Author(s)

Jean Christophe Bukasa^1*, Augustin Kadiata¹, Andre Guillaume Kabongo¹, Didier Lepelletier², Decas Blood Banza¹, Jean Jacques Bukasa¹, Félicien Ilunga³, Andre Mutombo⁴, Senghor Ngoyi Mbo⁵, Angelique Bandimuna⁵, Sébatien Kashimpo⁵, Alexis Ntambwe⁶, Stany Wembonyama⁷

¹Higher Institute of Medical Techniques of Mbuji-Mayi, Mbuji-Mayi, Democratic Republic of the Congo.
²Emerging Laboratory MiHAR, Faculty of Medicine, University of Nantes, Nantes, France.
³Higher Institute of Medical Technologies of Kinshasa, Kinshasa, Democratic Republic of the Congo.
⁴Official University of Mbuji-Mayi, Mbuji-Mayi, Democratic Republic of the Congo.
⁵Higher Institute of Medical Technologies of Kabinda, Kabinda, Democratic Republic of the Congo.
⁶Higher Institute of Kabinda, Kabinda, Democratic Republic of the Congo.
⁷School of Public Health, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo.

Introduction: The purpose of this study is to analyze the factors associated with nosocomial infections of caesarean section wounds in the maternity hospitals of the city of Mbuji-Mayi. Methods: This study was conducted in 25 maternities of general referral hospitals, clinics and hospitals in the city of Mbuji-Mayi during the period from 1 February to 1 June 2017, out of 171 parturients cesarized that were followed during a period of 4 months. A survey questionnaire was used to collect the data. Results: Out of 171 parturients monitored, surgical site infection developed 52 (SSI), an incidence of 30.4%. After analysis, nine factors were identified as associated post-caesarean SSI in Mbuji-Mayi city (p ≤ 0.05): age (p = 0.000), anemia (p = 0.000), prolonged duration of labor delivery (p = 0.001), premature rupture of the membranes before caesarean section (p = 0.044), prolonged duration after-rupture of the membranes (p = 0.000), preparation of the operative site by shaving (p = 0.029), surgery by general practitioner (p = 0.023), duration of operation greater than 60 minutes (p = 0.040), non-compliance with asepsis during dressing (p = 0.000). Conclusion: The fight against nosocomial infections must be a permanent concern: the prevention and regular monitoring of these infections must be the control strategies of each hospital structure, under the watchful eye of a coordination center for the fight nosocomial infections.

Factors, Nosocomial Infections, Caesarean Section Wounds

Bukasa, J. , Kadiata, A. , Kabongo, A. , Lepelletier, D. , Banza, D. , Bukasa, J. , Ilunga, F. , Mutombo, A. , Mbo, S. , Bandimuna, A. , Kashimpo, S. , Ntambwe, A. and Wembonyama, S. (2018) Factors Associated with Acquired Infections Caesarian Wounds in Maternity Mbuji-Mayi/DR Congo. Open Access Library Journal, 5, 1-14. doi: 10.4236/oalib.1104437.