| Peer-Reviewed

Bacterial Contamination of Intensive Care Units at a Tertiary Hospital in Bauchi, Northeastern Nigeria

Received: 1 March 2017    Accepted: 9 March 2017    Published: 26 May 2017
Views:       Downloads:
Abstract

Bacterial contamination of intensive care units is of clinical concern because it is one of the major risk factors of ICU -acquired infections and centre point of multidrug resistant (MDR) pathogens. Periodic surveillance is an early warning signal to non-adherence of basic standard infection control procedures and emergence of MDR pathogens. This study evaluated the bacterial contamination, bacterial pathogens isolated and their antimicrobial susceptibility pattern in the ICU units. The units sampled were adult and neonatal intensive care units, accordingly to previously described methods and analyzed by standard microbiological methods. A total of 113 samples were collected, overall, 71(62.8%) yielded positive bacterial growth, 15(21.1%) detected by open-plate and 14(19.7%) by swabbing in adult intensive care unit and 20(28.2%) and 22(31.0%) in neonatal care unit. Bacillus spp,Staphylococcus aureus and coagulase negative staphylococci spp predominated in both units 24(33.8%), 19(26.8%), 14(19.7%), Other pathogens 19%, clinically relevant pathogens isolated were Eschericia coli (1%), Klebsiella pneumonia(4%) and Streptococcus pneumonia (3%) respectively. High indoor contamination was recorded in both units, 51.7% (n=15) in AICU and 47.6% (n=20) in NICU and inanimate items/equipments. Clinically relevant pathogens were recovered from routinely used equipment and critical sites. High resistance to commonly prescribed and administered agents, cotrimoxazole, amoxicillin and ampicillin was observed. Though the findings has provided a baseline information for furthered surveillance, but the high indoor contamination within both units signify increased traffic, ventilation system problem and inadequate cleaning procedures.

Published in American Journal of Internal Medicine (Volume 5, Issue 3)
DOI 10.11648/j.ajim.20170503.13
Page(s) 46-51
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Bacterial Contamination, Intensive Care Units, Bacterial Pathogens, Antibiotic Susceptibility

References
[1] Blot S: Limiting the attributable mortality of nosocomial infection and multidrug resistance in intensive care units. Clin Microbiol Infect 2008, 14:5-13.
[2] Vincent J-L, Rello J, Marshall J, Silva E, Anzueto A, Martin CD, et al. International study of the prevalence and outcomes of infection in intensive care units. JAMA. 2009; 302(21): 2323–9.
[3] Eggimann P, Pittet D. Infection control in the ICU. Chest 2001; 120(6): 2059-93.
[4] Kramer A, Schwebke I, Kampf G. How long do nosocomial pathogens persist on inanimate surfaces? A systematic review. BMC Infect Dis. 2006; 6(1): 130.
[5] Gupta A, Anand AC, ChamberSK, Sashindran VK,PatrikarSR. Impact of Protective Footware on Floor and Air contamination of intensive care units. MJAFI, 2007; 63: 334-336.
[6] Galvin S, Dolan A, Cahill O, Daniels S, Humphreys H. Microbial monitoring of the hospital environment: why and how? J Hosp Infect. 2012; 82(3):143.
[7] Weber DJ, Rutala WA, Miller MB, Huslage K, Sickbert-Bennett E. Role of hospital surfaces in the transmission of emerging health care-associated pathogens: norovirus, Clostridium difficile, and Acinetobacter species. Am JInfect Control. 2010; 38(5): S25–33.
[8] Huang SS, Datta R, Platt R. Risk of acquiring antibiotic-resistant bacteria from prior room occupants. Arch Intern Med. 2006; 166(18): 1945–51.
[9] Ulger F, Esen S, Dilek A, Yanik K, Gunaydin M, Leblebicioglu H. Are we aware how contaminated our mobile phones with nosocomial pathogens? Ann Clin Microbiol Antimicrob. 2009; 8(1):7.
[10] Dancer SJ. Importance of the environment in meticillin-resistant Staphylococcus aureus acquisition: the case for hospital cleaning. Lancet, Infect Dis. 2008; 8(2):101–13.
[11] Huang SS, Datta R, Platt R. Risk of acquiring antibiotic-resistant bacteria from prior room occupants. Arch Intern Med. 2006; 166(18): 1945–51.
[12] Nseir S, Blazejewski C, Lubret R, Wallet F, Courcol R, Durocher A. Risk of acquiring multidrug-resistant Gram-negative bacilli from prior room occupants in the intensive care unit. Clin Microbiol Infect. 2011; 17(8): 234-6.
[13] Hayden MK, Blom DW, Lyle EA, Moore CG, Weinstein RA. Risk of hand or glove contamination after contact with patients colonized with vancomycin-resistant enterococcus or the colonized patients’ environment. Infect Control. 2008; 29(02): 149–54.
[14] Bonten MJ, Hayden MK, Nathan C, van Voorhis J, Matushek M, Slaughter S, et al. Epidemiology of colonisation of patients and environment with vancomycin-resistant enterococci. Lancet. 1996; 348(9042): 1615–9.
[15] Rohr U, Kaminski A, Wilhelm M, Jurzik L, Gatermann S, Muhr G. Colonization of patients and contamination of the patients’ environment by MRSA under conditions of single-room isolation. Int J Hyg Environ Health. 2009;212(2): 209–15.
[16] Pittet D, Allegranzi B, Sax H, Dharan S, Pessoa-Silva CL, Donaldson L, et al. Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infect Dis. 2006;6(10):641–52.
[17] Nazar Edward Nasser1, Ali Taher Abbas2 & Saad L. Hamed1Bacterial Contamination in Intensive Care Unit at Al-Imam Al-Hussein Hospital in Thi-qar Province in IraqGlobal Journal of Health Science; Vol. 5, No. 1; 2013.
[18] Saka KH, Akanbi II AA, Obasa TO, Raheem RA, Oshodi AJ and Kalgo ZM Pathogenic Aerobic Bacterial Contaminants on Non-Critical Hospital Surfaces within Paediatric Ward of a Nigerian Hospital.J Med Microb Diagn 2016, 5:3.
[19] Quésia Souza Damaceno, Robert Iquiapaza, Adriana C. Oliveira Comparing Resistant Microrgamisms isolated from patients and environment in an intensive care unit. Advances in Infectious Diseases, 2014, 4, 30-35.
[20] Catano, JC, Echeverri,LM and SzelaC. Bacterial Contamination of Clothes and Environmental Items in a Third-Level Hospital in ColombiaInterdisciplinary Perspectives on Infectious Diseases Volume 2012, Article ID 507640, 5 pages.
[21] Okon K. O., Osundi S. Dibal J., Ngbale T., Bello M., Akuhwa R. T, Balogun S. T. and Uba A. Bacterial contamination of operating theatre and other specialized care unit in a tertiary hospital in Northeastern NigeriaAfrican Journal of Microbiology Research Vol. 6(13), pp. 3092-3096, 9 April, 2012.
[22] Adamu Sadiq Abubakar, Mohammed Maimadu Barma, Habiba Jimeta Balla, Yusuf Sambo Tanimu, Goni Baba Waru and Josiah Dibal. Spectrum of bacterila isolates among intensive care units patients in a tertiary hospital in northeastern Nigeria. Ind. J. Sci. Res. and Tech. 2014 2(6):42-47.
[23] Montero JG, Lerma FÁ, Galleymore PR, Martínez MP, Rocha LÁ, Gaite FB, et al. Combatting resistance in intensive care: the multimodal approach of the Spanish ICU “Zero Resistance” program. Crit Care. 2015; 19(1):114.
[24] Javed I, Hafeez, R, Zubair M, Anwar MS and Husnain S. Microbiological surveillance of operation theatres and ICUs of a tertiary hospital, Lahore. Biomedica 2008; 24:99-102.
[25] Matthew Hall, Urvish Trivedi, Kendra Rumbaugh Sharmila Dissanaike Contamination of Unused, Nonsterile Gloves in the Critical Care Setting: A. Comparison of Bacterial Glove Contamination in Medical, Surgical and Burn Intensive Care Units The Southwest Respiratory and Critical Care Chronicles 2014; 2(5).
[26] Mojtahedi A, Khoshrang H, Taromsari MR, Kazenzhadleili E, Hovrvash E. Bacterial contamination of health care workers hand in intensive care units in Rabat. Journal of Nosocomial Infection, 2014;1(1); 36-43.
[27] Sax H, Allegranzi B, Uckay I, Larson E, Boyce J, Pittet D. ‘My five moments for hand hygiene’: a user-centred design approach to understand, train, monitor and report hand hygiene. J. Hosp Infect. 2007; 67(1):9–21.
[28] Agodi A, Barchitta M, Cipresso R, Giaquinta L, Romeo MA, Denaro C. Pseudomonas aeruginosa carriage, colonization, and infection in ICU. patients. Intensive Care Med. 2007; 33(7):1155–61.
[29] Bhalla A, Pultz NJ, Gries DM, Ray AJ, Eckstein EC, et al. (2004) Acquisition of nosocomial pathogens on hands after contact with. environmental surfaces near hospitalized patients. Infect Control Hosp Epidemiol 25:164-167.
[30] Ana Lúcia Arcanjo Oliveira Cordeiro, Márcia Maria Carneiro Oliveira, Josicélia Dumêt Fernandes,Cláudia Silva Marinho Antunes Barros, Lívia Magalhães Costa Castro. Equipment contamination in an intensive care unitActa Paul Enferm. 2015; 28(2): 160-5.
[31] Carlet J, Ben Ali A, Tabah A, Willems V, Philippart F, Chafine A, Garrouste- Orgeas M, Misset B: Multidrug resistant infections in the ICU. mechanisms, prevention and treatment. In 25 Years of Progress and Innovation in Intensive Care Medicine. Edited by: Kuhlen R, Moreno R, Ranieri VM, Rhodes A. Berlin, Germany: Medizinisch Wissenschaftliche Verlagsgesellschaft; 2007: 199-211.
[32] Onyedibe KI, Fidelia Bode-Thomas, Tolulope Olumide Afolaranmi, Mark Ojogba Okolo, Edmund B. Banwat and Daniel ZanyuEgah Bacteriologic Profile, Antibiotic Regimen and Clinical Outcome of Neonatal Sepsis in a University Teaching Hospital in North Central Nigeria British Journal of Medicine & Medical Research 7(7): 567-579, 2015.
Cite This Article
  • APA Style

    Jibrin Bara Yusuf, Okon Kenneth Okwong, Alkali Mohammed, Kadas Saidu Abubakar, Adamu Babayo, et al. (2017). Bacterial Contamination of Intensive Care Units at a Tertiary Hospital in Bauchi, Northeastern Nigeria. American Journal of Internal Medicine, 5(3), 46-51. https://doi.org/10.11648/j.ajim.20170503.13

    Copy | Download

    ACS Style

    Jibrin Bara Yusuf; Okon Kenneth Okwong; Alkali Mohammed; Kadas Saidu Abubakar; Adamu Babayo, et al. Bacterial Contamination of Intensive Care Units at a Tertiary Hospital in Bauchi, Northeastern Nigeria. Am. J. Intern. Med. 2017, 5(3), 46-51. doi: 10.11648/j.ajim.20170503.13

    Copy | Download

    AMA Style

    Jibrin Bara Yusuf, Okon Kenneth Okwong, Alkali Mohammed, Kadas Saidu Abubakar, Adamu Babayo, et al. Bacterial Contamination of Intensive Care Units at a Tertiary Hospital in Bauchi, Northeastern Nigeria. Am J Intern Med. 2017;5(3):46-51. doi: 10.11648/j.ajim.20170503.13

    Copy | Download

  • @article{10.11648/j.ajim.20170503.13,
      author = {Jibrin Bara Yusuf and Okon Kenneth Okwong and Alkali Mohammed and Kadas Saidu Abubakar and Adamu Babayo and Mohammed Maimaidu Barma and Shehu Ibrahim and Abdulmumin Ibrahim Sulaiman and Halilu Hafiz and Zailani Sambo Bello},
      title = {Bacterial Contamination of Intensive Care Units at a Tertiary Hospital in Bauchi, Northeastern Nigeria},
      journal = {American Journal of Internal Medicine},
      volume = {5},
      number = {3},
      pages = {46-51},
      doi = {10.11648/j.ajim.20170503.13},
      url = {https://doi.org/10.11648/j.ajim.20170503.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20170503.13},
      abstract = {Bacterial contamination of intensive care units is of clinical concern because it is one of the major risk factors of ICU -acquired infections and centre point of multidrug resistant (MDR) pathogens. Periodic surveillance is an early warning signal to non-adherence of basic standard infection control procedures and emergence of MDR pathogens. This study evaluated the bacterial contamination, bacterial pathogens isolated and their antimicrobial susceptibility pattern in the ICU units. The units sampled were adult and neonatal intensive care units, accordingly to previously described methods and analyzed by standard microbiological methods. A total of 113 samples were collected, overall, 71(62.8%) yielded positive bacterial growth, 15(21.1%) detected by open-plate and 14(19.7%) by swabbing in adult intensive care unit and 20(28.2%) and 22(31.0%) in neonatal care unit. Bacillus spp,Staphylococcus aureus and coagulase negative staphylococci spp predominated in both units 24(33.8%), 19(26.8%), 14(19.7%), Other pathogens 19%, clinically relevant pathogens isolated were Eschericia coli (1%), Klebsiella pneumonia(4%) and Streptococcus pneumonia (3%) respectively. High indoor contamination was recorded in both units, 51.7% (n=15) in AICU and 47.6% (n=20) in NICU and inanimate items/equipments. Clinically relevant pathogens were recovered from routinely used equipment and critical sites. High resistance to commonly prescribed and administered agents, cotrimoxazole, amoxicillin and ampicillin was observed. Though the findings has provided a baseline information for furthered surveillance, but the high indoor contamination within both units signify increased traffic, ventilation system problem and inadequate cleaning procedures.},
     year = {2017}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Bacterial Contamination of Intensive Care Units at a Tertiary Hospital in Bauchi, Northeastern Nigeria
    AU  - Jibrin Bara Yusuf
    AU  - Okon Kenneth Okwong
    AU  - Alkali Mohammed
    AU  - Kadas Saidu Abubakar
    AU  - Adamu Babayo
    AU  - Mohammed Maimaidu Barma
    AU  - Shehu Ibrahim
    AU  - Abdulmumin Ibrahim Sulaiman
    AU  - Halilu Hafiz
    AU  - Zailani Sambo Bello
    Y1  - 2017/05/26
    PY  - 2017
    N1  - https://doi.org/10.11648/j.ajim.20170503.13
    DO  - 10.11648/j.ajim.20170503.13
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
    SP  - 46
    EP  - 51
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20170503.13
    AB  - Bacterial contamination of intensive care units is of clinical concern because it is one of the major risk factors of ICU -acquired infections and centre point of multidrug resistant (MDR) pathogens. Periodic surveillance is an early warning signal to non-adherence of basic standard infection control procedures and emergence of MDR pathogens. This study evaluated the bacterial contamination, bacterial pathogens isolated and their antimicrobial susceptibility pattern in the ICU units. The units sampled were adult and neonatal intensive care units, accordingly to previously described methods and analyzed by standard microbiological methods. A total of 113 samples were collected, overall, 71(62.8%) yielded positive bacterial growth, 15(21.1%) detected by open-plate and 14(19.7%) by swabbing in adult intensive care unit and 20(28.2%) and 22(31.0%) in neonatal care unit. Bacillus spp,Staphylococcus aureus and coagulase negative staphylococci spp predominated in both units 24(33.8%), 19(26.8%), 14(19.7%), Other pathogens 19%, clinically relevant pathogens isolated were Eschericia coli (1%), Klebsiella pneumonia(4%) and Streptococcus pneumonia (3%) respectively. High indoor contamination was recorded in both units, 51.7% (n=15) in AICU and 47.6% (n=20) in NICU and inanimate items/equipments. Clinically relevant pathogens were recovered from routinely used equipment and critical sites. High resistance to commonly prescribed and administered agents, cotrimoxazole, amoxicillin and ampicillin was observed. Though the findings has provided a baseline information for furthered surveillance, but the high indoor contamination within both units signify increased traffic, ventilation system problem and inadequate cleaning procedures.
    VL  - 5
    IS  - 3
    ER  - 

    Copy | Download

Author Information
  • Department of Internal Medicine, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria

  • Department of Medical Microbiology, Federal Medical Centre, Makurdi, Nigeria

  • Department of Internal Medicine, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria

  • Department of Obstetrics and Gyneacology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria

  • Department of Medical Microbiology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria

  • Department of Medical Microbiology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria

  • Department of Medical Microbiology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria

  • Department of Medical Microbiology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria

  • Department of Medical Microbiology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria

  • Department of Medical Microbiology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria

  • Sections