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Abstract

Introduction: We conducted the study that had the objective to determine the risk factors of nosocomial infections of surgical wounds in the maternity wards of public hospitals in Lubumbashi.

Method: We conducted an analytical cross-sectional study whosea study population consisted of women whose delivery was associated with surgery, including cesarean section or episiotomy. Data collection was carried out in a comprehensive manner and a case of nosocomial infection in surgical wounds was defined according to WHO definition. The factors were assessed by the value of prevalence ratio in percent significance level 0.05< by binary logistic regression.

Results: We obtained 443 cases of surgical procedures including 253 cases or 57.1% of caesarean sections and 190 or 42.9% episiotomies and prevalence of nosocomial infections of surgical wounds was 9.9%. The risk of nosocomial surgical site infection was 7 times higher at the hospital of the National Society of the Congo railway and 5.0 times at General Hospital Jason Sendwe reference that the General Referral Hospital Kenya(p=0.0022). Unmarried had twice the risk of developing the nosocomial infections of surgical wounds that married (p=0.0022). The long hospital stay lasting more than 10 days (p =0.0010), Cesarean delivery(p =0.0481), The parturient carrying the indwelling catheter(p =0.0162) and the use of antibiotics were associated with the occurrence of nosocomial infection in surgical wounds.

Conclusion: We must improve the hygienic conditions of maternity and apply a good political use of antibacterial agents.

Biography

Mbutshu Lukuke Hendrick completed his Doctorate at the age of 42 years at Lubumbashi University, where he is Associate Professor of hospital hygiene at the Public Health School of the same university. He has published more than 10 articles in journals Pan African, Asian, European and American.

E-mail: hendrickmbutshu@gmail.com