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KISSOU P, Semde A, Sawadogo A, Dah J, Tchoupé M, Kouraogo A. WCN23-0096 ACUTE KIDNEY INJURY IN CHILDREN HOSPITALIZED IN A SUB-SAHARAN AFRICA HOSPITAL: CLINICAL ETIOLOGICAL AND PRONOSTIC PROFILE. Kidney Int Rep 2023. [DOI: 10.1016/j.ekir.2023.02.196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2023] Open
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Sawadogo A, Kagambèga A, Moodley A, Ouedraogo AA, Barro N, Dione M. Knowledge, Attitudes, and Practices Related to Antibiotic Use and Antibiotic Resistance among Poultry Farmers in Urban and Peri-Urban Areas of Ouagadougou, Burkina Faso. Antibiotics (Basel) 2023; 12:antibiotics12010133. [PMID: 36671334 PMCID: PMC9854744 DOI: 10.3390/antibiotics12010133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 12/22/2022] [Accepted: 12/24/2022] [Indexed: 01/12/2023] Open
Abstract
Increased use of antibiotics in livestock is a public health concern, as it poses risks of antibiotic residues and antibiotic-resistant pathogens entering the food chains and infecting humans. A cross-sectional survey was conducted on 216 poultry farms to study knowledge, attitudes and practices of poultry farmers on the use of antibiotics in urban and peri-urban areas of Ouagadougou. Results show that only 17.13% (37/216) of farmers attended training on poultry production. Majority of farmers-85.65% (185/216) were not knowledgeable about the rational use of antibiotics. When there was a disease outbreak, 31.98% (63/197) of farmers used veterinary drugs without a prescription and 22.34% (44/197) consulted a community animal health worker. It should also be noted that 79.19% (156/197) of farmers reported using chicken meat as per normal if the bird died during or right after treatment with an antibiotic. Knowledge of rational use of antibiotics was positively influenced by a good attitude adopted by the farmer during the illness of birds and negatively influenced by disease treatment success and high level of education of the farmer. Lack of knowledge about the rational use of antibiotics including their use without a prescription are serious risk factors for the emergence of antimicrobial resistance. Awareness of farmers and other veterinary drug supply chain actors such as drug stockists and animal health workers on best practices in antimicrobial use and promotion of good biosecurity on farms are important to reduce the misuse of antibiotics.
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Affiliation(s)
- Abdallah Sawadogo
- Laboratory of Molecular Biology, Epidemiology and Surveillance of Foodborne Bacteria and Viruses, Department of Biochemistry-Microbiology, Doctoral School of Science and Technology, Joseph KI-ZERBO University, Ouagadougou 03 BP 7021, Burkina Faso
- Correspondence: authors: (A.S.); (M.D.)
| | - Assèta Kagambèga
- Laboratory of Molecular Biology, Epidemiology and Surveillance of Foodborne Bacteria and Viruses, Department of Biochemistry-Microbiology, Doctoral School of Science and Technology, Joseph KI-ZERBO University, Ouagadougou 03 BP 7021, Burkina Faso
| | - Arshnee Moodley
- International Livestock Research Institute, Nairobi 00100, Kenya
- Department of Veterinary and Animal Sciences, University of Copenhagen, 1817 Frederiksberg, Denmark
| | - Abdoul Aziz Ouedraogo
- National Institute of Statistics and Demography, Ouagadougou 01 BP 374, Burkina Faso
| | - Nicolas Barro
- Laboratory of Molecular Biology, Epidemiology and Surveillance of Foodborne Bacteria and Viruses, Department of Biochemistry-Microbiology, Doctoral School of Science and Technology, Joseph KI-ZERBO University, Ouagadougou 03 BP 7021, Burkina Faso
| | - Michel Dione
- International Livestock Research Institute, Dakar BP 24265, Senegal
- Correspondence: authors: (A.S.); (M.D.)
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Kissou P, Semdè A, Sawadogo A, Dah J, Keré I, Kyelem G. Insuffisance rénale aiguë au service de néphrologie-dialyse du CHU Souro Sanou au Burkina Faso : profil épidémiologique, clinique et évolutif. Nephrol Ther 2022. [DOI: 10.1016/j.nephro.2022.07.332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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KISSOU P, Semde A, Sawadogo A, Tao M, Sanou G, Coulibaly G. POS-159 ANTIBIOTIC RESISTANCE OF URINARY TRACT INFECTIONS IN THE NEPHROLOGY-DIALYSIS DEPARTMENT OF THE SOURO SANOU UNIVERSITY HOSPITAL IN BOBO-DIOULASSO (BURKINA FASO). Kidney Int Rep 2022. [DOI: 10.1016/j.ekir.2022.01.172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Semde A, Sawadogo A, Sanou G, Poda A, Damoué E, Kouraogo A, Coulibaly G. Quand deux arboviroses s’associent au paludisme, l’ischémie va au-delà du rein. Nephrol Ther 2021. [DOI: 10.1016/j.nephro.2021.07.206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Zongo O, Zongo U, Cisse H, Kagambega B, Tarnagda B, Muandze Nzambe J, Sawadogo A, Tapsoba F, Zongo C, Traore Y, Savadogo A. Biochemical and molecular characterization of yeasts and lactic acid bacteria isolated from Borassus aethiopum Mart. sap in Burkina Faso. Food Res 2021. [DOI: 10.26656/fr.2017.5(2).471] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
In Burkina Faso, the Palmyra Palm Borassus aethiopum Mart. grows wild and gives
natural stands in Central-Eastern and Eastern regions. The sap collected traditionally
ferments spontaneously and is a rich medium that allows the growth of different
microorganisms. This study aimed to identify yeasts and lactic acid bacteria (LAB)
isolated from Borassus aethiopum Mart. fresh and fermented sap in Burkina Faso. A total
of ninety strains including thirty LAB and sixty yeasts were isolated in the fresh and
fermented sap. The isolates were characterized using standard biochemical method and
sequencing of the V1 to V6 region of 16S rDNA of LAB and 28S rDNA of yeasts. The
neighbour-joining method was used for the construction of phylogenetic tree with MEGA
X software. After biochemical characterization and sequencing of the V1 to V6 region of
16S rDNA, twenty LAB strains (67%) were identified as Leuconostoc mesenteroides,
seven (23%) as Enterococcus sp. and three (10%) as Enterococcus gilvus. Sequencing of
the yeast 28S rDNA showed that 63% of the strains were Saccharomyces cerevisiae and
37% Pichia kudriavzevii. Leuconostoc mesenteroides and Saccharomyces cerevisiae are
commonly isolated from several palm sap or wine of palm trees, but Enterococcus sp. and
Pichia kudriavzevii are not commonly detected in palm wine. The LAB species
Enterococcus gilvus identified in our study has not yet been isolated previously in palm
wine. The yeasts and LAB isolated from Borassus aethiopum sap are the main
microorganisms responsible for sap fermentation and could be used for several
biotechnological applications.
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Ouédraogo AR, Bougma G, Baguiya A, Sawadogo A, Kaboré PR, Minougou CJ, Diendéré A, Maiga S, Agbaholou CR, Hema A, Sondo A, Ouédraogo G, Sanou A, Ouedraogo M. [Factors associated with the occurrence of acute respiratory distress and death in patients with COVID-19 in Burkina Faso]. Rev Mal Respir 2021; 38:240-248. [PMID: 33589360 PMCID: PMC7862901 DOI: 10.1016/j.rmr.2021.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Accepted: 12/16/2020] [Indexed: 11/08/2022]
Abstract
INTRODUCTION The development of acute respiratory distress syndrome indicates a serious form of COVID-19. Although there have been several studies on the prognostic factors of its severe form, no such study has been conducted in Burkina Faso. METHODS This was a retrospective cohort study conducted from March 9 to June 9, 2020 in Ouagadougou, Burkina Faso which involved 456 patients with COVID-19. RESULTS Nearly a quarter of the patients (23.2%) had presented with acute respiratory distress and 44.3% of them died. Being over 65 years old (HR: 2.7; 95% CI: 1.5-5.1) and having hypertension (HR: 1.9; 95% CI: 1-3.5) were independently associated with the risk of mortality. However, after adjustment, only age over 65 years (HR: 2.3; 95% CI: 1.2-4.3) was a risk factor for death. The survival rate for patients over 65 was 38.5% at 7 days and 30.3% at 15 days. CONCLUSIONS Acute respiratory distress leading to death is mainly found in older people with COVID-19. Close monitoring of these high-risk patients may reduce the risk of death.
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Affiliation(s)
- A R Ouédraogo
- Service de Pneumologie, Centre Hospitalier Universitaire de Tengandogo, Ouagadougou, Burkina Faso.
| | - G Bougma
- Service de Pneumologie, Centre Hospitalier Universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso
| | - A Baguiya
- Institut de Recherche en Sciences de la Santé, Unité de Surveillance Démographique et de Santé de Kaya, Burkina Faso
| | - A Sawadogo
- Service de maladies infectieuses et tropicales du Centre Hospitalier Universitaire Régional de Ouahigouya, Ouahigouya, Burkina Faso
| | - P R Kaboré
- Hôpital de district de Boulmiougou, Ouagadougou, Burkina Faso
| | - C J Minougou
- Service de Pneumologie, Centre Hospitalier Universitaire de Tengandogo, Ouagadougou, Burkina Faso
| | - A Diendéré
- Service de médecine interne, Centre Hospitalier Universitaire de Bogodogo, Ouagadougou, Burkina Faso
| | - S Maiga
- Service de maladies infectieuses et tropicales du Centre Hospitalier Universitaire Régional de Ouahigouya, Ouahigouya, Burkina Faso
| | - C R Agbaholou
- Service de Pneumologie, Centre Hospitalier Universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso
| | - A Hema
- Service de Pneumologie, Centre Hospitalier Universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso
| | - A Sondo
- Service de maladies infectieuses et tropicales, Centre Hospitalier Universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso
| | - G Ouédraogo
- Service de Pneumologie, Centre Hospitalier Universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso
| | - A Sanou
- Service de Chirurgie, Centre Hospitalier Universitaire de Tengandogo, Ouagadougou, Burkina Faso
| | - M Ouedraogo
- Service de Pneumologie, Centre Hospitalier Universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso
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Bazongo M, Togo S, Ouattara MA, Maïga IB, Maïga AA, Ombotimbé A, Sawadogo A, Tembiné K, Touré CAS, Coulibaly I, Koné SD, Illiassou S, Dakouo J, Koné AI, Diani N, Yena S. [Indications and results of pulmonary resections in a developing country]. Rev Mal Respir 2020; 38:225-230. [PMID: 33341327 DOI: 10.1016/j.rmr.2020.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Accepted: 08/26/2020] [Indexed: 10/22/2022]
Abstract
INTRODUCTION Indications for pulmonary excision are dominated by infectious pulmonary pathologies in developing countries. We conducted this study to describe the indications and results of pulmonary resections in the thoracic surgery department of the Mali hospital. PATIENTS AND METHODS This is a retrospective and descriptive study from January 2012 to December 2019, carried out in the thoracic surgery department of the Mali hospital. It involved 76 patients who had a pulmonary resection. The variables studied were the epidemiological data, the operating indications, the therapeutic data and the prognosis. RESULTS The mean age of the patients was 35.5 years. The sex ratio was 1.7. The average consultation time in thoracic surgery was 11.6 months with extremes of 7 days and 96 months. A history of pulmonary tuberculosis was noted in 46.1% of patients. The main indications for pulmonary resection were infectious parenchymal destruction in 64.5%, bullous dystrophy in 14.5%, bronchopulmonary cancer in 11.8% and thoracic trauma in 4% of the cases. The procedures performed were: a lobectomy (39.5%), atypical resection (36.8%), culminectomy (7.9%) and pneumonectomy (15.8%). Morbidity was dominated by thoracic empyema (9.2%) postoperative hemorrhage (5.2%), parietal suppuration (7.8%) and bronchopleural fistula (1.3%). The average length of hospital stay was 14.3 days. Mortality was 10.5%. There was a statistically significant correlation between pneumonectomy and deaths (P=0.01). CONCLUSION Infectious lung destruction is the main indication for pulmonary resection in Mali. The consultation period is quite long. Morbidity and mortality remains high.
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Affiliation(s)
- M Bazongo
- Service de chirurgie thoracique, hôpital du Mali, Bamako, Mali; Service de chirurgie et spécialités chirurgicales, CHU de Tengandogo, Ouagadougou, Burkina Faso.
| | - S Togo
- Service de chirurgie thoracique, hôpital du Mali, Bamako, Mali
| | - M A Ouattara
- Service de chirurgie thoracique, hôpital du Mali, Bamako, Mali
| | - I B Maïga
- Service de chirurgie thoracique, hôpital du Mali, Bamako, Mali
| | - A A Maïga
- Service de chirurgie thoracique, hôpital du Mali, Bamako, Mali
| | - A Ombotimbé
- Service de chirurgie thoracique, hôpital du Mali, Bamako, Mali
| | - A Sawadogo
- Service de chirurgie et spécialités chirurgicales, CHU de Tengandogo, Ouagadougou, Burkina Faso
| | - K Tembiné
- Service d'anesthésie réanimation hôpital du Mali, Bamako, Mali
| | - C A S Touré
- Service de chirurgie thoracique, hôpital du Mali, Bamako, Mali
| | - I Coulibaly
- Service de chirurgie thoracique, hôpital du Mali, Bamako, Mali
| | - S D Koné
- Service de chirurgie thoracique, hôpital du Mali, Bamako, Mali
| | - S Illiassou
- Service de chirurgie thoracique, hôpital du Mali, Bamako, Mali
| | - J Dakouo
- Service de chirurgie thoracique, hôpital du Mali, Bamako, Mali
| | - A I Koné
- Service de chirurgie thoracique, hôpital du Mali, Bamako, Mali
| | - N Diani
- Service d'anesthésie réanimation hôpital du Mali, Bamako, Mali
| | - S Yena
- Service de chirurgie thoracique, hôpital du Mali, Bamako, Mali
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Boyer S, Nishimwe ML, Sagaon-Teyssier L, March L, Koulla-Shiro S, Bousmah MQ, Toby R, Mpoudi-Etame MP, Ngom Gueye NF, Sawadogo A, Kouanfack C, Ciaffi L, Spire B, Delaporte E. Cost-Effectiveness of Three Alternative Boosted Protease Inhibitor-Based Second-Line Regimens in HIV-Infected Patients in West and Central Africa. Pharmacoecon Open 2020; 4:45-60. [PMID: 31273686 PMCID: PMC7018873 DOI: 10.1007/s41669-019-0157-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
BACKGROUND While dolutegravir has been added by WHO as a preferred second-line option for the treatment of HIV infection, boosted protease inhibitor (bPI)-based regimens are still needed as alternative second-line options. Identifying optimal bPI-based second-line combinations is essential, given associated high costs and funding constraints in low- and middle-income countries. We assessed the cost-effectiveness of three alternative bPI-based second-line regimens in Burkina Faso, Cameroon and Senegal. METHODS We used data collected over 2010-2015 in the 2LADY trial/post-trial cohort. Patients with first-line antiretroviral therapy (ART) failure were randomly assigned to tenofovir/emtricitabine + lopinavir/ritonavir (TDF/FTC LPV/r; arm A), abacavir + didanosine + lopinavir/ritonavir (arm B), or tenofovir/emtricitabine + darunavir/ritonavir (arm C). Costs (US dollars, 2016), quality-adjusted life-years (QALYs) and incremental cost-effectiveness ratios were computed for each country over 24 months of follow-up and extrapolated to 5 years using a simulated patient-level Markov model. We assessed uncertainty using cost-effectiveness acceptability curves, scenarios and prices threshold analysis. RESULTS In each country, over 24 months, arm A was significantly less costly than arms B and C (incremental costs ranging from US$410-$US721 and US$468-US$546 for B and C vs A, respectively) and offered similar health benefits (incremental QALY: - 0.138 to 0.023 and - 0.179 to 0.028, respectively). Over 5 years, arm A remained the least costly, health benefits not being significantly different between arms. Compared with arms B and C, in each study country, Arm A had a ≥ 95% probability of being cost-effective for a large range of cost-effectiveness thresholds, irrespective of the scenario considered. CONCLUSIONS Using TDF/FTC LPV/r as a bPI-based second-line regimen provided the best economic value in the three study countries. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT00928187.
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Affiliation(s)
- S Boyer
- Aix Marseille Univ, INSERM, SESSTIM, IRD, Sciences Economiques et Sociales de la Santé et Traitement de l'Information Médicale, Marseille, France
| | - M L Nishimwe
- Aix Marseille Univ, INSERM, SESSTIM, IRD, Sciences Economiques et Sociales de la Santé et Traitement de l'Information Médicale, Marseille, France.
| | - L Sagaon-Teyssier
- Aix Marseille Univ, INSERM, SESSTIM, IRD, Sciences Economiques et Sociales de la Santé et Traitement de l'Information Médicale, Marseille, France
- ORS PACA, Observatoire régional de la santé Provence-Alpes-Côte d'Azur, Marseille, France
| | - L March
- UMI 233, Institut de Recherche pour le Développement (IRD), INSERM U1175, University of Montpellier, Montpellier, France
| | - S Koulla-Shiro
- Infectious Diseases Department, Yaoundé Central Hospital, Yaoundé, Cameroon
| | - M-Q Bousmah
- Aix Marseille Univ, INSERM, SESSTIM, IRD, Sciences Economiques et Sociales de la Santé et Traitement de l'Information Médicale, Marseille, France
- ORS PACA, Observatoire régional de la santé Provence-Alpes-Côte d'Azur, Marseille, France
| | - R Toby
- Day Care Unit, Central Hospital, Yaoundé, Cameroon
| | - M P Mpoudi-Etame
- Epidemiology and Infectious Diseases Service, Region 1 Military Hospital, Yaoundé, Cameroon
| | | | - A Sawadogo
- Day Care Unit, University Hospital Souro Sanou, Bobo-Dioulasso, Burkina Faso
| | - C Kouanfack
- Yaoundé Central Hospital, Yaoundé, Cameroon
- Faculty of Medicine and Pharmacology Sciences, Dschang University, Dschang, Cameroon
| | - L Ciaffi
- UMI 233, Institut de Recherche pour le Développement (IRD), INSERM U1175, University of Montpellier, Montpellier, France
| | - B Spire
- Aix Marseille Univ, INSERM, SESSTIM, IRD, Sciences Economiques et Sociales de la Santé et Traitement de l'Information Médicale, Marseille, France
| | - E Delaporte
- UMI 233, Institut de Recherche pour le Développement (IRD), INSERM U1175, University of Montpellier, Montpellier, France
- Department of Infectious Diseases, University Hospital, Montpellier, France
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Sawadogo A, Coulibaly M, Quilodran C, Bationo R, Konsem T, Ella B. Success rate of first attempt 4% articaine para-apical anesthesia for the extraction of mandibular wisdom teeth. J Stomatol Oral Maxillofac Surg 2018; 119:486-488. [PMID: 29936238 DOI: 10.1016/j.jormas.2018.06.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Revised: 04/03/2018] [Accepted: 06/17/2018] [Indexed: 11/30/2022]
Abstract
Dental extraction is one of the acts that cannot be undertaken or carried out without total analgesia. Unfortunately, the success of anesthesia is not always systematic. Failures are noted during the extraction of mandibular wisdom teeth and pain management therefore remains a challenge for their extraction. The anesthesia technique and nature of the adapted anesthetic solution are controversial. However, the most commonly used technique is the Lower Alveolar Nerve Block (IANB). This technique has disadvantages (trismus, risk of intra-arterial injection and hematoma) and a failure rate of up to 88%. In some survey, 90% of 93 practitioners had difficulty obtaining proper anesthesia. Other clinical studies have also shown overall failure rates of 37%-47%, and 15%-35% on healthy lower molars. Recent studies have evaluated the success rate of articaine at between 54% and 94%, while others have shown that for mandibular teeth, articaine is more effective in para-apical anesthesia than lidocaine. Sixty subjects were selected for the study. The aim was to evaluate the overall success rate of first intention 4% articaine para-apical anesthesia during extraction of third mandibular molars. The overall success rate of para-apical anesthesia was 87%.
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Affiliation(s)
- A Sawadogo
- UFR/SDS, Université Ouaga, 1, Pr Joseph Ki-Zerbo, 03 B.P. 7021, 03 Ouagadougou, Burkina Faso.
| | - M Coulibaly
- Pvrsandemic Prevention ECOWAS Region (RPPP) GIZ C/O, West African Health Organization (WAHO), 01 BP 153, 01 Bobo-Dioulasso, Burkina Faso
| | - C Quilodran
- UFR des Sciences odontologiques, Bordeaux University, 16, Cours de la Marne, 33082 Bordeaux cedex, France
| | - R Bationo
- Medical center Camp Sangoulé Lamizana, BP. 610, 01 Ouagadougou, Burkina Faso
| | - T Konsem
- Université Ouaga, 1, Pr Joseph Ki-Zerbo, 03 B.P. 7021, 03 Ouagadougou, Burkina Faso
| | - B Ella
- Department of Anatomy et Physiology at UFR des Sciences, Odontologiques, Bordeaux University, 16, Cours de la Marne, 33082 Bordeaux, France
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Kissou SA, Koura M, Sawadogo A, Ouédraogo AS, Traoré H, Kamboulé E, Zogona WWF, Nacro B. [Serological markers of viral hepatitis B and C in children with sickle cell disease monitored in the Pediatrics Department at the University Hospital of Bobo-Dioulasso (Burkina Faso)]. ACTA ACUST UNITED AC 2017; 110:160-164. [PMID: 28417347 DOI: 10.1007/s13149-017-0555-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2016] [Accepted: 01/12/2017] [Indexed: 11/28/2022]
Abstract
Viral hepatitis B and C are universal public health problems. Burkina Faso is a high endemic area for hepatitis B. Patients with sickle cell disease are at risk. The aim of this study was to investigate and quantify the serological markers of viral hepatitis B and C among pediatric patients with sickle cell disease. This was a descriptive cross-sectional study, which took place from July to November 2014 at the Department of Pediatrics, University Hospital of Bobo- Dioulasso. The study included 44 SS and 26 SC sickle cell patients. General data (age, gender) and medical information (vaccinations, medical history including transfusion) were collected. Blood samples were taken for research and titration of serological markers of hepatitis viruses B and C with a commercial Elisa test on the ARCHITECT i1000® automat of Abbott Laboratories. The mean age of the patients was 7.98 years. Seventeen patients (13 SS and SC 4) had already been transfused at least once. The transfusion rate was significantly higher among the SS patients than among SC (29.5% and 15.3% respectively) patients. No patient with HBs Ag was been found. In two patients, the anti-HBc Ab was found alone. In 33% of cases, no markers of hepatitis B were found. Less than 20% of children fully vaccinated (N = 45) had a protective level of anti-HBs Ab (greater than 10 IU/l). The prevalence of anti-VHC Ab was 2.8%. No case of HBV-HCV co-infection was found. The prevention of infection is an important part of the management of sickle cell patients. Immunization against hepatitis B should be systematic. The results of this study assume that blood safety was good.
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Affiliation(s)
- S A Kissou
- Département de pédiatrie, CHU de Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso. .,Institut supérieur des sciences de la santé (INSSA), université polytechnique de Bobo-Dioulasso (UPB), Bobo-Dioulasso, Burkina Faso.
| | - M Koura
- Service de gastroentérologie, CHU de Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso.,Institut supérieur des sciences de la santé (INSSA), université polytechnique de Bobo-Dioulasso (UPB), Bobo-Dioulasso, Burkina Faso
| | - A Sawadogo
- Service de gastroentérologie, CHU de Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso.,Unité de formation et de recherche en sciences de la santé (UFR/SDS), université Ouaga-I, Ouagadougou, Burkina Faso
| | - A -S Ouédraogo
- Laboratoire de bactériologie-virologie, CHU de Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso.,Institut supérieur des sciences de la santé (INSSA), université polytechnique de Bobo-Dioulasso (UPB), Bobo-Dioulasso, Burkina Faso
| | - H Traoré
- Département de pédiatrie, CHU de Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso
| | - E Kamboulé
- Service de gastroentérologie, CHU de Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso
| | - W W F Zogona
- Service de gastroentérologie, CHU de Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso
| | - B Nacro
- Unité de formation et de recherche en sciences de la santé (UFR/SDS), université Ouaga-I, Ouagadougou, Burkina Faso
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Diendéré J, Sawadogo A, Millogo A, Ilboudo A, Napon C, Kaboré J, Méda N, Méda Z, Testa J, Preux PM, Salle JY, Desport JC. Connaissances, attitudes et pratiques des infirmiers des centres de santé primaires concernant les troubles de la déglutition chez les patients hémiplégiques dans les districts sanitaires urbains de la région des Hauts-Bassins au Burkina Faso. NUTR CLIN METAB 2017. [DOI: 10.1016/j.nupar.2016.10.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Ellison CA, Sawadogo A, Braman S, Nacro S. First Report of Colletotrichum truncatum Causing Stem Cankers on Jatropha curcas in Burkina Faso. Plant Dis 2015; 99:14-20. [PMID: 30699749 DOI: 10.1094/pdis-02-14-0181-re] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
A new disease was identified on the biofuel crop Jatropha curcas in 2012 in Burkina Faso that is causing serious yield losses. The disease was found to be widespread in both Sissili and Comoé Provinces. It causes characteristic leaf lesions, fruit necrosis, and cankers on young stems and branches. There was evidence of multiple infections on plants over the growing season, with regrowth evident from below old cankers, but there was little fruit production from infected branches. A detailed monitoring and assessment was undertaken of the disease progress in a severely infected field, over a 7-week period. The disease symptoms progressed from chlorosis through a necrotic phase and, in approximately 83% of replicates, stem cankers developed that resulted in dieback and lodging of branches. Colletotrichum truncatum and a member of the species complex C. gloeosporioides sensu lato were consistently isolated from fresh stem samples showing early symptoms (chlorosis). Koch's postulates were undertaken, to establish the pathogenicity of the two species. No symptoms were observed on plants inoculated with C. gloeosporioides; however, leaf and stem lesions developed after inoculation with C. truncatum, which was reisolated from the diseased tissue, confirming it as the disease-causing agent. Preliminary management practices for the disease are proposed.
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Affiliation(s)
- C A Ellison
- CABI Europe-UK, Bakeham Lane, Egham, Surrey, TW20 9TY, UK
| | - A Sawadogo
- Faso Biocarburant Fondation, Leo, Sissili, Burkina Faso
| | - S Braman
- Association pour la Promotion du Jatropha et des Energies Renouvelables (APROJER) Banfora, Comoé, Burkina Faso
| | - S Nacro
- Faso Biocarburant Fondation, Leo, Sissili, Burkina Faso
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Héma A, Lescure F, Fontaine C, Felhahi S, Bastard J, Drabo J, Sawadogo A, Pialoux G, Plaisier E. Prévalence et facteurs de risque de maladie rénale chronique au cours de l’infection VIH au Burkina Faso. Nephrol Ther 2013. [DOI: 10.1016/j.nephro.2013.07.101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Chala S, Sawadogo A, Sakout M, Abdallaoui F. [Management of wastes from dental amalgam by dentists in Burkina Faso and Morocco]. Odontostomatol Trop 2012; 35:31-37. [PMID: 23513510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Dental amalgam is a metallic restorative material that is used for direct filling of carious lesions since many years. The use of this material generates solid and particulate wastes that present potential challenges to the environment. This study was carried out to assess amalgam use and waste management protocols practiced by Moroccan and Burkinabe dentists. A cross-sectional study was made of 79 in Rabat, Sale and Temara in Morocco and 56 in Ouagadougou, Bobo-Dioulasso in Burkina-Faso. The results showed that 69.5% of dental amalgam waste in Morocco vs 49.9% in Burkina-Faso was disposed with household waste which is a problem for both the environment and a risk to human being. Proper methods of dental amalgam waste disposal should be carried out to prevent indirect mercury poisoning for human.
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Affiliation(s)
- S Chala
- Dpt odontologie conservatrice et endodontie, Fac. médecine dentaire de Rabat, Univ. Mohammed V Soussi
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Kagone TS, Hien H, Meda N, Diagbouga PS, Sawadogo A, Drabo J, Peeters M, Vergne L, Delaporte E, De Souza C, Gbeassor M, Simpore J. Characterization of HIV-1 genotypes and antiretroviral drug-resistance mutations among patients in Burkina Faso. Pak J Biol Sci 2011; 14:392-8. [PMID: 21902063 DOI: 10.3923/pjbs.2011.392.398] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The purposes of this study were: (1) to describe the genetic variability of HIV strains found in Burkina Faso, (2) to characterize non-B HIV strains mutation profiles selected by ARVs and (3) to detect possible resistances induced by ARV drugs. From 30 October 2002 to 20 November 2003, 132 HIV 1-positive patients taking Highly Active Antiretroviral Therapy (HAART) for more than one year in Bobo-Dioulasso and Ouagadougou were included. T-CD4+ lymphocytes count was done using Dynabeads technique while genotypic test and ARV-resistance tests were conducted using Pol sequencing that codes for reverse transcriptase reverse, integrase and protease. Due to undetectable viremia, 86 samples out of 132 could not be characterized. Whereas in the 46 others that had a viral load exceeding 1000 copies mL(-1), the following HIV-1 subtypes were identified: CRF06 (54,55%); CRF02(38,63%); CRF01 (4,55%) and subtype A (2,27%). In addition, several mutations related to PI, NRTI and NNRTI resistance were isolated in 27 samples. This study found a huge genetic HIV-1 polymorphism in Burkina Faso. The level of acquired resistance to ARV after one year of treatment amounted 20.4%. These results clearly show that there is imperative need to set up an ARV resistance surveillance network in Burkina Faso to guide treatment strategies and follow the extension of the phenomenon in the country.
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Affiliation(s)
- T S Kagone
- Centre MURAZ Bobo-Dioulasso, Burkina Faso
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Ouédraogo SM, Kyelem CG, Sawadogo A, Yaméogo TM, Poda GEA, Toé RVN, Milogo A, Ouédraogo M, Nacro A, Drabo YJ. [Acute bacterial meningitis: the role of molecular biology in the epidemiological surveillance and epidemic alert in Burkina Faso]. Mali Med 2011; 26:55-59. [PMID: 22766171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
In Burkina Faso, monitoring of acute meningitis epidemics is difficult to be implemented by routine bacteriology. The Polymerase Chain Reaction (PCR) that freed us from some constraints should allow better documentation of acute bacterial meningitis epidemics [7]. It was about a transverse study with descriptive aim along one year. The recruitment of cases was exhaustive and sample was representative of population at risk. Among the suspected ABM, 87 cases were confirmed by all biological diagnosis methods. Among these 87 confirmed cases, 82.7% were PCR positive. The culture was performed in 82 cases and 54.5% were positive. A statistical difference was observed. The sex ratio was 1.4:1, the average age of patients was 11± 4, 6 years [0-59], 26.4% of cases were observed on less than one year. Meningococcal meningitis ranked first with a rate of 46%. The peak incidence was observed during week 13-2003 or 15, 3%. The weeks pre and per epidemic (week11-week 13) PCR had the highest rate of confirmation for Neisseria meningitidis 78, 8%. The W135 was the most represented or 91%. PCR is thus an excellent alert tool for acute meningitis epidemics.
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Affiliation(s)
- S M Ouédraogo
- Service de médecine interne du Centre Hospitalier Universitaire Souro Sanou (CHU SS), Bobo-Dioulasso, Burkina Faso.
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Ouédraogo DD, Lompo CP, Tiéno H, Bognounou R, Diendéré AE, Sawadogo A, Zoungrana L, Drabo JY. [Rheumatic disorders observed in HIV infected patients undergoing highly active antiretroviral therapy (HAART): a 366 case prospective study in Burkina Faso]. Med Trop (Mars) 2010; 70:345-348. [PMID: 22368930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
OBJECTIVE The purpose of this report is to describe epidemiological aspects of rheumatic disorders observed in HIV-infected patients undergoing highly active antiretroviral therapy (HAART). Patients and methods. This cross-sectional study was conducted from January 1 to June 30, 2008 in the HIV unit of an internal medicine department in Burkina Faso. All patients who had been undergoing HAART for at least one year were included. Interviewing and thorough physical examination were performed in all cases. Radiography of the pelvis and hip was performed in some patients. Bone densitometry was never performed. RESULTS A total of 366 patients including 265 women and 101 men (sex ratio of 0.38) were included. Mean patient age was 39.61 +/- 8.54 years. Three hundred and thirty-five patients (91.53%) were positive for HIV1, 17 (4.64%) for HIV2 and 14 (3.83%) for both HIV1 and HIV2. Mean duration of infection was 3.58 +/- 1.88 years. Mean CD4 cell count was 394.20 cell/microL. A recent HIV viral load determination was available for 285 patients including 262 who had no detectable virus. Mean duration of HAART was 35.80 +/- 15.17 months. Only 61 patients (16.66%) were treated with protease inhibitor (PI). The prevalence of rheumatic disorders was 5.73% (21 cases). A variety of disorders were observed, i.e., lower back pain in 8 patients (38.1%), arthralgia in 4 patients including 2 treated with PI, osteoarthritis of the knee in 2 patients, Pott disease in 2 patients, De Quervain disease in 2 patients including one treated with PI, tendinitis of the shoulder in one patient treated with PI, gout in one patient treated with PI and unclassifiable inflammatory rheumatism in one patient. No case of symptomatic osteonecrosis or osteoporosis was observed. CONCLUSION Rheumatic disorders are uncommon in the HIV-infected patients undergoing HAART in Burkina Faso. The most likely explanation is that PI is not widely used.
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Affiliation(s)
- D D Ouédraogo
- Service de médecine interne, Centre hospitalier et universitaire Yalgado Ouédraogo de Ouagadougou, Burkina Faso.
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Fontaine C, Hema A, Kamboule E, Guiard-Schmid JB, Lescure FX, Slama L, Pialoux G, Sawadogo A. L’hôpital de jour du CHU de Bobo Dioulasso : une structure de référence pour la prise en charge des patients infectés par le VIH au Burkina Faso. Med Mal Infect 2010; 40:393-7. [DOI: 10.1016/j.medmal.2009.10.018] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2008] [Revised: 04/03/2009] [Accepted: 10/29/2009] [Indexed: 11/16/2022]
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Calès P, Boursier J, Oberti F, Hubert I, Gallois Y, Rousselet MC, Dib N, Moal V, Macchi L, Chevailler A, Michalak S, Hunault G, Chaigneau J, Sawadogo A, Lunel F. FibroMeters: a family of blood tests for liver fibrosis. ACTA ACUST UNITED AC 2009; 32:40-51. [PMID: 18973845 DOI: 10.1016/s0399-8320(08)73992-7] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
FibroMeters are blood tests for liver fibrosis with several specificities: two main diagnostic targets (fibrosis stage and area of fibrosis); adaptation to specific causes; and results confirmed by an expert system. Thus, FibroMeters comprise six different tests: one for staging and one for quantitation of liver fibrosis in each of the three main causes of chronic liver disease-chronic viral hepatitis, alcoholic liver disease (ALD) and non-alcoholic fatty liver disease (NAFLD). FibroMeters display a high overall diagnostic accuracy and are the only tests to correctly classify 100% of HCV patients without fibrosis or with cirrhosis. They have 90% predictive values in a higher proportion of patients than with other usual blood tests. A 90% correct classification is available in 100% of HCV patients with the following reliable diagnostic intervals: F0/1, F1/2, F2+/-1, F3+/-1. In real-life conditions, the reproducibility of FibroMeters is higher than that of liver biopsy or ultrasonographic elastometry. FibroMeters are robust tests with the most stable diagnostic performance across different centers. Optional tests are also available, such as a specific one for cirrhosis, which has a diagnostic accuracy of 93.0% (AUROC: 0.92) and a 100% positive predictive value for diagnosis of HCV cirrhosis. Determination by FibroMeters of the area of fibrosis - the only direct, non-invasive, quantitative measurement of liver fibrosis - are especially useful for following-up cirrhosis as it correlates well with clinical events. FibroMeters are also very accurate in HVB or HIV-HCV co-infected patients. The tests specific for ALD and NAFLD also have a high diagnostic accuracy (AUROCs: 0.96 and 0.94, respectively, for significant fibrosis).
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Affiliation(s)
- P Calès
- Laboratoire HIFIH, IFR 132, Université, Angers; Service d'Hépato-gastroentérologie, CHU, Angers.
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Sawadogo A, Thio B, Kiemde S, Drabo I, Dabire C, Ouedraogo J, Mullens TR, Ehlers JD, Roberts PA. Distribution and Prevalence of Parasitic Nematodes of Cowpea (Vigna unguiculata) in Burkina Faso. J Nematol 2009; 41:120-127. [PMID: 22661784 PMCID: PMC3365312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2008] [Indexed: 06/01/2023] Open
Abstract
A comprehensive survey of the plant parasitic nematodes associated with cowpea (Vigna unguiculata) production fields was carried out in the three primary agro-climatic zones of Burkina Faso in West Africa. Across the three zones, a total of 109 samples were collected from the farms of 32 villages to provide a representative coverage of the cowpea production areas. Samples of rhizosphere soil and samples of roots from actively growing cowpea plants were collected during mid- to late-season. Twelve plant-parasitic nematode genera were identified, of which six appeared to have significant parasitic potential on cowpea based on their frequency and abundance. These included Helicotylenchus, Meloidogyne, Pratylenchus, Scutellonema, Telotylenchus, and Tylenchorhynchus. Criconemella and Rotylenchulus also had significant levels of abundance and frequency, respectively. Of the primary genera, Meloidogyne, Pratylenchus, and Scutellonema contained species which are known or suspected to cause losses of cowpea yield in other parts of the world. According to the prevalence and distribution of these genera in Burkina Faso, their potential for damage to cowpea increased from the dry Sahelian semi-desert zone in the north (annual rainfall < 600 mm/year), through the north-central Soudanian zone (annual rainfall of 600-800 mm/year), to the wet Soudanian zone (annual rainfall ≥ 1000 mm) in the more humid south-western region of the country. This distribution trend was particularly apparent for the endoparasitic nematode Meloidogyne and the migratory endoparasite Pratylenchus.
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Affiliation(s)
- A Sawadogo
- INERA/ Farako-Bâ- Laboratoire PV, B.P.403 Bobo Dioulasso, Burkina Faso. INERA/ Saria B.P.10 Koudougou, Burkina Faso. INERA/ Kamboinsé B.P.476 Ouagadougou, Burkina Faso. Department of Nematology, University of California, Riverside, CA 92521
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Yé D, Kaboré S, Kouéta F, Tapsoba T, Dao L, Sawadogo A. [Pediatric tetanus continues to be a current issue: 14 cases encountered in the CHUP-CDG pediatric hospital of Ouagadougou, Burkina Faso]. Arch Pediatr 2008; 15:1821-2. [PMID: 18963874 DOI: 10.1016/j.arcped.2008.09.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2008] [Revised: 07/23/2008] [Accepted: 09/08/2008] [Indexed: 11/18/2022]
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Nagot N, Ouedraogo A, Konate I, Weiss HA, Foulongne V, Defer MC, Sanon A, Becquart P, Segondy M, Sawadogo A, Van de Perre P, Mayaud P. Roles of clinical and subclinical reactivated herpes simplex virus type 2 infection and human immunodeficiency virus type 1 (HIV-1)-induced immunosuppression on genital and plasma HIV-1 levels. J Infect Dis 2008; 198:241-9. [PMID: 18593294 DOI: 10.1086/589621] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND Few longitudinal studies have described the interactions between reactivation of herpes simplex virus type 2 (HSV-2) infection (hereafter, "HSV-2 reactivation") and genital and systemic replication of human immunodeficiency virus type 1 (HIV-1). METHODS Women in Burkina Faso who were seropositive for both HIV-1 and HSV-2 were enrolled in a randomized placebo-controlled trial of therapy to suppress reactivation of HSV-2 infection (hereafter, "HSV suppressive therapy"). During the baseline phase, 6 enriched cervicovaginal lavage specimens were obtained over 12 weeks to detect and quantify the HIV-1 RNA and HSV-2 DNA loads. RESULTS Women with genital ulcer disease (GUD) detected at least once were more likely than women in whom GUD was not detected (risk ratio [RR], 1.23; 95% confidence interval [CI], 1.09-1.37) to have genital HIV-1 RNA detected during >or=1 visit. Similarly, women with genital HSV-2 DNA detected during >or=1 clinic visit were more likely than women in whom genital HSV-2 DNA was not detected (RR, 1.17; 95% CI, 1.01-1.34) to have genital HIV-1 RNA detected at least once. In addition, the mean genital HIV-1 RNA loads for women with GUD detected during >or=1 visit and women with HSV-2 genital shedding detected during >or=1 visit were greater than that for women in whom genital HSV-2 DNA or GUD was never detected. The plasma HIV-1 RNA load was increased among women for whom >or=1 visit revealed GUD (+0.25 log(10) copies/mL; 95% CI, -0.05-0.55) or genital HSV-2 DNA (+0.40 log(10) copies/mL; 95% CI, 0.15-0.66), compared with women who did not experience GUD or HSV-2 genital shedding, respectively. The association of HSV-2 reactivations on HIV-1 replication tended to be stronger in patients with a higher CD4(+) cell count (i.e., >500 cells/microL). The contribution of HSV-2 to HIV-1 replication among women with CD4(+) cell count of <or=500 cells/microL was reduced because almost all experienced HIV-1 genital shedding. CONCLUSIONS Both clinical and subclinical HSV-2 reactivations play a role in increasing the rate of HIV-1 replication. HSV suppressive therapy is a promising tool for HIV control. Initiation of such therapy when the CD4(+) cell count is >500 cells/microL deserves further investigation. CLINICAL TRIALS REGISTRATION The ANRS 1285 Study is registered with the National Institutes of Health (registration number NCT00158509).
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Mayaud P, Nagot N, Konaté I, Ouedraogo A, Weiss HA, Foulongne V, Defer MC, Sawadogo A, Segondy M, Van de Perre P. Effect of HIV-1 and antiretroviral therapy on herpes simplex virus type 2: a prospective study in African women. Sex Transm Infect 2008; 84:332-7. [PMID: 18596069 DOI: 10.1136/sti.2008.030692] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVES To document the natural history of herpes simplex virus type 2 (HSV-2) in relation to HIV and highly active antiretroviral therapy (HAART) in Africa, a longitudinal study was conducted of women in the placebo arms of two randomised controlled trials of HSV-suppressive therapy in Burkina Faso. METHODS 22 HIV-uninfected women (group 1), 30 HIV-1-infected women taking HAART (group 2), and 68 HIV-1-infected women not eligible for HAART (group 3) were followed over 24 weeks. HSV-2 DNA was detected on alternate weeks using real-time PCR from cervicovaginal lavages. Plasma HIV-1 RNA was measured every month. CD4 cell counts were measured at enrollment. RESULTS Ulcers occurred on 1.9%, 3.1% and 7.2% of visits in groups 1, 2 and 3 (p = 0.02). Cervicovaginal HSV-2 DNA was detected in 45.5%, 63.3% and 67.6% of women (p = 0.11), and on 4.3%, 9.7% and 15.5% of visits in the three groups (p<0.001). Among HIV-infected women, cervicovaginal HSV-2 DNA was detected more frequently during ulcer episodes (adjusted risk ratio (aRR) 2.79, 95% CI 2.01 to 3.86) and less frequently among women practising vaginal douching (aRR 0.60, 95% CI 0.40 to 0.91). Compared with women not taking HAART and with CD4 cell counts of 500 cells/microl or greater, women on HAART had a similar risk of HSV-2 shedding (aRR 0.95, 95% CI 0.52 to 1.73), whereas women with CD4 cell counts of 200-500 cells/microl were more likely to shed HSV-2 (aRR 1.71, 95% CI 1.02 to 2.86). CONCLUSIONS HSV-2 reactivations occur more frequently among HIV-infected women, particularly those with low CD4 cell counts, and are only partly reduced by HAART. HSV therapy may benefit HIV-infected individuals during HAART.
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Affiliation(s)
- P Mayaud
- Clinical Research Unit, Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London WC1E7HT, UK.
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Sombié D, Breurec Y, Pooda G, Sanou Y, Fontaine C, Guiard-Schmid J, Sawadogo A. COL INF-04 VIH en Afrique subsaharienne : centraliser tous les efforts sur la première ligne de traitement. Med Mal Infect 2008. [DOI: 10.1016/s0399-077x(08)73059-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Sawadogo A, Boursier J, Calès P, Oberti F, Schmidt A. [Non hodgkin's lymphoma associated with chronic auto-immune hepatitis treated with azathioprine]. ACTA ACUST UNITED AC 2008; 32:143-5. [PMID: 18494156 DOI: 10.1016/j.gcb.2007.10.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Nagot N, Ouedraogo A, Weiss HA, Konate I, Sanon A, Defer MC, Sawadogo A, Andonaba JB, Vallo R, Becquart P, Segondy M, Mayaud P, Van de Perre P. Longitudinal effect following initiation of highly active antiretroviral therapy on plasma and cervico-vaginal HIV-1 RNA among women in Burkina Faso. Sex Transm Infect 2007; 84:167-70. [PMID: 18055582 DOI: 10.1136/sti.2007.027987] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Highly active antiretroviral therapy (HAART) could decrease HIV-1 transmissibility by reducing genital and plasma HIV-1 RNA. METHODS We evaluated the effect of HAART on genital and plasma HIV-1 RNA in a cohort of 39 antiretroviral-naïve women in Burkina Faso. Cervico-vaginal lavages were collected before HAART initiation and at six visits over 28 weeks while on HAART. Blood samples were collected at baseline and at three and four visits for CD4 and plasma HIV-1 RNA measurements, respectively. RESULTS Before HAART, 72% of women had detectable genital HIV-1 RNA. After 18 weeks on HAART, only one woman (2.5%) had detectable plasma HIV-1 RNA and two women (5.1%) had detectable genital HIV-1 RNA. Similar results were observed at each follow-up visit. However, 16/34 (47%) women with consistently undetectable plasma HIV-1 RNA shed HIV-1 at least once between weeks 18 and 28. In samples with detectable genital HIV-1, the mean quantity of HIV-1 RNA decreased from 3.87 prior to HAART to 3.04 log(10) copies/mL at last visit (median 29 weeks; a 6.8-fold decrease in absolute number of copies/mL) (p = 0.04). A significant median CD4 lymphocyte cell gain of 121 cells/muL (interquartile range 59 to 204) was measured between pre-HAART and last visit. CONCLUSION These findings suggest that HAART could play a role in reducing HIV transmission in Africa; however, they underscore the need to emphasise safe sex practices with patients taking HAART.
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Affiliation(s)
- N Nagot
- Université Montpellier 1, EA 4205 Transmission, Pathogenese et Prevention de l'infection par le VIH and CHU Montpellier, CHU Arnaud de Villeneuve, Montpellier, France.
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Ye D, Nacro N, Koueta F, Dao L, Kabore A, Sawadogo A. Soins aux nouveau-nés et aux nourrissons en milieu traditionnel: enquête menée auprès de 502 couples mère–enfant à Ouagadougou au Burkina Faso. Arch Pediatr 2007; 14:1112-3. [PMID: 17611087 DOI: 10.1016/j.arcped.2007.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2007] [Accepted: 06/01/2007] [Indexed: 10/23/2022]
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Konate I, Ouedraogo A, Andonaba J, Sanon A, Sawadogo A, Nagot N, Foulongne V, Weiss H, Vergne L, Defer M, Djagbare D, Becquart P, Segondy M, Vallo R, Van de Perre P, Mayaud P. CO25 - Impact du traitement suppressif de l’herpès simplex virus type 2 (HSV-2) sur le portage génital de HSV-2 et la survenue d’ulcération génitale (UG) chez les femmes co-infectées par HSV-2 et VIH-1. Ann Dermatol Venereol 2007. [DOI: 10.1016/s0151-9638(07)89058-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Konate I, Ouedraogo A, Andonaba J, Sanon A, Sawadogo A, Nagot N, Foulongne V, Weiss H, Vergne L, Defer M, Djagbare D, Becquart P, Segondy M, Vallo R, Van de Perre P, Mayaud P. CO24 - Effet du traitement suppressif de l’herpès simplex virus type 2 (HSV-2) sur le portage génital et la charge virale plasmatique VIH-1 chez les femmes co-infectées ne prenant pas d’ARV à Bobo-Dioulasso (Burkina Faso). Ann Dermatol Venereol 2007. [DOI: 10.1016/s0151-9638(07)89057-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Konate I, Ouedraogo A, Andonaba J, Mayaud P, Nagot N, Foulongne V, Weiss H, Vergne L, Defer M, Djagbare D, Sawadogo A, Becquart P, Segondy M, Van de Perre P. CO27 - Histoire naturelle de l’infection à Herpes simplex virus de type 2 (HSV-2) chez des femmes infectées ou non par le VIH-1, et prenant ou pas une trithérapie antirétrovirale au Burkina Faso. Ann Dermatol Venereol 2007. [DOI: 10.1016/s0151-9638(07)89060-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Ye D, Kissou A, Kam KL, Sawadogo A. Alimentation et développement des nourrissons vivant dans les orphelinats à Ouagadougou (Burkina Faso). Arch Pediatr 2006; 13:1347. [PMID: 16919919 DOI: 10.1016/j.arcped.2006.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2006] [Accepted: 07/10/2006] [Indexed: 10/24/2022]
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Ouédraogo LT, Ouédraogo SM, Ouédraogo ZT, Traore-Ouédraogo R, Kam L, Sawadogo A, Sondo B. [Factors for non-observance of the extended program timetable for vaccination in health districts: the case of Boussé in Burkina Faso]. Med Mal Infect 2006; 36:138-43. [PMID: 16581215 DOI: 10.1016/j.medmal.2006.01.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2005] [Accepted: 01/14/2006] [Indexed: 11/30/2022]
Abstract
UNLABELLED Prevention through vaccination is a strong means to fight pediatric lethal diseases. In Burkina Faso, one of the main problems for vaccination is the non-respect of the vaccination timetable bringing about a significant reduction of validity of administered doses. OBJECTIVES The authors had for aim to assess reasons for the non-compliance to the timetable. A transversal study was carried out in the Boussé health district to: 1) analyze the qualitative and organizational factors of the vaccination services linked to this non compliance; 2) analyze community factors accounting for this situation. POPULATION AND METHOD The study target group included mothers of children aged 0 to 11 months vaccinated by the vaccination team of the Boussé health district from August 1st, 2003 to June 30th, 2004, and the vaccination team. Variables covered in this study included sociodemographic factors, the organization of vaccination campaigns, the mothers' perception of health service organization, the vaccination team's experience, vaccinal safety, knowledge of vaccination timetable. RESULTS The following were identified as key factors for the non-observance of the vaccination timetable: poor organization of the vaccination services, inadequate competence of the vaccination team, poor educational level of mothers, poor communication level with mothers, postvaccination side effects. CONCLUSION The study recommends the following: training of vaccination providers, a better organization of vaccination services, and the implementation of a communication plan.
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Affiliation(s)
- L T Ouédraogo
- Département de santé publique, UFR-SDS, université de Ouagadougou, BP 5705, 01 Ouagadougou, Burkina Faso.
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Yé D, Tall FR, Sanou F, Kam KL, Akotionga M, Dao F, Sawadogo A. Prise en charge des nouveau-nés en maternité en Afrique subsaharienne : un défi du millénaire. Arch Pediatr 2005; 12:1279-80. [PMID: 15946830 DOI: 10.1016/j.arcped.2005.04.082] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2005] [Accepted: 04/29/2005] [Indexed: 11/23/2022]
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Yé D, Kam KL, Ouattara Y, Sawadogo A. Paramètres anthropométriques du nouveau-né burkinabé à terme dans une maternité de la ville de Ouagadougou (Burkina Faso). Arch Pediatr 2005; 12:1277-9. [PMID: 15946829 DOI: 10.1016/j.arcped.2005.04.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2005] [Accepted: 04/29/2005] [Indexed: 11/19/2022]
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Bonkoungou P, Sawadogo A, Balaka B, Tall F. The child's noma in an hospital center in Burkina Faso : Clinical features and course. Mali Med 2005; 20:40-42. [PMID: 19617073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
In order to study the therapeutic and developing aspect the child's noma in Burkina Faso, we have undertaken a retrospective study on a ten-years-period, with the files of 59 children hospitalized in the hospital of Bobo-Dioulasso, completed with a visit to the children's families after their leaving the hospital. The medical treatment has allowed to reach a recovery rate of 79.6% at the cost of aesthetic and functional after-effects which aren't negligible. The death rate in hospital was 13.7%. 31 children have profited from the restoring surgery of lesions. The care out of hospital has showed that the surgical results were mitigated.
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Bonkoungou P, Sawadogo A, Balaka B, Daboue A, Asawadogo A. Burkitt's lymphomain Burkina Faso hospital center : therapeutic and course. Mali Med 2005; 20:9-11. [PMID: 19617063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Summary A retrospective study of 41 cases of children sent to hospital and treated for the Burkitt's lymphoma for a period of 10 years has been carried out in the hospital of Bobo-Dioulasso in order to study the progressing and therapeutic features of the disease. The therapeutic means were the ablation surgery of voluminous tumors (19.5%) and the monochimiotherapy with cyclophosphamid (83%) according to Burkitt's procedure (64.7%) and N'gu procedure (35.3%). The mortality under chimiotherapy was 8.8%. The immediate evolution has shown 58.8% of complete remission, 26.5% of partial remission, 11.8% of resistance to the treatment.
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Millogo A, Lankoandé D, Yaméogo I, Yaméogo AA, Sawadogo A, Sawadogo AB. [New-onset seizures in patients with immunodeficiency virus infection in Bobo-Dioulasso Hospital (Burkina Faso)]. Bull Soc Pathol Exot 2004; 97:268-70. [PMID: 17304749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
Seizures are common in advanced stages of immunodeficiency virus (HIV) infection. HIV-infected outpatients and inpatients in the national hospital in Bobo-Dioulasso among whom seizures occurred had been recruited over four years. There were mainly male (30/13) with an average age of 35 years with extremes ranging from 22 to 60 years. New-onset generalised seizures occurred in all cases of cryptococcal meningitis or partial motor secondary generalised in 64% among patients with suspected cerebral toxoplasmosis due to the efficiency of the treatment of the antitoxoplasmic proof. Identified causes such as suspected cerebral toxoplasmosis (65%), suspected tuberculous meningitis (7%) as CSF culture is not available, cryptococcal meningitis (16%) were found in this study. In four cases among 43 patients, no identified causes could be determined. CD4 lymphocytes count which was available in 24 patients was under 200/41 in 74% of the cases. This study indicates clearly that seizures in young adults are strongly associated with focal brain lesions and cerebral toxoplasmosis is becoming an important cause of seizure in tropical area. This should imply a screening of toxoplasmosis with new-onset seizure in young people.
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MESH Headings
- AIDS-Related Opportunistic Infections/complications
- AIDS-Related Opportunistic Infections/epidemiology
- Adult
- Burkina Faso/epidemiology
- Epilepsies, Partial/epidemiology
- Epilepsies, Partial/etiology
- Epilepsy/epidemiology
- Epilepsy/etiology
- Epilepsy, Generalized/epidemiology
- Epilepsy, Generalized/etiology
- Female
- HIV Infections/complications
- Hospitals, Public/statistics & numerical data
- Humans
- Male
- Meningitis, Cryptococcal/complications
- Meningitis, Cryptococcal/epidemiology
- Middle Aged
- Retrospective Studies
- Toxoplasmosis, Cerebral/complications
- Toxoplasmosis, Cerebral/epidemiology
- Tuberculosis, Meningeal/complications
- Tuberculosis, Meningeal/epidemiology
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Affiliation(s)
- A Millogo
- Service de médecine interne, Centre hospitalier national Souro SANOU, Bobo-Dioulasso, Burkina Faso.
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Abstract
Neurological manifestations of human immunodeficiency virus (HIV) infection are frequent and several associated peripheral neuropathies have been recognized. Among them, Guillain-Barré syndrome (GBS) may occur either early or during the course of the illness. We present a prospective study of 32 consecutive cases of GBS managed over a 5-Year period at Bobo-Dioulasso Hospital where HIV prevalence reaches 20.1p.cent. Male gender predominated (24/32). GBS occurred during the dry season for 65.7p.cent of the patients. Prior infections were found in 84.4p.cent. The motor deficit was paraplegia or tetraplegia. Clinically, paraplegia was associated with transient urinary sphincteric involvement in 24 HIV-infected patients and 3 HIV negative patients. Facial nerve paralysis was found in 3 patients. Among the 32 patients with GBS, 27 were tested positive for HIV. Two patients were infected by HIV1 and HIV2. Cerebrospinal fluid examination showed albumin-cell dissociation and elevated albumin level in 75p.cent of the samples. Autonomic neuropathies were seen in 9 HIV-infected patients. The CD4 counts were above 200/mm3 in 10 among 18 HIV-infected patients. The clinical presentations were more severe in HIV-positive patients with a longer duration of symptoms. HIV-infected patients walked unaided within 51.1 days of peak paralysis. No fatal event occurred. This study indicates clearly that GBS in young adults is strongly associated with HIV infection and should be considered as an indicator of HIV infection in Black Africans. In the tropical context GBS should lead to HIV screening.
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Affiliation(s)
- A Millogo
- Service de Médecine Interne, Centre Hospitalier National Souro Sanou, Bobo-Dioulasso, Burkina Faso.
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Yé D, Kam L, Traoré SS, Cissé R, Bougouma A, Sanou I, Sawadogo A. [Resolutive stomach volvulus after endoscopy in a 16-month-old infant]. Arch Pediatr 2004; 11:462-3. [PMID: 15135435 DOI: 10.1016/j.arcped.2004.01.022] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2004] [Accepted: 01/19/2004] [Indexed: 11/28/2022]
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Millogo A, Ki-Zerbo GA, Andonaba JB, Lankoandé D, Sawadogo A, Yaméogo I, Sawadogo AB. [Cryptococcal meningitis in HIV-infected patients at Bobo-Dioulasso hospital (Burkina Faso)]. Bull Soc Pathol Exot 2004; 97:119-21. [PMID: 15255356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
Abstract
Cryptococcus neoformans is an important fungal pathogen in immunocompromised patients. A retrospective study was conducted to investigate the occurrence of Cryptococcus neoformans infection in patients admitted to Bobo-Dioulasso Hospital over a 3 year-period. During this period, cryptococcal meningo-encephalitis was diagnosed in 36 individuals. The median age of the patients under study was 34.25 years. There was a male preponderance (24 males/12 females) in our report. Typical presentations were persistent headaches (27 cases/36), neck stiffness (16/36), altered consciousness (14/36), fever (12/36) and convulsions (9/36). Oral candidiasis coexisted with cryptococcal meningitis in 7 patients. HIV serology was positive in all patients. At diagnosis, lymphocytes counts were < 1500/mm3 in 66.66% patients. CSF examination with India ink helped to the diagnosis of cryptococcosis in all cases. Cryptococcus neoformans was associated with Streptococcus pneumoniae in 4 patients. 15/36 patients died within 1 to 29 days after admission. High mortality was related to delayed diagnosis. Cryptococcal meningitis highly contributes to mortality in HIV-infected patients in Burkina Faso and it may occur in patients not severely immunocompromised patients. A need exists to improve strategies for clinical management of AIDS patients in poor African countries.
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Affiliation(s)
- A Millogo
- Service de médecine interne, Centre hospitalier national Souro Sanou, Bobo-Dioulasso, Burkina Faso.
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Yé D, Kam K, Sanou F, Traoré SS, Kambou S, Yonaba C, Dao F, Sawadogo A. Occlusion intestinale et géophagie chez un garçon de 14 ans. Arch Pediatr 2004; 11:461-2. [PMID: 15135434 DOI: 10.1016/j.arcped.2004.01.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2004] [Accepted: 01/19/2004] [Indexed: 11/16/2022]
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Ye D, Brossard V, Clavier B, Mercier A, Sawadogo A, Marret S. [Place of pediatrician in maternity hospital for preventing perinatal transmission of HIV?]. Arch Pediatr 2003; 10:655-6. [PMID: 12907082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
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Ye D, Kam K, Bonkoungou V, Sanou I, Traoré-Ouedraogo R, Sawadogo A. [HIV infections and blood transfusion in tropical emergency services]. Arch Pediatr 2003; 10:549-50. [PMID: 12915023 DOI: 10.1016/s0929-693x(03)00174-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Ilboudo D, Sawadogo A, Simpore J. [Mother-to-child transmission of hepatitis B virus, in Ouagadougou, Burkina Faso]. Med Trop (Mars) 2003; 62:99-101. [PMID: 12038192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
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Ye D, Traore A, Ouedraogo Traore R, Ouedraogo S, Barro F, Kam KL, Sanou I, Sawadogo A. [Impetigo in a child in a tropical environment]. Ann Dermatol Venereol 2003; 130:58. [PMID: 12605161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
Affiliation(s)
- D Ye
- Service de Pédiatrie, CHNYO de Ouagadougou, Togo.
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Savadogo LGB, Ouedraogo HZ, Dramaix M, Sawadogo A, Sondo B, Tonglet R, Donnen P, Hennart P. [Nutritional status on admission and hospital mortality of under-five year old children with infectious diseases in Ouagadougou, Burkina Faso]. Rev Epidemiol Sante Publique 2002; 50:441-51. [PMID: 12471337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023] Open
Abstract
BACKGROUND It is known that malnutrition in childhood interacting with infectious diseases contributes to increase mortality. In Burkina Faso, infectious pathologies and malnutrition are public health problems. We examined the impact of malnutrition status, using the Weight-for-age (WA) index, on mortality of children hospitalized for infectious diseases. METHODS This retrospective study uses a systematic sample derived from the year 1999 hospital register. In total data of 1573 children from 0 to 59 months were analyzed. The association between mortality and dependent variables was measured by relative risks (RR) in univariate analysis. A logistic regression was realized and attributable risk percent (etiologic fraction among exposed) of death was calculated. RESULTS The total intra-hospital lethality amounted to 15.3%. Age, diagnosis, type of care recourse and malnutrition (low WA index) on admission were associated to mortality. The logistic regression model confirmed the high risks of deaths for young children (0-11m), children in malnutrition (low WA index) and those with severe malaria. The attributable risk percent of death indicates that, 87% of deaths are statically attributable to severe malnutrition (WA Z-score<=-3) and 64.3% of deaths are statically attributable to moderate malnutrition (WA Z-score]-3, -2]). CONCLUSION Nutritional status evaluation would allow to select children at risk and reduce mortality by including nutritional intervention in standard treatment of children hospitalized for infectious diseases.
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Affiliation(s)
- L G B Savadogo
- Institut de Recherche en Sciences de la Santé, BP 7047, Ouagadougou, Burkina Faso.
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Attia K, N'dri-Yoman T, Sawadogo A, Faye-Ketté H, Mahassadi A, Bathaix-Yao F, Sermé K, Dosso M, Manlan Kassi L. Infection spontanée du liquide d'ascite chez le cirrhotique : évaluation prospective de deux procédures de culture du liquide d'ascite. Med Mal Infect 2002. [DOI: 10.1016/s0399-077x(02)00350-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Modiano D, Luoni G, Sirima BS, Simporé J, Verra F, Konaté A, Rastrelli E, Olivieri A, Calissano C, Paganotti GM, D'Urbano L, Sanou I, Sawadogo A, Modiano G, Coluzzi M. Haemoglobin C protects against clinical Plasmodium falciparum malaria. Nature 2001; 414:305-8. [PMID: 11713529 DOI: 10.1038/35104556] [Citation(s) in RCA: 267] [Impact Index Per Article: 11.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Haemoglobin C (HbC; beta6Glu --> Lys) is common in malarious areas of West Africa, especially in Burkina Faso. Conclusive evidence exists on the protective role against severe malaria of haemoglobin S (HbS; beta6Glu --> Val) heterozygosity, whereas conflicting results for the HbC trait have been reported and no epidemiological data exist on the possible role of the HbCC genotype. In vitro studies suggested that HbCC erythrocytes fail to support the growth of P. falciparum but HbC homozygotes with high P. falciparum parasitaemias have been observed. Here we show, in a large case-control study performed in Burkina Faso on 4,348 Mossi subjects, that HbC is associated with a 29% reduction in risk of clinical malaria in HbAC heterozygotes (P = 0.0008) and of 93% in HbCC homozygotes (P = 0.0011). These findings, together with the limited pathology of HbAC and HbCC compared to the severely disadvantaged HbSS and HbSC genotypes and the low betaS gene frequency in the geographic epicentre of betaC, support the hypothesis that, in the long term and in the absence of malaria control, HbC would replace HbS in central West Africa.
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Affiliation(s)
- D Modiano
- Dipartimento di Scienze di Sanità Pubblica, Sezione di Parassitologia, WHO Collaborating Centre for Malaria Epidemiology and Control, University of Rome "La Sapienza", 00185, Rome, Italy.
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