Ngo Yamben Marie-Ange^1,2, Tsiagadigui Jean Gustave¹, Mohamadou Guemse¹, Nana Chunteng Theophile³, M Uluem Kennedy¹, Nseme Etouckey Eric¹, Batchom Daudet⁴, Nnane Tony¹, Manga Alexandre² and Ibrahima Farikou^1,2

¹Faculty of Medicine and Biomedical Sciences of the University of Yaoundé I, Cameroon
²National Centre for the Rehabilitation of Persons with Disabilities in Yaoundé, Cameroon
³Faculty of Health Sciences, University of Buea, Cameroon
⁴Faculty of Medicine and Pharmaceutical Sciences of the University of Douala, Cameroon

*Corresponding Author: Ngo Yamben Marie-Ange, Faculty of Medicine and Biomedical Sciences of the University of Yaoundé I, Cameroon.

Received: February 06, 2023; Published: February 24, 2023

Abstract

Introduction: Bone and Joint infections (BJI) are a real obsession for the orthopedic surgeon. Their clinical polymorphism and the relative unavailability of means of paraclinical exploration make their early diagnosis difficult in our context.

Objective: The objective of our work was to describe the epidemiological, clinical and microobiologic aspects of BJI in a Sub-Saharan Center in order to improve diagnosis.

Patients and Methods: We conducted a descriptive retrospective study over a period of 15 years at the National Center for the Rehabilitation of People with Disabilities in Yaoundé. All patients aged 0 to 17 years with BJI, whether primary or secondary, with or without the presence of orthopaedic implants and regardless of the site, were included.

Results: 171 patients were included in our study, with a prevalence of 0.35%. There were 121 men (70.8%) and 50 women (29.2%), a sex ratio of 2.4. The mean age was 25.1 ± 21.4 years. The average consultation time was 39.3 ± 38.8 days. 25.9% were sickle cell patients. Septic arthritis (26.7%) and osteitis (24.4%) predominated and chronic forms were the majority (57.9%) with fistula present in 32.2% of cases. The lower limb was involved in 137 cases (80.1%) with a predominance on the tibia (48.3%). Standard X-rays (85.3%) and bacteriological culture (76%) were the main diagnostic tests. Infection was monomicrobial in 89.2% of cases including 49.3% of Staphylococcus aureus, more sensitive to Lincocine (88.88%), Ceftazidime (75%) and Levofloxacin (73.73%).

Conclusion: Chronic BJI remain common in our environment and antibiotic resistance is growing. Raising public awareness of the need to consult the first clinical signs and training practitioners in early diagnosis are essential to improve the management of these serious conditions, which often cause disabling sequelae.

Keywords: Osteoarticular Infection; Sickle Cell Disease; Hip; Antibiotic

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Citation

Citation: Ngo Yamben Marie-Ange., et al. “Epidemiological, Clinical and Microbiological Profile of Osteoarticular Infections in a Sub-Saharan Centre".Acta Scientific Microbiology 6.3 (2022): 83-90.

Copyright

Copyright: © 2022 Ngo Yamben Marie-Ange., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.