Bacterial dermohypodermitis at the Thies Regional Hospital, Senegal (West Africa): A retrospective study of 425 cases
Journal Title: Nasza Dermatologia Online - Year 2017, Vol 8, Issue 3
Abstract
Introduction: Bacterial dermohypodermitis (BDH) risk factors identified in the literature on series of national hospitals are: obesity, diabetes, lymphedema, venous insufficiency. We report a series in a regional hospital. Material and Methods: This was a retrospective study, conducted over a period of 9 years from 1 January 2007 to 31 December 2015. All data of patients received for BDH including. Socio-demographic, clinical, para-clinical and evolution variables was collected and analyzed using the Statistical Package for Social Sciences (SPSS) Version 20 software. Results: Of the 35,692 patients received in consultation, 425 had BDH (1.19%) and 33.7% were hospitalized. The mean age was 40.6 ± 17.02 years. The age groups 16-59 years were 81% of the cases. There was a female predominance (74%) with a sex ratio H/F = 0.35. The average time to consultation was 8.1 ± 9.5 days for BDH. The lesion were located in the lower limbs in 90.4% cases. The average hospital stay was 8.6 ± 4.7 days. Artificial skin bleaching (p = 0.003), non-steroidal anti-inflammatory drugs (p = 0.001), high blood pressure (p = 0.013), obesity (p = 0.028) were the risk factors identified in our series. Conclusions: Our series shows that the emergence of BDH also affects regional hospitals in West Africa. It also confirms that artificial skin bleaching, Non-steroidal anti-inflammatory drug, high blood pressure, obesity are aggravating factors.
Authors and Affiliations
Pauline Dioussé
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