Bacterial Necrotizing Dermohypodermitis (BNDH) and Necrotizing Fasciitis (NF) in Surgical Area at CHU-Kara (Togo)

Abstract

Bacterial dermo-hypodernitis are infection of the deep skin layers (dermis and hypodermis) that include non-necrotizing infections (mainly erysipelas) and necrotizing infections characterized by dermis, hypodermis and deep facia necrosis in case of necrotizing fasciitis. Although there is currently no consensus about the treatment of these infections, it is generally recognized that bacterial necrotizing dermohypodermitis and necrotizing fasciitis (BNDH-NF) are serious infections that may be life-threatening and required emergency medico-surgical treatment. Epidemiologic data about these serious infections are nearly inexistent. In occidental countries, BNDH-NF are rare with incidence of 1 case for 1,00,000. In sub-Saharan Africa, studies on BNDH are rare and focus on non-necrotizing infections in hospital medical ward in the big cities (capitals). Data are nearly inexistent in secondary cities where the people have rural activities. The objective of our study is to define epidemiology, clinical characteristics and outcome of BNDH-NF in general surgery ward of Kara-CHU (Togo).