Risk Factors and Bacteriological Assessment of Patients on Prolonged Hospital Admission at Murtala Muhammad Specialist Hospital Kano State, Nigeria
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Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
IOSR Journal of Nursing and Health Science
Abstract
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.
Description
Keywords
Risk factors, Bacteriology, prolonged hospital stay
Citation
Bashir, A., Abubakar, M. H., Takalmawa, H. U., & Agwu, E. Risk Factors and Bacteriological Assessment of Patients on Prolonged Hospital Admission at Murtala Muhammad Specialist Hospital Kano State, Nigeria.