Background: Abscess formation is a frequent local complication of leg erysipelas. In this study we aimed at identifying\nfactors associated with abscess formation of leg erysipelas in patients in sub-Saharan African countries.\nMethod: This is a multicenter prospective study conducted in dermatology units in eight sub-Saharan African countries\nfrom October 2013 to September 2014. We performed univariate and multivariate analysis to compare characteristics\namong the group of patients with leg erysipelas complicated with abscess against those without this complication.\nResults: In this study, 562 cases of leg erysipelas were recruited in the eight sub-Saharan African countries. The mean\nage of patients was 43.67 years (SD =16.8) (Range: 15 to 88 years) with a sex-ratio (M/F) of 5/1. Out of the 562 cases, 63\npatients (11.2 %) had abscess formation as a complication. In multivariate analysis showed that the main associated\nfactors with this complication were: nicotine addiction (aOR = 3.7; 95 % CI = [1.3 ââ?¬â?? 10.7]) and delayed antibiotic treatment\ninitiation (delay of 10 days or more) (aOR = 4.6; 95 % CI = [1.8 ââ?¬â?? 11.8]).\nConclusion: Delayed antibiotics treatment and nicotine addiction are the main risk factors associated with abscess\nformation of leg erysipelas in these countries. However, chronic alcohol intake, which is currently found in Europe as\na potential risk factor, was less frequent in our study.
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