Bacteriological profile of suppurative cervico-facial cellulitis of dental origin at the Lomé-CHU campus

Palakina P. Agoda; Saliou Adam; Hamza D. Sama; Harétfetéguina Bissa; Windpouiré  P. Guiguimde; Pidem Hemou; Bina Betenora; Bathokedeou Amana; Eyawelohn Kpemissi

doi:10.18203/issn.2454-5929.ijohns20180694

Authors

Palakina P. Agoda Department of Stomatology of the CHU-Campus, Lomé, Togo
Saliou Adam Department of Otolaryngology, Cervico-Maxillofacial Surgery and Stomatology, CHU Sylvanus Olympio (CHU-SO), Lomé, Togo
Hamza D. Sama Department of Otolaryngology, Cervico-Maxillofacial Surgery and Stomatology, CHU Sylvanus Olympio (CHU-SO), Lomé, Togo
Harétfetéguina Bissa Department of Otolaryngology, Cervico-Maxillofacial Surgery and Stomatology, CHU Sylvanus Olympio (CHU-SO), Lomé, Togo
Windpouiré P. Guiguimde Department of Odontostomatology and Maxillofacial Surgery, CHU Yalgado Ouédraogo, Burkina Faso
Pidem Hemou Department of Stomatology of the CHU-Campus, Lomé, Togo
Bina Betenora Department of Otolaryngology, Cervico-Maxillofacial Surgery and Stomatology, CHU Sylvanus Olympio (CHU-SO), Lomé, Togo
Bathokedeou Amana Department of Otolaryngology, Cervico-Maxillofacial Surgery and Stomatology, CHU Sylvanus Olympio (CHU-SO), Lomé, Togo
Eyawelohn Kpemissi Department of Otolaryngology, Cervico-Maxillofacial Surgery and Stomatology, CHU Sylvanus Olympio (CHU-SO), Lomé, Togo

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20180694

Keywords:

Cervical-facial cellulitis, Dental infection, Microbial flora, Susceptibility to antibiotics

Abstract

Background: Cervico facial cellulitis is mainly complications of oral infections. A better knowledge of the main germs involved and their susceptibility to antibiotics is necessary for their treatment.

Methods: Three-year prospective study, carried out in the odontostomatology department of the CHU-Campus of Lome, fifty-five patients were included. The pus was taken by suction in a sterile single-use syringe and then directly seeded on agar. The incubation was carried out for 48 h.

Results: The sample consisted of 28 men and 27 women. Fifty-four point fifty percent of patients were between 14 and 40 years of age. Forty-four cultures (80%) were positive. The main germs isolated were Staphylococcus aureus, Streptococci, Escherichia coli, and Klebsiella pneumoniae. The study showed good susceptibility of staphylococcus to quinolones, from streptococcus to aminoglycosides, quinolones, and amoxicillin-clavulanic acid, and Enterobacteria to cephalosporins, aminoglycosides and quinolones. In the same way, the total resistance of all these germs to tetracyclines was proved.

Conclusions: The resistance of Staphylococci and Streptococcus to betalactamins is a real public health problem.

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