| Περιγραφή: |
Introduction: The soft tissue infections are frequent in practice daily, the responsible agents belong to various bacterial families. The aim of our study is to determine the prevalence of these infections; identify the responsible bacteria, and determine their profile of sensibility to antibiotics. Methods : Retrospective study among 140 patients diagnosed in our service, between January 2007 and July 2008. Resultats : Over a period of 18 months, 140 patients were hospitalized for soft tissue infections, 21 (15%) had a grave infection. Prevalence of these infection is 9,3% over all purulent samples, they are dominated by the abscess (42,1%). These infections largely sit in the lower limbs (45%), The average age of patients was 45 +/-18,5 years, a sex ratio (M/F) = 2,5. The distribution of micro-organisms showed a predominance of staphylococci (43,5%), represented largely by Staphylococcus aureus (32,9), Enterobacteria after (21,17%), and streptococci (17%). concerning the sensitivity to antibiotics, S.aureus are most sensitive to methicillin; The rate of methicillin resistance was 7,14% for S.aureus isolates. Enterobacteria presents high resistance to beta-lactames, most species of streptococci isolated was resitant to teracyclines and Sulfamethoxazole-trimethoprim. Conclution : through this study we notice that the severe infections of the soft tissue are rare but deserve more vigilance because of their high mortality, many of our bacterial strains are resitant to beta-lactam, this resitance is amplified by the massive and uncontrolled use of antibiotics, and represents a public health problem, hence the need for rational prescription of antibiotics guided by the antibiogram. ; Introduction : Les infections des parties molles sont fréquentes en pratique quotidienne, les agents responsables appartiennent à diverses familles bactériennes. L’objectif de notre étude est de déterminer la prévalence de ces infections; identifier les bactéries responsables, et déterminer leur profil de sensibilité aux antibiotiques. ... |