DOI: 10.36347/sjams.2022.v10i10.042

Pages: 1822-1826

A retrospective and descriptive study over a period of 3 years (2018-2020) and relating to a series of 54 patients admitted for infections on microbiologically documented osteosynthesis materials in the microbiology laboratory of the CHU Mohamed VI in Marrakech. Bone and joint infections are a serious public health problem. The average age of the patients was 39 years (17-77), with a male predominance (sex ratio M/F=2.6). Bacterial epidemiology was represented by staphylococci, including 16% S.aureus with 2% resistance to oxacillin and 10% coagulase-negative staphylococcus. Management was medico-surgical with an antibiotic strategy dominated by polytherapy. The bacterial epidemiology of bone and joint infections is dominated by Staphylococcus aureus, the first responsible species in all studies. However, the frequency of certain species deemed nosocomial such as Acinetobacter baumannii and Pseudomonas aeruginosa encourages more effort in the fight against nosocomial infection. The irrational use of antibiotics has led to a major problem which is resistance to C3Gs and the emergence of resistance to carbapenems.