Vol. 3, Issue 4 (2017)
Preventives measures of nosocomial infections in maternity in the city of Mbujimayi in the DRC
Author(s): Bukasa JC, Wembonyama S, Eloko G, Mutombo A, Ilunga F, Kazadi A, Kanyiki M, Ilunga B
Abstract: Introduction: The objective of this work is to analyze the main preventive measures that are applied in the maternity wards of the city of Mbujimayi in the DRC for the control of nosocomial infections. Methods: A survey was carried out by means of a questionnaire sent to the healthcare staff between 12 April and 12 May 2016 in the 231 maternity units of the Health District of the town of MBUJIMAYI. Results: In relation to the prevention of postpartum nosocomial endometritis, urinary infections, surgical site infections in mothers, as well as cutaneous nosocomial infections, eye infections, cord infections, meningitis and nosocomial sepsis in newborns, Out of a total of 469 nurses surveyed, only 10.4% of nurses performed hand hygiene between two mothers during care. 49% of nurses limit the number of vaginal touches to less than 5 after rupture of the membranes. 1.5% of nurses wear a surgical mask as soon as the membranes rupture for any genital gesture performed against the parturient (vaginal touch, vaginal specimen, childbirth...). 98.9% of nurses do not use multiple premises to carry out eye care for babies. 97.4% of nurses do not realize or wash their hands and do not practice hand-hydroalcoholic friction between the eyes care of 2 babies. Only 2.6% of nurses achieve hand-held hydro-alcoholic friction before manipulating newborns. 57.4% of nurses do not use multiple spaces to carry out eye care for babies. Conclusion: Nosocomial infection constitutes a significant postpartum over-morbidity in newborns and mothers, a major risk of mortality and a cause of additional costs, linked to the prolongation of stays. The prevention of these infections requires a reorganization of the maternity units according to the norm of safe motherhood and the application of the rules of elementary hygiene.