title: [Prevalence of methicillin-resistant Staphylococcus aureus in community-acquired skin infections in Lomé, Togo].
abstract: OBJECTIVE
  To determine the prevalence of methicillin-resistant Staphylococcus aureus in community-acquired skin infections in Lomé, Togo.
  
  
  METHODS
  A prospective study including 90 cases of skin infection observed in dermatological outpatients at the teaching Hospital of Lomé was carried out from 1st June 2003 to 30th May 2005. A bacteriological sample with antibiograms was obtained from all patients.
  
  
  RESULTS
  Mean patient age was 21 years (extremes, 6 months to 78 years). The male-to- female ratio was 0.84. Infection was primary in 80% of cases including impetigo in 42.2%, follicular infection in 28.9%, and abscess in 8.9% and secondary in 20% of cases including eczema in 8.9%, mycosis in 3.3%, and other in 7.8%. Staphylococcus aureus strains were isolated in a total of 84 cases (93.3%). Staphylococcus aureus occurred alone in 79 cases (87.8%) or in association with other bacteria in 5. A total of 30 of the 84 Staphylococcus aureus strains (35.7%) isolated were methicillin-resistant. Resistant strains were associated with primary infection in 24 cases and secondary infection in 6. CONCLUSION. Staphylococcus aureus is the most common cause of community-acquired skin infections in Lomé. One third of Staphylococcus aureus strains are methicillin-resistant. These findings should be taken into account in daily practice for prescription of antibiotics to patients presenting these infections.
authors.affiliation: Service de dermatologie, CHU Tokoin, Université de Lomé, Togo.
authors.forename: K
authors.initials: K
authors.lastname: Kombaté
authors.forename: A Y
authors.initials: AY
authors.lastname: Dagnra
authors.forename: B
authors.initials: B
authors.lastname: Saka
authors.forename: A
authors.initials: A
authors.lastname: Mouhari-Toure
authors.forename: S
authors.initials: S
authors.lastname: Akakpo
authors.forename: K
authors.initials: K
authors.lastname: Tchangaï-Walla
authors.forename: P
authors.initials: P
authors.lastname: Pitché
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D017714:Community-Acquired Infections / Q000453:epidemiology; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus; D008875:Middle Aged; D015995:Prevalence; D013207:Staphylococcal Skin Infections / Q000453:epidemiology / Q000382:microbiology; D014037:Togo / Q000453:epidemiology; D055815:Young Adult