Publications by authors named "Anne-Sophie Heroes"

Background: As part of the containment of the COVID-19 pandemic, mobile handwashing stations (mHWS) were deployed in healthcare facilities in low-resource settings. We assessed mHWS in hospitals in the Democratic Republic of the Congo for contamination with Gram-negative bacteria.

Methods: Water and soap samples of in-use mHWS in hospitals in Kinshasa and Lubumbashi were quantitatively cultured for Gram-negative bacteria which were tested for antibiotic susceptibility.

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Article Synopsis
  • Antiseptics, disinfectants, and hand hygiene products in healthcare settings in sub-Saharan Africa may harbor bacteria, creating a risk for healthcare-associated infections, particularly in low- and middle-income countries.
  • A survey conducted with 617 healthcare workers revealed that a significant number were inadequately trained in Infection Prevention & Control, with less than half reporting formal training.
  • Many participants expressed a preference for liquid soap over alcohol-based hand rubs, but showed gaps in knowledge regarding proper use, preparation, and storage of disinfectants, with a considerable portion unaware of safe practices.
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Background: We assessed healthcare worker's knowledge-attitude-practice regarding bacterial contamination of blood products in the Democratic Republic of the Congo.

Materials And Methods: In three hospitals and the National Blood Transfusion Center (NBTC), two multiple-choice surveys were completed on a tablet computer: one each, for blood bank (31 questions) and for clinical ward staff (20 questions). A score was calculated for 11 overlapping knowledge questions.

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Antiseptics, disinfectants, and hand hygiene products can act as reservoirs of Gram-negative bacteria causing healthcare-associated infections. This problem is rarely documented in low- and middle-income countries, particularly in sub-Saharan Africa. In a cross-sectional survey, we assessed the bacterial contamination of antiseptics, disinfectants, and hand hygiene products in two university hospitals in Burkina Faso and Benin.

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Article Synopsis
  • Typhoid intestinal perforation (TIP) is a serious complication of typhoid fever, often diagnosed during surgery, leading to underreporting in regions with limited lab capabilities, such as Burkina Faso, DRC, Ethiopia, Ghana, Madagascar, and Nigeria.* ! -
  • A study of 608 patients indicated that 35% had surgically-confirmed TIP, while only 5% had culture-confirmed typhoid, highlighting a low rate of detection for the disease.* ! -
  • The findings suggest that low culture positivity rates and insufficient testing facilities contribute to an underestimation of typhoid fever's prevalence, with a notable occurrence of TIP in children aged 5-14 years in certain countries
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Background: Skin bacteria may contaminate blood products but few data are available on sub-Saharan Africa (sSA). We assessed the presence of Gram-negative bacteria and Staphylococcus aureus on blood donor skin and evaluated skin antisepsis in the Democratic Republic of the Congo (DRC).

Study Design And Methods: Among blood donors at the National Blood Transfusion Center (NBTC) and at a rural hospital, the antecubital fossa skin of the non-disinfected arm (not used for blood collection) was swabbed (25cm surface) and cultured for total and Gram-negative bacterial counts.

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Background: Bacterial contamination of blood components (notably platelets) remains a leading infectious risk to the blood supply. There has been extensive research in high-income countries to characterize the risk of bacterial contamination along with adoption of strategies to mitigate that risk. By contrast, related data in Africa are lacking.

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Background: Bacterial contamination of blood for transfusion is rarely investigated in low-income countries. We determined the contamination rate of blood products in the Democratic Republic of the Congo.

Material And Methods: In this prospective observational study, blood products in one rural and two urban hospitals (paediatric and general) contained a satellite sampling bag by which blood was sampled for culture in a blood culture bottle (4 mL) and on an agar-coated slide to estimate colony forming units (CFU/mL).

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Background: Clinical observations and animal studies have suggested that Salmonella intestinal carriage is promoted by concurrent Schistosoma infection. The present study assessed association of Salmonella intestinal carriage and Schistosoma mansoni infection among individuals in a Schistosoma endemic area in sub-Saharan Africa.

Methods: From November 2015 to March 2016, a cross-sectional community-wide study was conducted in Kifua II, a rural village in Kongo Central Province, Democratic Republic of Congo.

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Bacterial bloodstream infections (BSI) form a large public health threat worldwide. Current routine diagnosis is based on blood culture (BC) but this technique suffers from limited sensitivity. Molecular diagnostic tools have been developed for identification of bacteria in the blood of BSI patients.

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