was having the highest distribution of 22.40%. Lack of qualified staff, training, equipment, essential drugs, and quality assurance statistically linked with risk factors associated with a prolonged hospital stay in the studied hospital. Conclusion: This study reported a high prevalence of HCAIs and prolongs hospital stays in the MMSH and has indicated some risk factors associated with the findings with E. coli being the most frequently isolated bacteria.