Journal of Bacteriology & Parasitology

Bacteriological profile of osteoarticular infections in children at UHC Hassan II of Fes, Morocco

6^th International Congress on Bacteriology & Infectious Diseases

May 21-22, 2018 | New York, USA

K Moutaouakkil and B Oumokhtar

Medicine and Pharmacy of Fez, Morocco

Posters & Accepted Abstracts: J Bacteriol Parasitol

Abstract:

Background: The osteoarticular infections in children are medical and surgical emergencies, they pose a real problem of public health because they are a frequent cause of hospitalization at the child in Morocco. Bone and joint infections are classified as: arthritis, osteomyelitis, and spondylodiscitis according to whether they affect a bone, joint, or discovertebral. Their diagnosis and their treatment must be undertaken urgently because can put into play the functional prognosis of the child. Methods: This is a prospective study conducted during one year from December 2016 to December 2017. All patients aged between 0 and 15 years old were hospitalized in the Pediatric Traumato-Orthopedics Department at Hassan II University Hospital in Fez detailed examination of the musculoskeletal system of the osteo-articular signs. Puncture or intraoperative specimens were taken from hospitalized patients and were subjected to microbiology and molecular biology tests to determine the causative agents. Results: One hundred and eleven patients with osteoarticular infection were studied and for whom septic arthritis accounted for 51.35% followed by osteomyelitis 46.84% and spondylodiscitis 1.80%. The average age was 8 years and 62% of the patients are male. A positive result was found in 40% of the 81 samples taken, in favor of S. aureus of 80%, Enterobacteriaceae 11.43% (E. coli, Entero. cloacae and Salmonella spp.), 2, 86% Staphylococcus lentus, 2.86% P. aureginosa, 2.86% Pasteurella spp. 96.42% of S. aureus isolates were methicillin-sensitive (MSSA) and 3.57% were methecillin-resistant (MRSA). Conclusions: All age slices can be infected with osteoarticular infections from birth to major child, with an optimum of 38% for the more than 10-year-old children. Septic arthritis is majority at the children because of strong blood irrigation in the fertile areas (knees and hips). S. aureus susceptible to Methicillin remains the microorganism most often isolated in this type of infection. kaoutar_60@hotmail.com