P271: Knowledge of infection prevention and control during pregnancy in local health facilities in Bujumbura

Abstract

Introduction: Nosocomial infection is a constant concern in the obstetric and surgical practice in both developing countries than in developed countries. Objectives: To assess knowledge, attitudes and practices of the staff of maternity services in the prevention of nosocomial infection in three community health centers in Bujumbura. Methods: A qualitative survey was conducted using a standardized questionnaire over 2 months with 76 health workers from three maternity wards of health facilities in the vicinity of all categories. Data collection consisted of two parts: first assessment of knowledge through a questionnaire and also the observation of attitudes and practices of personal hygiene. Results: It was noted: In knowledge: Knowledge of the exact def-inition of nosocomial infection: 75% (doctors), modes of transmission of infection (manu-portage): 50%, hygiene protocols: 25%, and procedures decontamination of contaminated equipment: 16%. At the observation of practices: Compliance with hand washing before and after childbirth: 50% Use of alcohol-based solutions: 20%, antiquated equipment sterilization: 80% Compliance with the sterilization of equipment: 25% Circulation in delivery rooms disorganized: 100%, perceived risk of blood contamination (uterus): 75%, biomedical waste collected and decontaminated evil: 80%, existence of incinerators: 33.3% and participation in training in personal hygiene: 50%. Conclusion: There is a high risk of infectious contamination in maternity services studied for both the staff and for parturient and their newborns.