TITLE:
Factors Associated with Acquired Infections Caesarian Wounds in Maternity Mbuji-Mayi/DR Congo
AUTHORS:
Jean Christophe Bukasa, Augustin Kadiata, Andre Guillaume Kabongo, Didier Lepelletier, Decas Blood Banza, Jean Jacques Bukasa, Félicien Ilunga, Andre Mutombo, Senghor Ngoyi Mbo, Angelique Bandimuna, Sébatien Kashimpo, Alexis Ntambwe, Stany Wembonyama
KEYWORDS:
Factors, Nosocomial Infections, Caesarean Section Wounds
JOURNAL NAME:
Open Access Library Journal,
Vol.5 No.3,
March
29,
2018
ABSTRACT: 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.