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Bougma G, Ouedraogo AR, Boncoungou K, Bonkoungou P, Adambounou S, Tiendrebeogo AJF, Damoue S, Ouedraogo J, Ouedraogo G, Badoum G, Soyez F, Ouedraogo M. [Evaluation of the risk of obstructive sleep apnea in patients awaiting general anesthesia in Burkina Faso]. Rev Mal Respir 2023; 40:725-731. [PMID: 37866979 DOI: 10.1016/j.rmr.2023.10.002] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2022] [Accepted: 09/19/2023] [Indexed: 10/24/2023]
Abstract
INTRODUCTION General anaesthesia and surgery increase morbidity and mortality in patients with obstructive sleep apnea hypopnea syndrome (OSAHS) who are not known to have OSAHS and therefore not treated before surgery. The objective of this study is to evaluate the risk of OSAHS using the STOP-BANG questionnaire (SBQ) in patients undergoing general anaesthesia in Burkina Faso. MATERIAL AND METHOD This is a cross-sectional study concerning patients having received pre-anaesthetic consultation from 1st July 2020 to 30th June 2021. Risk of OSAHS is considered "medium to high" when the risk of obstructive sleep apnea is medium or high on SBQ. RESULTS Our population consisted in 599 persons. A medium to high risk of OSAHS was found in 11.18%. The ASA score and the Mallampati scale were independently associated with moderate to high risk of OSAHS (P<0.001; P<0.001). ASA score of I and Mallampati class of I decreased the risk of OSAHS by 17 and 45% respectively (P=0.012; P=0.031). CONCLUSION The risk of OSAHS in this population is comparable to that of the general population. Confirmation of OSAHS by ventilatory polygraphy or polysomnography would help to achieve further precision.
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Affiliation(s)
- G Bougma
- Service de pneumologie, centre hospitalier universitaire Yalgado-Ouédraogo, Ouagadougou, Burkina Faso.
| | - A R Ouedraogo
- Service de pneumologie, centre hospitalier universitaire de Tengandogo, Ouagadougou, Burkina Faso
| | - K Boncoungou
- Service de pneumologie, centre hospitalier universitaire Yalgado-Ouédraogo, Ouagadougou, Burkina Faso
| | - P Bonkoungou
- Service d'anesthésiologie et de réanimation, centre hospitalier universitaire Yalgado-Ouédraogo, Ouagadougou, Burkina Faso
| | - S Adambounou
- Service de pneumologie, centre hospitalier universitaire Sylvanus-Olympio, Lomé, Togo
| | - A J F Tiendrebeogo
- Service de pneumologie, centre hospitalier universitaire Yalgado-Ouédraogo, Ouagadougou, Burkina Faso
| | - S Damoue
- Service de pneumologie, centre hospitalier universitaire Yalgado-Ouédraogo, Ouagadougou, Burkina Faso
| | - J Ouedraogo
- Service de pneumologie, centre hospitalier universitaire Yalgado-Ouédraogo, Ouagadougou, Burkina Faso
| | - G Ouedraogo
- Service de pneumologie, centre hospitalier universitaire Yalgado-Ouédraogo, Ouagadougou, Burkina Faso
| | - G Badoum
- Service de pneumologie, centre hospitalier universitaire Yalgado-Ouédraogo, Ouagadougou, Burkina Faso
| | - F Soyez
- Bureau de l'Espace francophone de pneumologie, Paris, France
| | - M Ouedraogo
- Service de pneumologie, centre hospitalier universitaire Yalgado-Ouédraogo, Ouagadougou, Burkina Faso
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Xiang Z, Sangaré AK, Ms XW, Xiao Y, Kané B, Cissé I, Md MC, Traore B, Dembele A, Wang Y, Ouedraogo J, Timbine LG, Diallo S, Komurian-Pradel F, Doumbo OK, Ren L, Kouriba B, Wang J. Microorganisms in patients with acute respiratory tract infections in Bamako, Mali. J Infect 2022; 85:e83-e85. [PMID: 35878685 DOI: 10.1016/j.jinf.2022.07.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Accepted: 07/16/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Zichun Xiang
- NHC Key Laboratory of Systems Biology of Pathogens and Christophe Mérieux Laboratory, IPB, CAMS-Fondation Mérieux, Institute of Pathogen Biology (IPB), Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical College, Beijing 100730, P. R. China; Key Laboratory of Respiratory Disease Pathogenomics, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, P.R. China
| | | | - Xinming Wang Ms
- NHC Key Laboratory of Systems Biology of Pathogens and Christophe Mérieux Laboratory, IPB, CAMS-Fondation Mérieux, Institute of Pathogen Biology (IPB), Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical College, Beijing 100730, P. R. China
| | - Yan Xiao
- NHC Key Laboratory of Systems Biology of Pathogens and Christophe Mérieux Laboratory, IPB, CAMS-Fondation Mérieux, Institute of Pathogen Biology (IPB), Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical College, Beijing 100730, P. R. China
| | | | | | | | - Bréhima Traore
- Infectiology Center Charles Mérieux, Bamako BP E-2283, Mali
| | | | - Ying Wang
- NHC Key Laboratory of Systems Biology of Pathogens and Christophe Mérieux Laboratory, IPB, CAMS-Fondation Mérieux, Institute of Pathogen Biology (IPB), Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical College, Beijing 100730, P. R. China
| | | | | | | | | | - Ogobara K Doumbo
- Malaria Research and Training Center, Faculty of Medicine and Odonto-Stomatology, BP1805, Bamako, Mali
| | - Lili Ren
- NHC Key Laboratory of Systems Biology of Pathogens and Christophe Mérieux Laboratory, IPB, CAMS-Fondation Mérieux, Institute of Pathogen Biology (IPB), Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical College, Beijing 100730, P. R. China; Key Laboratory of Respiratory Disease Pathogenomics, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, P.R. China
| | | | - Jianwei Wang
- NHC Key Laboratory of Systems Biology of Pathogens and Christophe Mérieux Laboratory, IPB, CAMS-Fondation Mérieux, Institute of Pathogen Biology (IPB), Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical College, Beijing 100730, P. R. China; Key Laboratory of Respiratory Disease Pathogenomics, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, P.R. China.
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Traore H, Sogodogo E, Coulibaly A, Toure A, Thiocary S, Sidibé M, Timbiné L, Sangaré A, Traoré B, Ouedraogo J, Sogodogo D, Kouriba B. Case report: a rare case of NOMA (cancrum oris) in a Malian woman. New Microbes New Infect 2021; 42:100907. [PMID: 34188939 PMCID: PMC8219893 DOI: 10.1016/j.nmni.2021.100907] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 05/12/2021] [Accepted: 05/17/2021] [Indexed: 11/05/2022] Open
Abstract
Noma or cancrum oris is a multi-bacterial and opportunistic infection that destroys soft tissue, as well as muscle and bone, and can be fatal. We present a rare case of Noma in a 32-year-old Malian woman, from whom we isolated an Escherichia coli extended-spectrum beta-lactamase.
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Affiliation(s)
- H. Traore
- Centre National d’Odonto-Stomatologie (CNOS), Bamako, Mali
| | - E. Sogodogo
- Centre d'infectiologie Charles-Mérieux (CICM), Bamako, Mali
| | - A. Coulibaly
- Centre National d’Odonto-Stomatologie (CNOS), Bamako, Mali
| | - A. Toure
- Centre National d’Odonto-Stomatologie (CNOS), Bamako, Mali
| | - S. Thiocary
- Centre National d’Odonto-Stomatologie (CNOS), Bamako, Mali
| | - M.D. Sidibé
- Centre National d’Odonto-Stomatologie (CNOS), Bamako, Mali
| | - L.G. Timbiné
- Centre d'infectiologie Charles-Mérieux (CICM), Bamako, Mali
| | - A.K. Sangaré
- Centre d'infectiologie Charles-Mérieux (CICM), Bamako, Mali
| | - B.Y. Traoré
- Centre d'infectiologie Charles-Mérieux (CICM), Bamako, Mali
| | - J. Ouedraogo
- Centre d'infectiologie Charles-Mérieux (CICM), Bamako, Mali
| | - D. Sogodogo
- Centre Hospitalier Mère-enfant - Le Luxembourg, Bamako, Mali
| | - B. Kouriba
- Centre d'infectiologie Charles-Mérieux (CICM), Bamako, Mali
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Kouriba B, Dürr A, Rehn A, Sangaré AK, Traoré BY, Bestehorn-Willmann MS, Ouedraogo J, Heitzer A, Sogodogo E, Maiga A, Walter MC, Zimmermann F, Wölfel R, Antwerpen MH. First Phylogenetic Analysis of Malian SARS-CoV-2 Sequences Provides Molecular Insights into the Genomic Diversity of the Sahel Region. Viruses 2020; 12:v12111251. [PMID: 33147840 PMCID: PMC7692263 DOI: 10.3390/v12111251] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Revised: 10/29/2020] [Accepted: 10/29/2020] [Indexed: 01/18/2023] Open
Abstract
We are currently facing a pandemic of COVID-19, caused by a spillover from an animal-originating coronavirus to humans occurring in the Wuhan region of China in December 2019. From China, the virus has spread to 188 countries and regions worldwide, reaching the Sahel region on 2 March 2020. Since whole genome sequencing (WGS) data is very crucial to understand the spreading dynamics of the ongoing pandemic, but only limited sequencing data is available from the Sahel region to date, we have focused our efforts on generating the first Malian sequencing data available. Screening 217 Malian patient samples for the presence of SARS-CoV-2 resulted in 38 positive isolates, from which 21 whole genome sequences were generated. Our analysis shows that both the early A (19B) and the later observed B (20A/C) clade are present in Mali, indicating multiple and independent introductions of SARS-CoV-2 to the Sahel region.
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Affiliation(s)
- Bourema Kouriba
- Centre d’Infectiologie Charles Mérieux du Mali, BPE2283 Bamako, Mali; (B.K.); (A.K.S.); (B.Y.T.); (J.O.); (E.S.); (A.M.)
| | - Angela Dürr
- Bundeswehr Institute of Microbiology, D-80937 Munich, Germany; (A.D.); (A.R.); (M.S.B.-W.); (A.H.); (M.C.W.); (F.Z.); (R.W.)
| | - Alexandra Rehn
- Bundeswehr Institute of Microbiology, D-80937 Munich, Germany; (A.D.); (A.R.); (M.S.B.-W.); (A.H.); (M.C.W.); (F.Z.); (R.W.)
| | - Abdoul Karim Sangaré
- Centre d’Infectiologie Charles Mérieux du Mali, BPE2283 Bamako, Mali; (B.K.); (A.K.S.); (B.Y.T.); (J.O.); (E.S.); (A.M.)
| | - Brehima Y. Traoré
- Centre d’Infectiologie Charles Mérieux du Mali, BPE2283 Bamako, Mali; (B.K.); (A.K.S.); (B.Y.T.); (J.O.); (E.S.); (A.M.)
| | - Malena S. Bestehorn-Willmann
- Bundeswehr Institute of Microbiology, D-80937 Munich, Germany; (A.D.); (A.R.); (M.S.B.-W.); (A.H.); (M.C.W.); (F.Z.); (R.W.)
| | - Judicael Ouedraogo
- Centre d’Infectiologie Charles Mérieux du Mali, BPE2283 Bamako, Mali; (B.K.); (A.K.S.); (B.Y.T.); (J.O.); (E.S.); (A.M.)
| | - Asli Heitzer
- Bundeswehr Institute of Microbiology, D-80937 Munich, Germany; (A.D.); (A.R.); (M.S.B.-W.); (A.H.); (M.C.W.); (F.Z.); (R.W.)
| | - Elisabeth Sogodogo
- Centre d’Infectiologie Charles Mérieux du Mali, BPE2283 Bamako, Mali; (B.K.); (A.K.S.); (B.Y.T.); (J.O.); (E.S.); (A.M.)
| | - Abderrhamane Maiga
- Centre d’Infectiologie Charles Mérieux du Mali, BPE2283 Bamako, Mali; (B.K.); (A.K.S.); (B.Y.T.); (J.O.); (E.S.); (A.M.)
| | - Mathias C. Walter
- Bundeswehr Institute of Microbiology, D-80937 Munich, Germany; (A.D.); (A.R.); (M.S.B.-W.); (A.H.); (M.C.W.); (F.Z.); (R.W.)
| | - Fee Zimmermann
- Bundeswehr Institute of Microbiology, D-80937 Munich, Germany; (A.D.); (A.R.); (M.S.B.-W.); (A.H.); (M.C.W.); (F.Z.); (R.W.)
| | - Roman Wölfel
- Bundeswehr Institute of Microbiology, D-80937 Munich, Germany; (A.D.); (A.R.); (M.S.B.-W.); (A.H.); (M.C.W.); (F.Z.); (R.W.)
| | - Markus H. Antwerpen
- Bundeswehr Institute of Microbiology, D-80937 Munich, Germany; (A.D.); (A.R.); (M.S.B.-W.); (A.H.); (M.C.W.); (F.Z.); (R.W.)
- Correspondence:
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Baumann J, Knüpfer M, Ouedraogo J, Traoré BY, Heitzer A, Kané B, Maiga B, Sylla M, Kouriba B, Wölfel R. Lassa and Crimean-Congo Hemorrhagic Fever Viruses, Mali. Emerg Infect Dis 2019; 25:999-1002. [PMID: 31002054 PMCID: PMC6478234 DOI: 10.3201/eid2505.181047] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
We report detection of Lassa virus and Crimean-Congo hemorrhagic fever virus infections in the area of Bamako, the capital of Mali. Our investigation found 2 cases of infection with each of these viruses. These results show the potential for both of these viruses to be endemic to Mali.
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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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Abstract
OBJECTIVES To estimate the incremental cost-effectiveness of a large-scale urban hygiene promotion programme in terms of reducing the incidence of childhood diarrhoeal disease in Bobo-Dioulasso, Burkina Faso. METHODS Total and incremental costs of the programme were estimated retrospectively from the perspectives of the provider, from the households who change their behaviour as a result of the programme and from society (the sum of the two). The programme effects were derived from an intervention study that estimated the impact on handwashing with soap after handling child stools through a time-series method of observing 37 319 mothers. Using data from the literature, the associated reductions in childhood morbidity and mortality were estimated. The direct medical savings and indirect savings of caregiver time and lost productivity associated with child death were estimated from interviews with households and health workers. The cost and outcome data were combined to provide an estimate of the cost per mother who starts handwashing with soap as a result of the programme and the cost per case of childhood diarrhoea averted. RESULTS The total provider cost (including start-up and 3-year running costs) was $302 507. Core programme activities accounted for 31% of the cost, administration 40%. The total cost to the 7286 households associated with changing behaviour during the 3 years of programme implementation was $160 125 ($7.3 per year per household). An estimated 8638 cases of diarrhoea, 864 outpatient consultations, 324 hospital referrals and 105 deaths were averted by the programme during this time. Savings to the provider from reduced treatment costs were estimated at $10 716 and savings to the households from averted treatment cost were $9136, resulting in a total saving to society of $19 852, increasing to $393 967 if indirect savings are included. The incremental provider cost per case of diarrhoea averted was $33.8. The incremental cost to society was $51.3 falling to $7.9 if indirect savings are included. If the programme were to be replicated elsewhere, savings in the international research input and start-up costs could reduce provider costs to $26.9 per case of diarrhoea averted. The annual cost of the programme represents 0.001% of the national health budget for Burkina Faso. The direct annual cost of implementing the programme at the household level represents 1.3% of annual household income. CONCLUSION Hygiene promotion reduces the occurrence of childhood diarrhoea in Burkina Faso at less than 1% of the Ministry of Health budget and less than 2% of the household budget, and could be widely replicated at lower cost.
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Affiliation(s)
- J Borghi
- Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK.
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