Profil Des Infections Osteo-Articulaires A Germes Banals En Hospitalisation Au Service De Rhumatologie Du Chu De Cocody

Objective: To determine the epidemiological, clinical, etiological and therapeutic aspects of osteo-articular infections caused by banal germs. Materials and method: This was a cross-sectional study over a 5 year period from January 2014 to December 2018. All patients hospitalized in the rheumatology department of Cocody University Hospital for an osteoarticular infection caused by germs banals were included in the study. The data collected using a survey sheet was analyzed using Epi Info 7 software. Results: Out of 2,046 hospitalized patients, 71 osteoarticular infections with banal germs were identified, either a hospital frequency of 3.4 %. There were 36 women and 35 men either a sex ratio of 0.97. The mean age was 47.6 years [25-68 ans]. The risk factors found were diabetes (19.7 %), HIV infection (11.2%), alcohol (14.1 %) and sickle cell disease (8.4 %). There was a front door 71.7 % of the time. The gates to the front door were cutaneous (39.4%), urogenital (28%), otorhinolaryngological (22%) and oral dentistry (10.6%). Back pain (34%) and gonalgia (28%) accounted for more than half of the reasons for consultations. The main general sign was fever (85.9 %). antibiotic treatment was 6 weeks in the absence of bone involvement and was at least 3 months in the case of bone involvement. There were 07 patients (10 %) who had surgery. The outcome was favorable in all patients. Conclusion: Bone and joint infections caused by banal germs are infrequent in rheumatology hospitalizations in Abidjan and affect mature adults. They most often present as septic arthritis and spondylodiscitis with common germs. The outcome was favorable in all patients.