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Nosocomial bacterial infections among children with severe protein energy malnutrition.
East Afr Med J. 1992 Aug; 69(8):433-6.EA

Abstract

The incidence of hospital acquired acute bacterial infections among 164 severely malnourished children admitted to the paediatric wards at the Muhimbili Medical Centre in Dar es Salaam were studied. On admission, ninety two per cent of the patients had at least one form of bacterial infection. During the subsequent two weeks hospital stay, 49% of the patients acquired a new infection. Septicaemia and urinary tract infection (UTI) were the commonest infections. Staphylococcus aureus was the commonest organism in the former, while gram negative organisms, Escherichia coli and Klebsiella species, were predominant in the latter. Pathogens similar to those found from patients were cultured from random samples taken from the floor, beds, towels, sinks and antiseptic containers in the wards. Sensitivity patterns of isolated pathogens to antimicrobial agents showed that S. aureus was highly sensitive to cloxacillin, erythromycin, and gentamicin, while the gram negative organisms were highly sensitive to gentamicin. Our study shows that the problem of nosocomial infection in paediatric wards requires urgent attention. There is a need to institute preventive measures including provision of proper nursing care, maintenance of sterile environment, and reduction of duration of hospital stay.

Authors+Show Affiliations

Isaack H
Department of Paediatrics and Child Health, Faculty of Medicine, University of Dar es Salaam, Tanzania.
Mbise RL
No affiliation info available
Hirji KF
No affiliation info available

MeSH

Academic Medical CentersBacterial InfectionsChild Nutrition DisordersChild, PreschoolCross InfectionFemaleHumansIncidenceInfantMaleMicrobial Sensitivity TestsNutritional StatusProtein-Energy MalnutritionTanzania

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1396209

Citation

Isaack, H, et al. "Nosocomial Bacterial Infections Among Children With Severe Protein Energy Malnutrition." East African Medical Journal, vol. 69, no. 8, 1992, pp. 433-6.
Isaack H, Mbise RL, Hirji KF. Nosocomial bacterial infections among children with severe protein energy malnutrition. East Afr Med J. 1992;69(8):433-6.
Isaack, H., Mbise, R. L., & Hirji, K. F. (1992). Nosocomial bacterial infections among children with severe protein energy malnutrition. East African Medical Journal, 69(8), 433-6.
Isaack H, Mbise RL, Hirji KF. Nosocomial Bacterial Infections Among Children With Severe Protein Energy Malnutrition. East Afr Med J. 1992;69(8):433-6. PubMed PMID: 1396209.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nosocomial bacterial infections among children with severe protein energy malnutrition. AU - Isaack,H, AU - Mbise,R L, AU - Hirji,K F, PY - 1992/8/1/pubmed PY - 1992/8/1/medline PY - 1992/8/1/entrez KW - Africa KW - Africa South Of The Sahara KW - Age Factors KW - Antibiotics KW - Bacterial And Fungal Diseases KW - Child KW - Clinical Research KW - Deficiency Diseases KW - Delivery Of Health Care KW - Demographic Factors KW - Developing Countries KW - Diseases KW - Drugs KW - Eastern Africa KW - English Speaking Africa KW - Health KW - Health Facilities KW - Hospitals KW - Infections KW - Kwashiorkor KW - Malnutrition KW - Nutrition Disorders KW - Population KW - Population Characteristics KW - Research Methodology KW - Tanzania KW - Treatment KW - Youth SP - 433 EP - 6 JF - East African medical journal JO - East Afr Med J VL - 69 IS - 8 N2 - The incidence of hospital acquired acute bacterial infections among 164 severely malnourished children admitted to the paediatric wards at the Muhimbili Medical Centre in Dar es Salaam were studied. On admission, ninety two per cent of the patients had at least one form of bacterial infection. During the subsequent two weeks hospital stay, 49% of the patients acquired a new infection. Septicaemia and urinary tract infection (UTI) were the commonest infections. Staphylococcus aureus was the commonest organism in the former, while gram negative organisms, Escherichia coli and Klebsiella species, were predominant in the latter. Pathogens similar to those found from patients were cultured from random samples taken from the floor, beds, towels, sinks and antiseptic containers in the wards. Sensitivity patterns of isolated pathogens to antimicrobial agents showed that S. aureus was highly sensitive to cloxacillin, erythromycin, and gentamicin, while the gram negative organisms were highly sensitive to gentamicin. Our study shows that the problem of nosocomial infection in paediatric wards requires urgent attention. There is a need to institute preventive measures including provision of proper nursing care, maintenance of sterile environment, and reduction of duration of hospital stay. SN - 0012-835X UR - https://www.unboundmedicine.com/medline/citation/1396209/Nosocomial_bacterial_infections_among_children_with_severe_protein_energy_malnutrition_ DB - PRIME DP - Unbound Medicine ER -