[Chronic osteomyelitis at the Ouagadougou teaching hospital (Burkina Faso). A retrospective study of 102 cases (1996-2000)].
This is a retrospective study carried out in the orthopaedic and trauma department of the Yalgado-Ouédraogo teaching hospital. All the patients hospitalized in the service with a chronic osteomyelitis (COM) from March 1, 1996 to March 28, 2000 were included. The frequency of COM was 5.3%. The patients' average age was 17.7 with extremes of 2 and 60 years old. 63.9% were male; 80.7% had fistulized COM. A pathological fracture was observed in 16.9% of the patients. Lower limbs were affected most frequently (65%). Thirty patients (36.1%) had haemoglobin S, among them 22 had a major sickle cell disease. Staphylococcus aureus was present in the majority of the cases (more than 50%). Salmonella were observed among patients carrying haemoglobin S. One case of ceftriaxone-resistance salmonella osteomyelitis was reported. The medico-surgical and orthopaedic treatment was statistically more favourable than a medical or medico-surgical treatment without immobilization.
Nacoulma
S I
SI
Service de traumatologie-orthopédie, Centre hospitalier universitaire Yalgado-Ouédraogo, Ouagadougou, Burkina Faso.
Ouédraogo
D D
DD
Nacoulma
E W C
EW
Korsaga
A
A
Drabo
J Y
JY
D000293:Adolescent; D000328:Adult; D000755:Anemia, Sickle Cell / Q000453:epidemiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002050:Burkina Faso / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D003475:Curettage / Q000706:statistics & numerical data; D017577:Cutaneous Fistula / Q000453:epidemiology / Q000382:microbiology; D005260:Female; D005598:Fractures, Spontaneous / Q000453:epidemiology / Q000382:microbiology; D006451:Hemoglobin, Sickle / Q000032:analysis; D006784:Hospitals, Teaching / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000453:epidemiology*; D012189:Retrospective Studies; D012480:Salmonella Infections / Q000453:epidemiology; D013203:Staphylococcal Infections / Q000453:epidemiology
D000900:Anti-Bacterial Agents; D006451:Hemoglobin, Sickle