[Etiology of vaginal infections in Ouagadougou (Burkina Faso)]

OBJECTIVE

to determine the specific antimicrobial activity of the drugs proposed in the national algorithm for treatment of vaginal infections.

METHOD

Over a three-month period, the bacteriological laboratory of the Yalgado-Ouédraogo University Hospital in Ouagadougou analyzed vaginal swabs from women seen at 5 health-care facilities in that city.

RESULT

The study included 404 women with a mean age of 29 years. The microbes with the highest incidence rates were various species of Candida (20%), Gardnerella and/or Mobiluncus (18.8%), and Ureaplasma/Mycoplasma (10.9%). The agents isolated were highly susceptible to ciprofloxacin, erythromycin, fluconazole, miconazole, and nystatin.

CONCLUSION

This study demonstrated the continuing efficacy of the drugs in the national algorithm for treatment of vaginal infections, which is associated with compliance with the recommended diagnostic procedure and therapeutic protocol.

[Diagnosis of a cutaneous endometriosis decidualised and fistualized during pregnancy]

A case of a decidualized and fistulized cutaneous endometriosis has been observed in the obstretrical and gynecological department of the Yalgado-Ouédraogo national hospital. The patient was a 3-year-old pregnant woman in her third pregnancy primipara, without any surviving child, who presented with a large scabby exulcerated plaque on an hyperpigmented lesion, associated with para umbilical. The patient underwent 12 years earlier a laparotomy for peritonitis worsened with parietal suppuration, then by rupture. The lesion has made the diagnosis difficult and the histologist concluded that it was a decidualised cutaneous endometriosis. Based on this observation, the first one until now, the authors have made a publication on the case.

[Infibulation complications: three vaginal plastic surgeries at Kossodo (Burkina Faso)]

From 01 November 2000 to 31 October 2001, three cases of infibulation were referred to the gynecological and obstetrical sanitary branch of Kossodo, which corresponds to 1.6% frequency. It concerns young patients (average age = 19 years), Mossi, who had an excision done between age 6 and 14. The main reason for reference was the impossibility to have sexual intercourse. There were no post chirurgical consequences. The possible consequences are psychological trauma, dyspaneuria, dystocy of flabby tissues during future deliveries.