Evolution of Maternal Care-Associated Infections at Bogdogo University Hospital in Burkina Faso

Félicité Wendin-Manegdé Nana; Absatou BA; Abdoulaye SO; Adama Ouattara; Ghislain G Poda; Charlemagne Ouedraogo; Maxime Koine Drabo

doi:10.14710/jphtcr.v8i2.26880

DOI: https://doi.org/10.14710/jphtcr.v8i2.26880

Evolution of Maternal Care-Associated Infections at Bogdogo University Hospital in Burkina Faso

Félicité Wendin-Manegdé Nana¹

, Absatou BA², Abdoulaye SO¹, Adama Ouattara², Ghislain G Poda³, Charlemagne Ouedraogo², Maxime Koine Drabo¹

¹Institute for Research in Health Sciences, CNRST, Ouagadougou, Burkina Faso

²Bogdogo University Hospital, Ministry of Health, Ouagadougou, Burkina Faso

³World Health Organization, Bangui, Central African Republic

Received: 6 May 2025; Published: 31 Aug 2025.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{JPHTCR26880,
    author = {Félicité Nana and Absatou BA and Abdoulaye SO and Adama Ouattara and Ghislain Poda and Charlemagne Ouedraogo and Maxime Drabo},
    title = {Evolution of Maternal Care-Associated Infections at Bogdogo University Hospital in Burkina Faso},
    journal = {Journal of Public Health for Tropical and Coastal Region},
  volume = {8},
    number = {2},
    year = {2025},
    keywords = {Healthcare-associated infections; antimicrobial resistance; obstetrics},
    abstract = {   Introduction :   Healthcare-associated infections (HAIs) are major public health issues in healthcare facilities. It is one of the main causes of maternal mortality, particularly in developing countries, where infrastructure and infection control measures are often inadequate. This study aimed to determine the prevalence, most common infections, and responsible pathogens and antimicrobial resistance patterns of maternal HAIs in a healthcare facility in Burkina Faso.      Methods :   This retrospective cross-sectional study was based on the patients' medical records between 1 and 30 March 2025. Data from patients who developed HAIs between 2018 and 2022 were collected, with a focus on endometritis, surgical site and urinary tract infections. The causative organisms were identified, and their resistance to antimicrobials was tested. Total sampling technique was used, based on available data. Trends and factors influencing the prevalence of HAIs were also analyzed.     Results :   The overall prevalence of HAIs was 4.27%. The most common infections were endometritis (2.17%), urinary tract infections (1,36%), and surgical site infections (0.74%). The main pathogens identified were   Enterobacteriaceae   (43.3%), yeasts of the   Candida   genus (30.8%), and   staphylococci   (11%). Antimicrobial resistance was high, particularly multidrug resistance, in E. coli and K. pneumoniae strains, as well as a notable rate of methicillin-resistant Staphylococcus aureus (MRSA) at 19.04%.      Conclusion :   The prevalence of HAIs is high, and multidrug-resistant pathogens are a major complication. There is an urgent need to strengthen infection prevention strategies, improve microbiological surveillance, and promote rational use of antibiotics to control the spread of resistance.  },
   issn = {2597-4378},   pages = {111--120}  doi = {10.14710/jphtcr.v8i2.26880},
    url = {https://ejournal2.undip.ac.id/index.php/jphtr/article/view/26880}
}

Citation Format:

Abstract

Introduction: Healthcare-associated infections (HAIs) are major public health issues in healthcare facilities. It is one of the main causes of maternal mortality, particularly in developing countries, where infrastructure and infection control measures are often inadequate. This study aimed to determine the prevalence, most common infections, and responsible pathogens and antimicrobial resistance patterns of maternal HAIs in a healthcare facility in Burkina Faso.

Methods: This retrospective cross-sectional study was based on the patients' medical records between 1 and 30 March 2025. Data from patients who developed HAIs between 2018 and 2022 were collected, with a focus on endometritis, surgical site and urinary tract infections. The causative organisms were identified, and their resistance to antimicrobials was tested. Total sampling technique was used, based on available data. Trends and factors influencing the prevalence of HAIs were also analyzed.

Results: The overall prevalence of HAIs was 4.27%. The most common infections were endometritis (2.17%), urinary tract infections (1,36%), and surgical site infections (0.74%). The main pathogens identified were Enterobacteriaceae (43.3%), yeasts of the Candida genus (30.8%), and staphylococci (11%). Antimicrobial resistance was high, particularly multidrug resistance, in E. coli and K. pneumoniae strains, as well as a notable rate of methicillin-resistant Staphylococcus aureus (MRSA) at 19.04%.

Conclusion: The prevalence of HAIs is high, and multidrug-resistant pathogens are a major complication. There is an urgent need to strengthen infection prevention strategies, improve microbiological surveillance, and promote rational use of antibiotics to control the spread of resistance.

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Keywords: Healthcare-associated infections; antimicrobial resistance; obstetrics

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In Vol 8, No 2 (2025): Journal of Public Health for Tropical and Coastal Region

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