© 2022, IJSRBS All Rights Reserved 34
International Journal of Scientific Research in ____________________________ Research Paper.
Biological Sciences
Vol.9, Issue.4, pp.34-38, August (2022) E-ISSN: 2347-7520
Bacteria Associated With Health-Care Acquired Infections from Two
Selected Hospitals in Kano Nigeria
S.I. Bale
1*
, M.D. Mukhtar
2
, F.A. Rufa’i
3
1,2,3
Department of Microbiology, Faculty of Life Sciences, Bayero University, Kano, PMB 3011, Kano-Nigeria.
*Corresponding Author: fatihurufai@gmail.com, Tel.:+2348105925771
Available online at: www.isroset.org
Received: 15/Jun/2022, Accepted: 17/Jul/2022, Online: 31/Aug/2022
Abstract- Health-Care acquired infections cause menace to public health most especially the missed potentials among
them which tends to be resisting the activity of therapeutic drugs used against them and in spite, causes greater menace to
the integrity of the health and in turn burden the quality of life leading to high morbidity and morbidity rate. A sum of 150
samples of wound, urine and blood were obtained from patients with a clinical evidence of Health-Care acquired infections
as described by NNIS. The entire sample were cultured on their respective culture media and then passed for biochemical
tests, followed by Antibiotics susceptibility testing using disk diffusion method according to the guideline of the Clinical
Laboratory Standard Institute. We found that, Gram-positive cocci namely S. aureus, Strep sp. and CoNS were the bacteria
associated with Health care acquired infections. Wound swab site tends to be the most frequent site of infection with S .
aureus as the most predominant species. However, Gram-positive were found to be resistant to cefuroxime while Gram-
negative were sensitive to Cefoxitin with Imipinem having the highest activities against all the bacteria.
Keywords- Burden, Menace, Surveillance, Morbidity, Antimicrobial
I. INTRODUCTION
Health care acquired infections (HCAIs) are infections that
occurs during treatment of medical or surgical conditions
[1,2].Health-care associated infections first appear 48hrs
or more after hospitalization or within 30days after having
received healthcare[3,1]. These infections have a strong
clinical manifestation due to their worsening underlying
medical conditions and their increased mortality and
morbidity rate; as such most Patients are more likely to be
vulnerable to it. Many microbial infections are already
present in or on the patient’s own body and only cause
problems when the body’s defenses of the host are
weakened or breached by surgery or other medical
procedures [4]. It has been reported that microorganisms
can also cause Infections either by direct contact or
through a contaminated hospital environment resulting to
Health care acquired infections [4]. This imposed defeat in
function and increased stress for patients with more than
1.4 million people who are at risk of being infected and
consequently leading to their death [5]. Accordingly, there
is little knowledge on the bacteria associated with health
care acquired infections due to the poorly developed
surveillance systems and inexistent control methods; as
such this study is vital to carried out.
II. RELATED WORK
The prevalence of HCAIs is already substantial in
developed countries, where it affects from 5% to 15% of
hospitalized patients and as high as 50% in ICU [8,1]. In
Nigeria, there is scarce knowledge of the risks of Health
care acquired infections, while In Kano State Nigeria, a
report on Health care acquired infections includes the
agents of postoperative site infections SSIs. On the basis
of existing literature, Staphylococcus aureus was found to
be the most predominant causative agent of health-care
associated infections worldwide. But a complication is
that, there is little knowledge on the burden of nosocomial
infections due to the poorly developed surveillance
systems and inexistent control methods [9].Because while
getting care for other diseases many patients probably
acquired other infections such as respiratory infections and
it becomes troublesome to spot the prevalence of any
Health care acquired infections in continuation of a
primary care facility [6,7,1]. However, with increasing
infections, there is an increase in prolonged hospital stay,
long-term disability, increased antimicrobial resistance,
increase in socio-economic disturbance, and increased
mortality rate. [10].These infections get noticed only when
they become epidemic, yet there is no institution or a
country that may claim to have resolved this endemic
problem [11]. It has been reported that, Health care
acquired infections imposed defeat in function and
increased stress for patients and are one of the major
causes of death [12]. The economic cost of the infection is
notable due to prolonged stay in the hospital and indirect
cost with more than 1.4 million people who are at risk of
being infected [11]. The prevalence of Hospital acquired
infection is very higher in developed countries, where it
affects up to 20 percent of hospitalized patient [10].In the
hospital environment, health cared acquired bacteria