Mulugeta Tenna Wolde, Rosemary Okova, Michael Habtu, Mekitie Wondafrash, Abebe Bekele
The practice of breast self-examination and associated factors among female healthcare professionals working in selected hospitals in Kigali, Rwanda: a cross sectional study
BMC women's health
carbapenemresistant gramnegative bacteria crgnb critical public health threat globally however inadequate surveillance data especially intensive care units icu inform infection prevention control many resourceconstrained settings assessed prevalence crgnb infections risk factors acquisition kenyan icu hospitalbased crosssectional study design adopted recruiting 162 patients clinically presenting bacterial infection 48 h icu admission january october 2022 nairobi west hospital kenya demographics clinical data collected case report form type sample collected including blood tracheal aspirate ascitic tap urine stool sputum depended patients clinical presentation transported hospital microbiology laboratory cool box processing within 2 h samples analyzed cultured bd phoenix system used isolates identity antimicrobial susceptibility crgnb infections prevalence 259 42162 klebsiella pneumoniae 357 1542 pseudomonas aeruginosa 262 1142 predominating isolates multidrugresistant mdr p aeruginosa baumannii 100 colistinresistant k pneumoniae 333 tigecyclineresistant history antibiotics aor 340 p 0005 nasogastric tube ngt use aor 584 p 0001 risk factors infection study highlights high mdr crgnb infections icu prior antibiotic exposure ngt use risk factors diminishing clinical value colistin tigecycline study setting beyond strict implementation antimicrobial stewardship programs adherence infection prevention control monitoring evaluation feedback warranted curb crgnb infections especially among risk groups