Authors: Sylvain B Cirhulwire, Ruffine N Chirhalwirwa, Bonaventure C Cirhuza, Jean Christophe Bukassa, Stanis O Wembonyama.
a) Factors related to the hospital environment: 1. Absence or non-functionality of the triage department and the bacteriology department. 2. Insufficient drinking water not meeting the daily needs of patients/bed, i.e. an average consumption of 60 to 80 liters/bed/day, compared to 500 to 600 liters of water/bed/day recommended by WHO standards. 3. Absence of a wastewater management circuit from hospitalization services (no purification system or wastewater treatment), b). Factors related to the nursing staff: 4. Absence of a committee for the diagnosis and monitoring of NI (nosocomial infections). 5. Poor knowledge, attitudes and practices of healthcare staff and in PCI: lack of risk assessment, use of venous catheters beyond 72 hours, use of antibiotics beyond 7 days without antibiogram, irregularity of hand hygiene before and after administration of care. (The odds ratio of the assessment score: RE (Assessment Risk) = 1.7 [95% CI; [1.3-8.9].
After evaluating the infection prevention and control (IPC) score card, in these hospitals, the results were as follows: HGR CBCA-Virunga: 61.2% and HGR Maternal Charity: 65%. That is an average of 63.1%. This study identified overall; progress in terms of improving infrastructure, hospitalization conditions for patients and electrical energy. [Adjusted odds ratio=2.8, 95% CI: 1.6-4.2].
Conclusion: The absence of a committee for diagnosis and epidemiological surveillance of nosocomial infections in hospitals and the non-existence of provincial and national coordination for the fight against nosocomial infections in the health system in the DRC, favors the high prevalence of these infections in hospitals according to our study.
View/Download pdf