Factors Associated with Acquired Infections Caesarian Wounds in Maternity Mbuji-Mayi/DR Congo
Jean Christophe Bukasa1*, 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.
DOI: 10.4236/oalib.1104437   PDF   HTML   XML   182 Downloads   434 Views   Citations

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.

Share and Cite:

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.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[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.
https://doi.org/10.1016/j.ajic.2016.01.031
[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.
https://doi.org/10.1097/01.EBX.0000481362.51250.6c
[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.
https://doi.org/10.1007/s00268-014-2840-4
[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.
http://www.panfarican-med-journal.com/article/21/165/fu
[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.
https://doi.org/10.4103/2141-9248.96934
[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.
http://cclinsudest.chulyon.fr/Reseaux/MATER/Journee/2014/CR_14
[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.
http://www.cochranelibrary.com
[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.
http://www.Ajog.org
[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.
https://doi.org/10.1111/j.1447-0756.2011.01746.x
[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.

Copyright © 2022 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.