netSPEAR surveillance network

1
netSPEAR surveillance network

• Site name PGH Nyeri
• Country -Kenya
• Representatives at conference
• Paediatrician Dr F Kanyingi
• Laboratory E. Nyawira
• Med Sup Dr V Muyembe

2
Site details

• Hospital PGH Nyeri
• Personnel
• No. pediatricians 1
• No. medical officers / COs 4
• No. Laboratory Staff 19 (4 in Microbiology)
• No. of beds on paediatric wards 70 (57 cots, 13
  Beds)
• Paediatric admissions per month394
• Average number of LP per month 24
• Total LP done per year 283

3
Progress to date Nov.-04 to Oct.-05
------- PGH Nyeri total number CSF by month
Total CSF
Month
4
Bacterial isolates from suspected meningitis
cases Nov-04 to Oct-05 (N13)
Most common other organisms
5
Total organisms by age Nov-04 to Oct-05
6
Reasons for Success

• Culture media, bottles and other supplies are
  regularly provided by netSPEAR
• Storage dedicated fridge for microbiology
• Separate media room
• Training clinical and medical staff
• Cooperation ward and lab staff
• Introduction of SOPs for CSF and blood culture
  handling
• 
  

7
What do we need to do better and what are our
plans?

• Ensure timely delivery of specimen to the lab
• Adherence to SOPs clinical areas lab
• Repair/replacement of our incubators
• Antibiotic sensitivity disk
• CME
• We need Bactec machine for Blood cultures