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Risk factors associated with abscess formation among patient with leg erysipelas (cellulitis) in sub-Saharan Africa: a multicenter study

Identifieur interne : 001878 ( Main/Exploration ); précédent : 001877; suivant : 001879

Risk factors associated with abscess formation among patient with leg erysipelas (cellulitis) in sub-Saharan Africa: a multicenter study

Auteurs : Palokinam Vincent Pitché [Togo] ; Bayaki Saka [Togo] ; Ahy Boubacar Diatta [Sénégal] ; Ousmane Faye [Mali] ; Boh Fanta Diané [Guinée] ; Abdoulaye Sangaré ; Pascal Niamba [Burkina Faso] ; Christine Mandengue [Cameroun] ; Léon Kobengue ; Assane Diop [Sénégal] ; Fatimata Ly [Sénégal] ; Mame Thierno Dieng [Sénégal] ; Alassane Dicko [Mali] ; Maciré Mohamed Soumah [Guinée] ; Mohamed Cissé [Guinée] ; Sarah Hamdan Kourouma ; Isidore Kouassi ; Taniratou Boukari [Togo] ; Sefako Akakpo [Togo] ; Dadja Essoya Landoh [Togo] ; Kissem Tchangaï-Walla [Togo]

Source :

RBID : PMC:4678644

Abstract

Background

Abscess formation is a frequent local complication of leg erysipelas. In this study we aimed at identifying factors associated with abscess formation of leg erysipelas in patients in sub-Saharan African countries.

Method

This is a multicenter prospective study conducted in dermatology units in eight sub-Saharan African countries from October 2013 to September 2014. We performed univariate and multivariate analysis to compare characteristics among the group of patients with leg erysipelas complicated with abscess against those without this complication.

Results

In this study, 562 cases of leg erysipelas were recruited in the eight sub-Saharan African countries. The mean age of patients was 43.67 years (SD =16.8) (Range: 15 to 88 years) with a sex-ratio (M/F) of 5/1. Out of the 562 cases, 63 patients (11.2 %) had abscess formation as a complication. In multivariate analysis showed that the main associated factors with this complication were: nicotine addiction (aOR = 3.7; 95 % CI = [1.3 – 10.7]) and delayed antibiotic treatment initiation (delay of 10 days or more) (aOR = 4.6; 95 % CI = [1.8 – 11.8]).

Conclusion

Delayed antibiotics treatment and nicotine addiction are the main risk factors associated with abscess formation of leg erysipelas in these countries. However, chronic alcohol intake, which is currently found in Europe as a potential risk factor, was less frequent in our study.


Url:
DOI: 10.1186/s12895-015-0037-7
PubMed: 26666633
PubMed Central: 4678644


Affiliations:


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Le document en format XML

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<name sortKey="Soumah, Macire Mohamed" sort="Soumah, Macire Mohamed" uniqKey="Soumah M" first="Maciré Mohamed" last="Soumah">Maciré Mohamed Soumah</name>
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<name sortKey="Cisse, Mohamed" sort="Cisse, Mohamed" uniqKey="Cisse M" first="Mohamed" last="Cissé">Mohamed Cissé</name>
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<name sortKey="Kourouma, Sarah Hamdan" sort="Kourouma, Sarah Hamdan" uniqKey="Kourouma S" first="Sarah Hamdan" last="Kourouma">Sarah Hamdan Kourouma</name>
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<name sortKey="Kouassi, Isidore" sort="Kouassi, Isidore" uniqKey="Kouassi I" first="Isidore" last="Kouassi">Isidore Kouassi</name>
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<name sortKey="Boukari, Taniratou" sort="Boukari, Taniratou" uniqKey="Boukari T" first="Taniratou" last="Boukari">Taniratou Boukari</name>
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<name sortKey="Landoh, Dadja Essoya" sort="Landoh, Dadja Essoya" uniqKey="Landoh D" first="Dadja Essoya" last="Landoh">Dadja Essoya Landoh</name>
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<title xml:lang="en" level="a" type="main">Risk factors associated with abscess formation among patient with leg erysipelas (cellulitis) in sub-Saharan Africa: a multicenter study</title>
<author>
<name sortKey="Pitche, Palokinam Vincent" sort="Pitche, Palokinam Vincent" uniqKey="Pitche P" first="Palokinam Vincent" last="Pitché">Palokinam Vincent Pitché</name>
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<nlm:aff id="Aff1">Service de dermato-vénéréologie, CHU Sylvanus Olympio, Université de Lomé, 08 BP 81056 Lomé 08, Togo</nlm:aff>
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<name sortKey="Saka, Bayaki" sort="Saka, Bayaki" uniqKey="Saka B" first="Bayaki" last="Saka">Bayaki Saka</name>
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<name sortKey="Diatta, Ahy Boubacar" sort="Diatta, Ahy Boubacar" uniqKey="Diatta A" first="Ahy Boubacar" last="Diatta">Ahy Boubacar Diatta</name>
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<name sortKey="Faye, Ousmane" sort="Faye, Ousmane" uniqKey="Faye O" first="Ousmane" last="Faye">Ousmane Faye</name>
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<name sortKey="Diane, Boh Fanta" sort="Diane, Boh Fanta" uniqKey="Diane B" first="Boh Fanta" last="Diané">Boh Fanta Diané</name>
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<country xml:lang="fr">Guinée</country>
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<author>
<name sortKey="Sangare, Abdoulaye" sort="Sangare, Abdoulaye" uniqKey="Sangare A" first="Abdoulaye" last="Sangaré">Abdoulaye Sangaré</name>
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<nlm:aff id="Aff5">Centre de dermatologie, CHU Treichville, Université de Cocody, Cocody, Côte d’Ivoire</nlm:aff>
<wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry>
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<name sortKey="Niamba, Pascal" sort="Niamba, Pascal" uniqKey="Niamba P" first="Pascal" last="Niamba">Pascal Niamba</name>
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<nlm:aff id="Aff6">Service de dermatologie CHU Yaldago Ouédraogo, Ouagadougou, Université de Ouagadougou, Ouagadougou, Burkina Faso</nlm:aff>
<country xml:lang="fr">Burkina Faso</country>
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<name sortKey="Mandengue, Christine" sort="Mandengue, Christine" uniqKey="Mandengue C" first="Christine" last="Mandengue">Christine Mandengue</name>
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<nlm:aff id="Aff7">Service de dermatologie, Clinique universitaire des Montagnes, Bangangté, Cameroun</nlm:aff>
<country xml:lang="fr">Cameroun</country>
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<name sortKey="Kobengue, Leon" sort="Kobengue, Leon" uniqKey="Kobengue L" first="Léon" last="Kobengue">Léon Kobengue</name>
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<nlm:aff id="Aff8">Service de dermatologie, CHU Bangui, Université de Bangui, Bangui, Centrafrique</nlm:aff>
<wicri:noCountry code="subfield">Centrafrique</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Diop, Assane" sort="Diop, Assane" uniqKey="Diop A" first="Assane" last="Diop">Assane Diop</name>
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<nlm:aff id="Aff2">Service de dermatologie, CHU Le Dantec, Dakar, Université Cheik Anta Diop, Dakar, Sénégal</nlm:aff>
<country xml:lang="fr">Sénégal</country>
<wicri:regionArea>Service de dermatologie, CHU Le Dantec, Dakar, Université Cheik Anta Diop, Dakar</wicri:regionArea>
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<name sortKey="Ly, Fatimata" sort="Ly, Fatimata" uniqKey="Ly F" first="Fatimata" last="Ly">Fatimata Ly</name>
<affiliation wicri:level="1">
<nlm:aff id="Aff2">Service de dermatologie, CHU Le Dantec, Dakar, Université Cheik Anta Diop, Dakar, Sénégal</nlm:aff>
<country xml:lang="fr">Sénégal</country>
<wicri:regionArea>Service de dermatologie, CHU Le Dantec, Dakar, Université Cheik Anta Diop, Dakar</wicri:regionArea>
<wicri:noRegion>Dakar</wicri:noRegion>
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<author>
<name sortKey="Dieng, Mame Thierno" sort="Dieng, Mame Thierno" uniqKey="Dieng M" first="Mame Thierno" last="Dieng">Mame Thierno Dieng</name>
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<nlm:aff id="Aff2">Service de dermatologie, CHU Le Dantec, Dakar, Université Cheik Anta Diop, Dakar, Sénégal</nlm:aff>
<country xml:lang="fr">Sénégal</country>
<wicri:regionArea>Service de dermatologie, CHU Le Dantec, Dakar, Université Cheik Anta Diop, Dakar</wicri:regionArea>
<wicri:noRegion>Dakar</wicri:noRegion>
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<author>
<name sortKey="Dicko, Alassane" sort="Dicko, Alassane" uniqKey="Dicko A" first="Alassane" last="Dicko">Alassane Dicko</name>
<affiliation wicri:level="1">
<nlm:aff id="Aff3">Service de dermatologie, CNAM, Bamako, Université de Bamako, Bamako, Mali</nlm:aff>
<country xml:lang="fr">Mali</country>
<wicri:regionArea>Service de dermatologie, CNAM, Bamako, Université de Bamako, Bamako</wicri:regionArea>
<wicri:noRegion>Bamako</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Soumah, Macire Mohamed" sort="Soumah, Macire Mohamed" uniqKey="Soumah M" first="Maciré Mohamed" last="Soumah">Maciré Mohamed Soumah</name>
<affiliation wicri:level="1">
<nlm:aff id="Aff4">Service de dermatologie-MST, CHU Donka, Conakry, Université de Conakry, Conakry, Guinée</nlm:aff>
<country xml:lang="fr">Guinée</country>
<wicri:regionArea>Service de dermatologie-MST, CHU Donka, Conakry, Université de Conakry, Conakry</wicri:regionArea>
<wicri:noRegion>Conakry</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Cisse, Mohamed" sort="Cisse, Mohamed" uniqKey="Cisse M" first="Mohamed" last="Cissé">Mohamed Cissé</name>
<affiliation wicri:level="1">
<nlm:aff id="Aff4">Service de dermatologie-MST, CHU Donka, Conakry, Université de Conakry, Conakry, Guinée</nlm:aff>
<country xml:lang="fr">Guinée</country>
<wicri:regionArea>Service de dermatologie-MST, CHU Donka, Conakry, Université de Conakry, Conakry</wicri:regionArea>
<wicri:noRegion>Conakry</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kourouma, Sarah Hamdan" sort="Kourouma, Sarah Hamdan" uniqKey="Kourouma S" first="Sarah Hamdan" last="Kourouma">Sarah Hamdan Kourouma</name>
<affiliation>
<nlm:aff id="Aff5">Centre de dermatologie, CHU Treichville, Université de Cocody, Cocody, Côte d’Ivoire</nlm:aff>
<wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Kouassi, Isidore" sort="Kouassi, Isidore" uniqKey="Kouassi I" first="Isidore" last="Kouassi">Isidore Kouassi</name>
<affiliation>
<nlm:aff id="Aff5">Centre de dermatologie, CHU Treichville, Université de Cocody, Cocody, Côte d’Ivoire</nlm:aff>
<wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Boukari, Taniratou" sort="Boukari, Taniratou" uniqKey="Boukari T" first="Taniratou" last="Boukari">Taniratou Boukari</name>
<affiliation wicri:level="1">
<nlm:aff id="Aff1">Service de dermato-vénéréologie, CHU Sylvanus Olympio, Université de Lomé, 08 BP 81056 Lomé 08, Togo</nlm:aff>
<country xml:lang="fr">Togo</country>
<wicri:regionArea>Service de dermato-vénéréologie, CHU Sylvanus Olympio, Université de Lomé, 08 BP 81056 Lomé 08</wicri:regionArea>
<wicri:noRegion>08 BP 81056 Lomé 08</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Akakpo, Sefako" sort="Akakpo, Sefako" uniqKey="Akakpo S" first="Sefako" last="Akakpo">Sefako Akakpo</name>
<affiliation wicri:level="1">
<nlm:aff id="Aff1">Service de dermato-vénéréologie, CHU Sylvanus Olympio, Université de Lomé, 08 BP 81056 Lomé 08, Togo</nlm:aff>
<country xml:lang="fr">Togo</country>
<wicri:regionArea>Service de dermato-vénéréologie, CHU Sylvanus Olympio, Université de Lomé, 08 BP 81056 Lomé 08</wicri:regionArea>
<wicri:noRegion>08 BP 81056 Lomé 08</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Landoh, Dadja Essoya" sort="Landoh, Dadja Essoya" uniqKey="Landoh D" first="Dadja Essoya" last="Landoh">Dadja Essoya Landoh</name>
<affiliation wicri:level="1">
<nlm:aff id="Aff9">Division de l’Epidémiologie, Ministère de la santé du Togo, Lomé, Togo</nlm:aff>
<country xml:lang="fr">Togo</country>
<wicri:regionArea>Division de l’Epidémiologie, Ministère de la santé du Togo, Lomé</wicri:regionArea>
<wicri:noRegion>Lomé</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Tchangai Walla, Kissem" sort="Tchangai Walla, Kissem" uniqKey="Tchangai Walla K" first="Kissem" last="Tchangaï-Walla">Kissem Tchangaï-Walla</name>
<affiliation wicri:level="1">
<nlm:aff id="Aff1">Service de dermato-vénéréologie, CHU Sylvanus Olympio, Université de Lomé, 08 BP 81056 Lomé 08, Togo</nlm:aff>
<country xml:lang="fr">Togo</country>
<wicri:regionArea>Service de dermato-vénéréologie, CHU Sylvanus Olympio, Université de Lomé, 08 BP 81056 Lomé 08</wicri:regionArea>
<wicri:noRegion>08 BP 81056 Lomé 08</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">BMC Dermatology</title>
<idno type="eISSN">1471-5945</idno>
<imprint>
<date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>Abscess formation is a frequent local complication of leg erysipelas. In this study we aimed at identifying factors associated with abscess formation of leg erysipelas in patients in sub-Saharan African countries.</p>
</sec>
<sec>
<title>Method</title>
<p>This is a multicenter prospective study conducted in dermatology units in eight sub-Saharan African countries from October 2013 to September 2014. We performed univariate and multivariate analysis to compare characteristics among the group of patients with leg erysipelas complicated with abscess against those without this complication.</p>
</sec>
<sec>
<title>Results</title>
<p>In this study, 562 cases of leg erysipelas were recruited in the eight sub-Saharan African countries. The mean age of patients was 43.67 years (SD =16.8) (Range: 15 to 88 years) with a sex-ratio (M/F) of 5/1. Out of the 562 cases, 63 patients (11.2 %) had abscess formation as a complication. In multivariate analysis showed that the main associated factors with this complication were: nicotine addiction (aOR = 3.7; 95 % CI = [1.3 – 10.7]) and delayed antibiotic treatment initiation (delay of 10 days or more) (aOR = 4.6; 95 % CI = [1.8 – 11.8]).</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Delayed antibiotics treatment and nicotine addiction are the main risk factors associated with abscess formation of leg erysipelas in these countries. However, chronic alcohol intake, which is currently found in Europe as a potential risk factor, was less frequent in our study.</p>
</sec>
</div>
</front>
<back>
<div1 type="bibliography">
<listBibl>
<biblStruct>
<analytic>
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<name sortKey="Bernard, P" uniqKey="Bernard P">P Bernard</name>
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</analytic>
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</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<affiliations>
<list>
<country>
<li>Burkina Faso</li>
<li>Cameroun</li>
<li>Guinée</li>
<li>Mali</li>
<li>Sénégal</li>
<li>Togo</li>
</country>
</list>
<tree>
<noCountry>
<name sortKey="Kobengue, Leon" sort="Kobengue, Leon" uniqKey="Kobengue L" first="Léon" last="Kobengue">Léon Kobengue</name>
<name sortKey="Kouassi, Isidore" sort="Kouassi, Isidore" uniqKey="Kouassi I" first="Isidore" last="Kouassi">Isidore Kouassi</name>
<name sortKey="Kourouma, Sarah Hamdan" sort="Kourouma, Sarah Hamdan" uniqKey="Kourouma S" first="Sarah Hamdan" last="Kourouma">Sarah Hamdan Kourouma</name>
<name sortKey="Sangare, Abdoulaye" sort="Sangare, Abdoulaye" uniqKey="Sangare A" first="Abdoulaye" last="Sangaré">Abdoulaye Sangaré</name>
</noCountry>
<country name="Togo">
<noRegion>
<name sortKey="Pitche, Palokinam Vincent" sort="Pitche, Palokinam Vincent" uniqKey="Pitche P" first="Palokinam Vincent" last="Pitché">Palokinam Vincent Pitché</name>
</noRegion>
<name sortKey="Akakpo, Sefako" sort="Akakpo, Sefako" uniqKey="Akakpo S" first="Sefako" last="Akakpo">Sefako Akakpo</name>
<name sortKey="Boukari, Taniratou" sort="Boukari, Taniratou" uniqKey="Boukari T" first="Taniratou" last="Boukari">Taniratou Boukari</name>
<name sortKey="Landoh, Dadja Essoya" sort="Landoh, Dadja Essoya" uniqKey="Landoh D" first="Dadja Essoya" last="Landoh">Dadja Essoya Landoh</name>
<name sortKey="Saka, Bayaki" sort="Saka, Bayaki" uniqKey="Saka B" first="Bayaki" last="Saka">Bayaki Saka</name>
<name sortKey="Tchangai Walla, Kissem" sort="Tchangai Walla, Kissem" uniqKey="Tchangai Walla K" first="Kissem" last="Tchangaï-Walla">Kissem Tchangaï-Walla</name>
</country>
<country name="Sénégal">
<noRegion>
<name sortKey="Diatta, Ahy Boubacar" sort="Diatta, Ahy Boubacar" uniqKey="Diatta A" first="Ahy Boubacar" last="Diatta">Ahy Boubacar Diatta</name>
</noRegion>
<name sortKey="Dieng, Mame Thierno" sort="Dieng, Mame Thierno" uniqKey="Dieng M" first="Mame Thierno" last="Dieng">Mame Thierno Dieng</name>
<name sortKey="Diop, Assane" sort="Diop, Assane" uniqKey="Diop A" first="Assane" last="Diop">Assane Diop</name>
<name sortKey="Ly, Fatimata" sort="Ly, Fatimata" uniqKey="Ly F" first="Fatimata" last="Ly">Fatimata Ly</name>
</country>
<country name="Mali">
<noRegion>
<name sortKey="Faye, Ousmane" sort="Faye, Ousmane" uniqKey="Faye O" first="Ousmane" last="Faye">Ousmane Faye</name>
</noRegion>
<name sortKey="Dicko, Alassane" sort="Dicko, Alassane" uniqKey="Dicko A" first="Alassane" last="Dicko">Alassane Dicko</name>
</country>
<country name="Guinée">
<noRegion>
<name sortKey="Diane, Boh Fanta" sort="Diane, Boh Fanta" uniqKey="Diane B" first="Boh Fanta" last="Diané">Boh Fanta Diané</name>
</noRegion>
<name sortKey="Cisse, Mohamed" sort="Cisse, Mohamed" uniqKey="Cisse M" first="Mohamed" last="Cissé">Mohamed Cissé</name>
<name sortKey="Soumah, Macire Mohamed" sort="Soumah, Macire Mohamed" uniqKey="Soumah M" first="Maciré Mohamed" last="Soumah">Maciré Mohamed Soumah</name>
</country>
<country name="Burkina Faso">
<noRegion>
<name sortKey="Niamba, Pascal" sort="Niamba, Pascal" uniqKey="Niamba P" first="Pascal" last="Niamba">Pascal Niamba</name>
</noRegion>
</country>
<country name="Cameroun">
<noRegion>
<name sortKey="Mandengue, Christine" sort="Mandengue, Christine" uniqKey="Mandengue C" first="Christine" last="Mandengue">Christine Mandengue</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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