OALibJ  Vol.5 No.3 , March 2018
Factors Associated with Acquired Infections Caesarian Wounds in Maternity Mbuji-Mayi/DR Congo
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.
Cite this paper: 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.

[1]   Assawapalanggool, S., Kasatpibal, N., Sirichotiyakul, S., Arora, R. and Suntornlimsiri, W. (2016) Risk Factors for Cesarean Surgical Website Infections at Thai-Myanmar Border Hospital. American Journal of Infection Control, 44, 990-995.

[2]   Biltery, R. and Milord, F. (2008) Prevention of Nosocomial Infections, Also a Hot Topic in Developing Countries. Perceptive Nurse, 3, 20-26.

[3]   Borq, T.F., Ali, K.K., Salahaldeem, A.S. and Alkallaf, A.S. (2016) Impact and Risk Factors for Surgical Site Infection Following Cesarean Section in a Tertiary Care University Hospital. Journal of Evidence-Based Women’s Health, 6, 51-57.

[4]   Chu, K., Maine, R. and Trelles, M. (2015) Cesarean Section Surgical Infection Site in Sub-Saharan Africa: A Multi Country Study from Doctors without Frontiers. World Journal of Surgery, 39, 350-355.

[5]   De, D., Saxena, S., Mehta, G., Yadav, R. and Dutta, R. (2013) Risk Factor Analysis and Microbial Etiologies’ of Surgical Infection Site Following Lower Segment Caesarean Section. International Journal of Antibiotics, 2013, Article ID: 283025, 6 p.

[6]   Dupont, J., Ngowa, K., Ngassam, A., Tsuala Fouogue, J., Metogo, J., Medou, A. and Kasia, J.M. (2015) Early Complications of Cesarean Section: About 460 of These in Teaching Hospitals of Yaounde. Pan African Medical Journal, 21.

[7]   Césarine, L. (2016) The Consequences of Caesarean Section for the Mother: Risk of Surgical Site Infection. The Journal Obstetrics and Gynecology Research, 38, 509-515.

[8]   Jido, T.A. and Garba, I.D. (2012) Surgical Site Infection Following Cesarean Section in Kano. Annals of the Medical and Health Sciences Research, 2, 33-36.

[9]   Kabua, M. (2014) Incidence Year Determinants of Surgical Infection After-Site Caerean Delivery at Kenya National Hospital. Dissertation, University of Nairobi, Nairobi.

[10]   Mpogoro, F.J., Mshama, S.E., Mirambo, M.M., Kindenya, B.R., Gumodoka, B. and Imizalioglu, C. (2014) Incidence and Predictors of Surgical Site Infection Following Caesarean Section at Bugando Medical Center, Mwanza, Tanzania. Antimicrobial Resistance & Infection Control, 3, 25.

[11]   Opoien, H.K., Valbo, A., Grinde-Andersen, A. and Walberg, M. (2007) Post-Cesarean Surgical Website Infections to CDC Occording Standars: Rates and Risk Factors. Acta Obstetricia et Gynecologica Scandinavica, 86, 1097-1102.

[12]   Dahiya, P., Gupta, V., Prindir, S. and Chawla, D. (2016) Study of Impact and After-Risck Factors for Surgical Cesarean at First Referral UNIT. International Journal of Contemporary Medical Research, 3, 1102-1104.

[13]   Cunningham, F.G. (2002) Post Operative Complication in Operative Obstetrics. 2nd Edition, McGraw Hill, New York, 293-309.

[14]   Vincent, A. (2014) Nosocomial Infections in Women Delivered by Caesarean Section.

[15]   Malik, A.Z. and Ali, Q. (2014) Surgical Site Infections after Elective Surgery. Journal of Rawalpindi Medical College, 19, 209-214.

[16]   18Dhar, H., Al-Busaidi, I., Rathi, B., Nimre, E.A., Sachdeva, V. and Hamdi, I. (2014) A Study of Post-Caesarean Section Wound Infections in a Regional Referral Hospital Oman. Sultan Qaboos University Medical Journal, 14, e211-e217.

[17]   Smail, F.M. and Mgrivel, R. (2014) Antibitic Prophylaxis versus No Prophylaxis for Infection Preventing After-Cesearen Section. Cochrane Data Base of Systemic Reviews, No. 10, CD007482.

[18]   Tita, A.T., Stam, O.J., Grimes, A.M., Hauth, A. and Andrews, C.J. (2008) Impact of Extended-Spectrum Antibiotic Prophylaxis of Cesarean Incidence of Post Surgical Wound Infection. American Journal of Obstetrics and Gynecology, No. 199, 303-306.

[19]   Gong, S.P., Guo, H.X., Zhou, H.Z., Chen, L. and Yu, Y.H. (2012) Morbidity and Risk Factors for Surgical Site Infection Following Cesarean Section in Guangdong Province, China. The Obstetrics and Gynecology Research, 38, 509-515.

[20]   Wloch, O., Wilson, J., Lamagni, T., Harrington, P., Charlett, A. and Scheridan, E. (2012) Risk Factors for Surgical Site Infection Following Caesarean Section in England: Results from a Multicenter Cohort Study. International Journal of Obstetrics and Gynecology, 119, 1324-1333.

[21]   Conroy, K., Yu, Y.H., Courtney, A., Lee, H.J. and Norwitz, E.R. (2012) Infectious Morbidity After-Cesarean Delivery 10 Strategies to Reduce Risk. Obstetric and Gynecology Reviews, 5, 69-77.