Surgical Site Infections at the General Referral Hospital  of Niamey, Burkina Faso

Félicité Wendin-manegdé Nana; Abdourahamane Soumana Zataou; Absatou BA; Herve Hien; Gislain Gnimbar Poda; Maxime Koine Drabo

doi:10.14710/jphtcr.v8i3.28549

DOI: https://doi.org/10.14710/jphtcr.v8i3.28549

Surgical Site Infections at the General Referral Hospital of Niamey, Burkina Faso

Félicité Wendin-manegdé Nana¹

, Abdourahamane Soumana Zataou², Absatou BA³, Herve Hien⁴, Gislain Gnimbar Poda⁵, Maxime Koine Drabo⁴

¹Research Institute for Health Sciences (IRSS), National Center for Scientific and Technological Research (CNRST),03 BP 7047 Ouagadougou, Burkina Faso , Burkina Faso

²General Referral Hospital of Niamey, BP 12674 Niamey, Niger , Niger

³Bogodogo University Hospital Center,Ministry of Health, 03 BP 7009 Ouagadougou, Burkina Faso , Burkina Faso

⁴ Research Institute for Health Sciences (IRSS), National Center for Scientific and Technological Research (CNRST), 03 BP 7047 Ouagadougou, Burkina Faso , Burkina Faso

⁵ World Health Organization, Bangui, Republik Afrika Tengah , Central African Republic

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Received: 13 Jul 2025; Published: 30 Dec 2025.

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

BibTex Citation Data :

@article{JPHTCR28549,
    author = {Félicité Nana and Abdourahamane Soumana Zataou and Absatou BA and Herve Hien and Gislain Poda and Maxime Drabo},
    title = {Surgical Site Infections at the General Referral Hospital  of Niamey, Burkina Faso},
    journal = {Journal of Public Health for Tropical and Coastal Region},
  volume = {8},
    number = {3},
    year = {2025},
    keywords = {Surgical site infections, prevalence, Staphylococcus aureus, Escherichia coli, antimicrobial resistance.},
    abstract = {  Introduction:  Surgical site infections (SSIs) are a significant cause of morbidity, driven by surgical practices and the increasing prevalence of antimicrobial-resistant pathogens. This study aimed to estimate the prevalence of SSIs at the General Referral Hospital of Niamey in 2023, characterize the affected patients, and analyze the isolated pathogens and their antimicrobial resistance profiles.   Methods:  A retrospective descriptive study was conducted on 1,625 medical records from digestive surgery, trauma orthopedics, neurosurgery, and intensive care units in 2023. SSI cases were identified using the national clinical criteria, and microbiological data were extracted from laboratory reports. Data were extracted from registers, medical records, nursing care files, and laboratory databases. Data validation and reliability assurance were performed through double data entry, completeness and consistency checks, and data collector training.     Results:  The SSI prevalence was 1.7% (28 cases), predominantly in trauma orthopedics and neurosurgery (36%). Among the 26 isolates, gram-negative bacilli represented 69%, mainly Escherichia coli (27%) and Pseudomonas spp. (15%). Gram-positive cocci accounted for 31% of cases, with Staphylococcus aureus (27%). Antimicrobial susceptibility testing (24 isolates) showed high resistance to third-generation cephalosporins (40–80%), presence of ESBL-producing Enterobacterales, and one MRSA isolate. Carbapenems remained highly effective (>90%), whereas fluoroquinolones exhibited moderate activity (40–60%).   Conclusion:  The predominance of multidrug-resistant gram-negative bacteria underscores the need to strengthen infection prevention and control measures, optimize antibiotic prophylaxis, and enhance microbiological surveillance within surgical units },
   issn = {2597-4378},   pages = {259--265}  doi = {10.14710/jphtcr.v8i3.28549},
    url = {https://ejournal2.undip.ac.id/index.php/jphtr/article/view/28549}
}

Citation Format:

Abstract

Introduction: Surgical site infections (SSIs) are a significant cause of morbidity, driven by surgical practices and the increasing prevalence of antimicrobial-resistant pathogens. This study aimed to estimate the prevalence of SSIs at the General Referral Hospital of Niamey in 2023, characterize the affected patients, and analyze the isolated pathogens and their antimicrobial resistance profiles.

Methods: A retrospective descriptive study was conducted on 1,625 medical records from digestive surgery, trauma orthopedics, neurosurgery, and intensive care units in 2023. SSI cases were identified using the national clinical criteria, and microbiological data were extracted from laboratory reports. Data were extracted from registers, medical records, nursing care files, and laboratory databases. Data validation and reliability assurance were performed through double data entry, completeness and consistency checks, and data collector training.

Results: The SSI prevalence was 1.7% (28 cases), predominantly in trauma orthopedics and neurosurgery (36%). Among the 26 isolates, gram-negative bacilli represented 69%, mainly Escherichia coli (27%) and Pseudomonas spp. (15%). Gram-positive cocci accounted for 31% of cases, with Staphylococcus aureus (27%). Antimicrobial susceptibility testing (24 isolates) showed high resistance to third-generation cephalosporins (40–80%), presence of ESBL-producing Enterobacterales, and one MRSA isolate. Carbapenems remained highly effective (>90%), whereas fluoroquinolones exhibited moderate activity (40–60%).

Conclusion: The predominance of multidrug-resistant gram-negative bacteria underscores the need to strengthen infection prevention and control measures, optimize antibiotic prophylaxis, and enhance microbiological surveillance within surgical units

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Keywords: Surgical site infections, prevalence, Staphylococcus aureus, Escherichia coli, antimicrobial resistance.

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In Vol 8, No 3 (2025): Journal of Public Health for Tropical and Coastal Region

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