Prevalence des infections nosocomiales dans les maternites de la ville de mbujimayi/RD Congo
Bukasa Jean Christophe, Kazadi André, Ndala Dan, Banza Decas Blood, Mukendi Jean René, Lepelletier Didier, Tshizemba Marie Albert, Mutombo André, Wembonyama Stany
Introduction: To estimate the instantaneous prevalence of nosocomial infections on a given day and the risk factors for births and newborns in maternity hospitals in Mbujimayi city in the Democratic Republic of Congo, is the objective pursued by this study.
Method: A descriptive cross-sectional study was conducted in 231 maternity units in Mbujimayi City. The sample consisted of 398 newborns and 424 newborns who were observed using a data collection sheet. The medical file has allowed us to confirm certain information and the type of prescriptions given to women and their newborns 48 hours after admission. Our study was conducted during February 2017 as part of the first local survey of prevalence of nosocomial infections in maternity.
Results: The overall prevalence of NNEs among women who gave birth was 27.3%, that is, 108 women who had developed nosocomial infections, 35 of whom had endometritis (32.4%), 30 cases of pelvic infections (27%), 8%), 16 cases of episiotomy wound infections (14.8%), 14 cases of urinary tract infections (13%) and 13 cases of caesarean section infection (12%). While the prevalence among newborns was 19.8%, there were 84 newborns who developed an nosocomial infections, of whom there were 64 cases of eye infections (76.2%), 12 cases of skin infections (14, 3%), 5 cases of cord infections (5.9%) and 3 cases of serious infections (3.6%).
Conclusion: Nosocomial infections in maternity are still underestimated and poorly known because they are poorly monitored, these infections are nevertheless a cause of maternal morbidity and newborns which is a real public health problem because of their prevalence and day to day. Thus the surveillance of these IN should be integrated into routine maternity record for the mother and the newborn to better organize the fight against them.