High rate of post cesarian section infection in maternity of Bushenge Provincial Hospital

Abstract

BACKGROUND The post cesarean section infection occurs after deliver by cesarean section, it is an important problem that increases maternal morbidity, cost and length of stay. Post cesarean section infection (PCSI) has an impact on increased cost of inpatient care, causing overcrowding and a long term disabilities for mother and increase burden of patient and hospital. The availability of wound dressing material is among preventive measures to post cesarean section infection. The shortage of materials was a main cause of the post cesarean section infection in Bushenge Hospital. The objective was to decrease post cesarean section infection rate by increasing the wound dressing materials from 7.2% in December 2016 to 3% by March 2017. METHODOLOGY A Pre and post intervention design was used in this project. By increasing wound dressing materials (individual kit) helped in decreasing the rate of post cesarean section infection. RESULTS Out of 69 cesarean section per month in the pre intervention period, 5 (7.2%) developed the Post cesarean section infection. In the post intervention period, 2 out of 59 (3.3%) developed post cesarean section infection. The PCSI rate decreased from pre intervention of 7.2% to 3.3% post intervention, with P< 0.001. There was a 3.9% statistically significant decrease in the rate of post cesarean section site infection. v The overall wound dressing material (individual kit) was 25% in pre intervention and increased to 100% in post intervention, with P˂0.08. The performance in wound dressing was 25% in pre intervention and increased to 90% in post intervention, with P˂0.05 CONCLUSION AND RECOMMANDATION As conclusion, there was a reduction of the the percentage of Post cesarean section infection rate from 7.2% to 3.3%.. It is necessary to continue the data monitoring on Post cesarean section infection. Availing and increasing all necessary wound dressing material in order to enhance the aseptic procedure is recommanded. Regular and continuous in service training in order to reflesh the staff and uptodate them is also very important.