Microbiology and prognosis of septic arthritis in Brazzaville

Bileckot, R; Miakoundoba, Régis Christel; Yala, F.

doi:10.1016/j.jbspin.2005.11.018

Cited by 5 publications

(4 citation statements)

References 3 publications

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“…The origin of infection was clearly retrievable in 56 studies, most of which (52/56; 92.9%) described community-acquired infections, and only 4 studies explicitly addressed nosocomial infections [10][11][12][13]. Co-morbidity was stated in only five studies, mainly human immunodeficiency virus (HIV) and sickle cell anaemia [14][15][16][17][18].…”

Section: Methodsmentioning

confidence: 99%

“…Use of control stains and participation in external quality programmes were mentioned in only 14 and 3 studies, respectively. Only 5 [10,17,[22][23][24][25][26][27][28] Resistance data for S. aureus were reported in nine studies, including three surveillance studies and six clinical studies from urban hospitals. Although a wide range of samples (pus, wounds, urine and CSF) was addressed from mixed origins (community, nosocomial), only one study considered blood cultures [24].…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Antibiotic resistance among bacterial pathogens in Central Africa: a review of the published literature between 1955 and 2008

Vlieghe

Phoba

Tamfun

et al. 2009

International Journal of Antimicrobial Agents

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A systematic review of the published literature on bacterial resistance in Central Africa between 1955 and 2008 was performed. Eighty-three publications from seven countries were retrieved, the majority presenting data on enteric and other Gramnegative pathogens. Despite methodological limitations in many studies, alarming resistance rates are noted in nearly all pathogens. Of special concern are multidrug resistance in Shigella and Salmonella spp. and the emergence of meticillin-resistant Staphylococcus aureus, high-level penicillin-resistant Streptococcus pneumoniae and extended-spectrum -lactamases among Gram-negative pathogens. These findings make clear that the Central African region shares the worldwide trend of increasing antimicrobial resistance and is in urgent need of sound surveillance based on competent and affordable microbiology to provide clear data on antimicrobial resistance. These data could enable redaction of local treatment guidelines and fuel national and regional policies to contain antimicrobial resistance.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Antibiotic resistance among bacterial pathogens in Central Africa: a review of the published literature between 1955 and 2008

Vlieghe

Phoba

Tamfun

et al. 2009

International Journal of Antimicrobial Agents

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“…For rheumatoid arthritis, the mean age was 44.39, which may be superimposed on the mean age (45.8 years). Bileckot [6] in Congo-Brazzaville found an average age of 43.5 years; and Adelowo [7] in Nigeria (46.9 years). For Biermer's disease, the mean age was 50.33.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Profile of Autoimmune Diseases in Thiès, Senegal: About a Descriptive Observational Study over 11 Years in 2 Internal Medicine Departments and a Dermatology Department

Abdou,

Mariama,

Dia

et al. 2023

OJIM

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Introduction: Autoimmune diseases are characterized by a very large clinical polymorphism that can lead to a diagnostic wandering. So, we aimed to determine their epidemiological profile outside the context of Dakar (capital of Senegal) where the technical plateau is more elevated. Methodology: We conducted a retrospective descriptive and observational study from January 1, 2007 to December 31, 2017. All patients admitted or followed in outpatient in the Internal Medicine departments of the Saint Jean de Dieu and Regional Hospitals of Thiès as well as in the dermatology department of the CHRT (Regional Hospital Center of Thiès), and who met the MAI criteria (autoimmune diseases) have been included. The data were collected on a standardised sheet and analysed by EPI INFO version 7.2. Results: A total of 121 patients were included out of 25951 records i.e a prevalence of 0.46% in internal medicine departments. In dermatology, out of 31973 patients, 95 had MAIS (systemic autoimmune diseases): 0.29% as hospital prevalence. The average age was 40.7 years in internal medicine departments compared to 37.66 years 14.8 years in the dermatology department. Patients aged 30 to 59 years represented 57.89% of the study population. The sex ratio (H/F) was 0.

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“…Au Congo Brazzaville, les infections musculosquelettiques constituent un motif fréquent d'hospitalisation dans le service de Rhumatologie au CHU-B avec une fréquence hospitalière de 33% (Ntsiba et al, 2003). Plusieurs études ont été faites sur les infections musculosquelettiques parmi lesquelles 100 cas d'arthrites septiques du genou en zone tropicale (Ntsiba et al, 2003), les aspects morphologiques du Mal de POTT chez l'adulte congolais à Brazzaville (Lamini et al, 2019), les ostéomyélites chroniques de l'adulte à Brazzaville (Monka et al, 2018), aspects bactériologiques et évolutifs des arthrites septiques à Brazzaville (Biléckot et al, 2006). Dans le souci de compléter les travaux sur les infections musculosquelettiques en Afrique subsaharienne, particulièrement au Congo, nous avons initié cette étude dont l'objectif était de rapporter les difficultés diagnostiques et de prise en charge des infections musculosquelettiques au CHU de Brazzaville.…”

Section: Introductionunclassified

Infections Musculosquelettiques De L’adulte AU Centre Hospitalier Universitaire De Brazzaville: Difficultés Diagnostiques Et De Prise En Charge

Ledier

Edgard

Bileckot

et al. 2021

ESJ

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Objectif: Rapporter les difficultés diagnostiques et de prise en charge des infections musculosquelettiques. Patients et méthodes: Etude rétrospective menée dans les services de Rhumatologie et de Traumatologie/Orthopédie du CHU de Brazzaville du 1er Janvier 2017 au 30 Septembre 2020. Nous avons colligé et analysé les dossiers des patients hospitalisés pour infections musculosquelettiques. Le diagnostic d’infection musculosquelettique était retenu sur critères de Wald Vogel et al. Résultats: La fréquence hospitalière était de 1.9%. Les hommes prédominaient (54.8%) avec un sex-ratio de 1.2. L’âge moyen était de 41.7ans (extrêmes 17 et 77 ans). Treize de nos patients étaient les travailleurs indépendants , 12 sans-emploi, les salariés et les étudiants respectivement dans 9 et 8 cas. La majorité de nos patients provenait du milieu rural dans 29 cas (69.1%). Il s’agissait de 13 cas (30.9%) d’ostéomyélites/Ostéites, 12 cas (28.5%) d’arthrites infectieuses, 9 cas (21.4%) de spondylodiscites tuberculoses, 4 cas (9.6%) d’infections sur matériel d’ostéosynthèse et les myosites suppurées. Seuls 6 patients (14%) avaient réalisé une imagerie en coupes (l’IRM dans 4 cas ,la TDM dans 2 cas), avec un délai moyen de réalisation de 6,1 jours (extrêmes 4 et 10 jours) et l’échographie ostéoarticulaire dans 6 cas (14%). L’analyse bactériologique était effectuée dans 25 cas (59.5%), parmi eux, une Pyo culture dans 11 cas (44%), l’analyse du liquide articulaire dans 5 cas (20%), les hémocultures 2 cas et la biopsie osseuse dans 1 cas(4%), avec un délai moyen de réalisation de 5,8 jours (extrêmes 2 et 11 jours). La culture était positive dans 13 cas (52%). Les principaux germes isolés étaient : le streptocoque dans 5 cas (38.4%), le staphylocoque 3 cas (23.1%), l’entérobactérie et le Pseudomonas dans 2cas (15.4%), le bacteroides dans 1 cas (7.7%). Conclusion: Les infections musculosquelettiques sont une urgence diagnostique et thérapeutique et de diagnostic souvent tardif. Les principales difficultés sont le bas niveau socioéconomique et la faible accessibilité du plateau technique. Objective: This paper focuses on reporting the difficulties in diagnosing and managing musculoskeletal infections. Patients and Methods: Retrospective study was conducted in the Rheumatology and Traumatology/Orthopedics departments of the Brazzaville University Hospital from January 1st, 2017 to September 30th, 2020. The files of hospitalized patients were collected and analyzed for musculoskeletal infections. The diagnosis of musculoskeletal infection was made according to the criteria of Wald Vogel et al. Results: The hospital frequency was 1.9%. Men predominated (54.8%) with a sex ratio of 1.2. The average age was 41.7 years (range 17 and 77). Thirteen of the patients were self-employed, while 12 were unemployed. There were also 9 employees and 8 students. The majority of patients came from rural areas in 29 cases (69.1%). These were 13 cases (30.9%) of osteomyelitis/Osteitis, 12 cases (28.5%) of infectious arthritis, 9 cases (21.4%) of tuberculosis spondylodiscitis, 4 cases (9.6% ) of infections on osteosynthesis material and suppurative myositis. Only 6 patients (14%) had performed sectional imaging (MRI in 4 cases, CT in 2 cases), with an average completion time of 6.1 days (range 4 and 10 days). There were also 6 cases of ultrasound osteoarticular (14%). Bacteriological analysis was performed in 25 cases (59.5%): Pyo culture in 11 cases (44%), joint fluid analysis in 5 cases (20%), blood cultures in 2 cases and bone biopsy in 1 case (4%), with an average completion time of 5.8 days (range 2 and 11 days). Culture was positive in 13 cases (52%). The main germs isolated were streptococcus in 5 cases (38.4%), staphylococcus in 3 cases (23.1%), enterobacteria and Pseudomonas in 2 cases (15.4%), and bacteroides in 1 case ( 7.7%). Conclusion: Musculoskeletal infections are a diagnostic and therapeutic emergency which is often late in diagnosis. The main difficulties are the low socioeconomic level and the poor accessibility of the technical platform.

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Microbiology and prognosis of septic arthritis in Brazzaville

Cited by 5 publications

References 3 publications

Antibiotic resistance among bacterial pathogens in Central Africa: a review of the published literature between 1955 and 2008

Antibiotic resistance among bacterial pathogens in Central Africa: a review of the published literature between 1955 and 2008

Epidemiological Profile of Autoimmune Diseases in Thiès, Senegal: About a Descriptive Observational Study over 11 Years in 2 Internal Medicine Departments and a Dermatology Department

Infections Musculosquelettiques De L’adulte AU Centre Hospitalier Universitaire De Brazzaville: Difficultés Diagnostiques Et De Prise En Charge

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Microbiology and prognosis of septic arthritis in Brazzaville

Cited by 5 publications

References 3 publications

Antibiotic resistance among bacterial pathogens in Central Africa: a review of the published literature between 1955 and 2008

Antibiotic resistance among bacterial pathogens in Central Africa: a review of the published literature between 1955 and 2008

Epidemiological Profile of Autoimmune Diseases in Thi&#232;s, Senegal: About a Descriptive Observational Study over 11 Years in 2 Internal Medicine Departments and a Dermatology Department

Infections Musculosquelettiques De L’adulte AU Centre Hospitalier Universitaire De Brazzaville: Difficultés Diagnostiques Et De Prise En Charge

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Product

Resources

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Epidemiological Profile of Autoimmune Diseases in Thiès, Senegal: About a Descriptive Observational Study over 11 Years in 2 Internal Medicine Departments and a Dermatology Department