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Table 1 Characteristics of the studies included in this review

From: Healthcare-associated infections in Africa: a systematic review and meta-analysis of point prevalence studies

S/no.

Author and year

Country and continent

Study setting/no. of centres

Guideline used

Period of the study

Number of participants

Prevalence of HAIs

Prevalence of different types of HAIs

Prevalence of different HAIs among total HAIs

Prevalence of HAIs in speciality/ward

1

Labi et al., 2019 [23]

Ghana

Multicentre (10 hospitals)

ECDC

September to December 2016

2107

172/2107 (8.2%)

SSI: 2.8%

BSI: 1.7%

UTI: 1.6%

RTI: 1.4%

SSI: 32.9%

BSI: 19.5%

UTI: 18.5%

RTI: 16.3%

DAI: 7.1%

Surgical: 11.2

Paediatrics: 8.0

Medical: 7.5

OBG: 6.4

Psychiatry: 4.5

2

Ketata et al., 2021 [29]

Tunisia

Bicentric (2 hospitals)

CDC

February 2019

898

65/898 (7.24%)

SSI: 1.11%

BSI: 1.22%

UTI: 2.56%

RTI: 2.0%

SSI: 12.3%

BSI: 13.6%

UTI: 28.4%

RTI: 22.2%

NA

3

Bunduki et al., 2021 [32]

Malawi

Single centre (department of surgery only)

ECDC

June 2020

105

12/105 (11.4%)

NA

SSI: 33.3%

BSI: 25.0%

UTI: 33.3%

Bone/Joint infection: 8.3%

Surgery: 11.4%

4

Usman [22]

Nigeria

Multicentre (3 hospitals)

ECDC

April to May 2019

321

46/321 (14.3%)

SSI: 5.0%

BSI: 5.9%

UTI: 2.56%

Pneumonia: 1.9%

GI: 1.6%

EENTI: 0.6%

SSTI: 0.3%

SSI: 32.0%

BSI: 38.0%

UTI: 18.5%

Pneumonia: 12.0%

GI: 10.0%

EENTI: 6.0%

SSTI: 2.0%

DAI: 2.5%

Pediatric: 2.7%

Neonatal: 53.6%

Medical: 9.2%

Surgical: 10.1%

OBG: 10.0%

Pediatric surgery: 14.6%

5

Chiguer et al., 2018 [28]

Morocco

Single centre

ECDC

June–July 2017

207

46/207 (22.2%)

NA

SSI: 15.21%

Systemic infection: 8.7%

UTI: 17.39%

LRTI: 8.7%

GI: 10.0%

EENTI: 2.17%

SSTI: 10.87%

NA

6

Yallew et al., 2016 [31]

Ethiopia

Multicentre (2 hospitals)

Repeated point-prevalence

CDC

March to July 2015

908

135/908 (14.9%)

SSI: 7.59%

BSI: 2.09%

UTI: 0.99%

Pneumonia: 2.75%

GI: 0.55%

SSTI: 0.55%

SSI: 51.1%

BSI: 14.1%

UTI: 6.7%

Pneumonia: 18.5%

GI: 3.7%

SSTI: 3.7%

NA

7

Ahoyo et al., 2014 [4]

Benin Republic

Multicentre (39 hospitals)

CDC

October 2012

3130

597/3130 (19.1%)

NA

SSI: 19.2%

IVCI: 27%

BSI: 1.5%

UTI: 37.5%

LRTI: 11.7%

 

8

Jamoussi et al., 2018 [27]

Tunisia

Multicentre (15 ICUs)

NA

September 2017

103

32/103 (25.2%)

Pneumonia: 18.4%

CR infection: 4.8%

BSI: 2.9%

UTI: 2.9%

SSTI: 0.9%

Peritonitis: 0.9%

Pneumonia: 59%

CR infection: 15%

ICU: 25.2%

9

Mpinda-Joseph et al., 2019 [21]

Botswana

Single centre

CDC

November 2017

347

47/347 (13.54%)

NA

SSI: 23.4%

Ventilator associated infection: 17%

Debitucus ulcer: 10.6%

LCBSI: 8.5%

UTI: 6.4%

ICU: 100%

Nephrology: 50%

SCBU: 41.9%

Pediatric medical: 33.3%

10

Nair et al., 2018 [20]

South Africa

Single centre

CDC

February to March 2016

326

25/326 (7.67%)

BSI: 0.92%

SSI: 4.6%

LRTI: 0.92%

UTI: 1.53%

BSI: 11.5%

SSI: 57.7%

LRTI: 11.5%

UTI: 19.2%

General surgery: 7.69%

Internal medicine: 4.11%

Paediatrics: 6.12%

Orthopaedics: 15.56%

OBG: 11.11%

Ophthalmology: 0%

11

Olivier et al., 2018 [19]

South Africa

Multicentre (2 hospitals—pediatric and neonatal wards only)

CDC

December 2016

151

15/151 (9.9%)

Pneumonia: 3.3%

BSI: 1.9%

UTI: 1.9%

SSI: 0.6%

Pneumonia: 33.3%

BSI: 20.0%

UTI: 20%

Neonatal ward: 7.0%

Paediatric: 11.7%

12

Ayed et al., 2019 [26]

Tunisia

Multicentre (2 hospitals)

CDC

July 2017

752

76/752 (10.0%)

RTI: 4.0%

UTI: 1.86%

SSI: 1.6%

EENTI: 0.8%

BSI: 0.66%

GI: 0.53%

SSTI: 0.4%

RTI: 36.6%

UTI: 17.1%

SSI: 14.6%

EENTI: 7.3%

BSI: 6.1%

GI: 4.9%

SSTI: 3.6%

NA

13

Mahjoub et al., 2015 [25]

Tunisia

Single centre

CDC

2012

312

39/312 (12.5%)

NA

PVC: 42.2%

RTI: 15.6%

EENTI: 13.4%

Medical: 22 (56.4%)

Surgical: 17 (43.66%)

14

Razine et al., 2012 [24]

Morocco

Multicentre

CDC

January 13–15 2010

1195

116/1195 (9.7%)

NA

UTI: 35%

SSI: 29.3%

LRTI: 10.6%

BSI: 8.1%

SSTI: 5.7%

ICU: 34.5%

OBG: 12.1%

Surgery: 13.5

Pediatric: 9.7

Medical: 4.5%

Pediatric surgery: 1.5%

15

Greco and Magombe, 2011 [30]

Uganda

Single centre

WHO

February 2010

410

115/410 (28.0%)

NA

NA

NA

  1. HAI healthcare-associated infections, CDC Centers for Disease Control and Prevention, ECDC European Centre for Disease Prevention and Control, WHO World Health Organisation, BSI bloodstream infection, SSI surgical site infection, UTI urinary tract infection, LRTI lower respiratory tract infection, RTI respiratory tract infection, GI gastrointestinal infection, SSTI skin and soft tissue infection, EENTI ear, eye, nose and throat infection, URTI upper respiratory tract infection, OR odds ratio, AOR adjusted odds ratio, CI confidence interval, NA not available