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Resistance of Klebsiella to Imipenem by Production of Carbapenemase Gene bla_IMP at Centre Hospitalier Universitaire Pédiatrique Charles de Gaulle, ouagadougou, Burkina Faso

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International Journal of Clinical Medicine 2023年第8期11卷 347-356页

作者： blandine ouédraogo Abdoul Karim ouattara Amana Mètuor Dabiré Rahimatou Yasmine Wendkuni Tiemtoré Serge Sougé Jacques Simporé Laboratoire de Biologie Moléculaire et de Génétique (LABIOGENE) UFR-SVT Université Joseph KI-ZERBO Ouagadougou Burkina Faso Université Norbert Zongo Centre Universitaire de Manga Koudougou Burkina Faso Département de Biochimie-Microbiologie Université de Dédougou Dédougou Burkina Faso Centre de Recherche Biomoléculaire Pietro Annigoni (CERBA) Ouagadougou Burkina Faso

Objective: Class B carbapenemases are bacterial enzymes that catalyze the hydrolysis of β-lactam core antibiotics, except for monobactams. The objective of this study was to identify the carbapenemase gene blaIMP in the genus Klebsiella at the Charles De Gaulle Pediatric University Hospital (CHUP-CDG) of ouagadougou, Burkina Faso. Methods: The study involved 17 bacterial strains responsible for human infection and isolated from various biological samples during the period from 2009 to 2013. The strains were tested for antimicrobial susceptibility to cefotaxime, ceftazidime and imipenem using the Mueller-Hinton agar diffusion method. The carbapenemases resistance genes were detected by conventional PCR using specific primers at the molecular biology laboratory of CERBA/LABIOGENE, ouagadougou, Burkina Faso. Results: The antibiotic susceptibility test showed high resistance of the 17 Klebsiella isolates tested to cephalosporins. A high cefotaxime-resistance rate (82.35%) and ceftazidime-resistance rate (88.23%) was found among the strains tested against 11.76% resistance rate for imipenem. Analysis of PCR products by gel electrophoresis revealed 4 strains (23.53%) with blaIMP-type gene. Conclusion: Klebsiella is a well-known bacterium in clinical practice. The present study demonstrated the blaIMP-type gene in cephalosporin-resistant strains of Klebsiella at CHUP-CDG. More effective monitoring and treatment solutions are needed to prevent the spread of these resistant strains.

关键词： Klebsiella Resistance blaIMPGenes β-lactam Burkina Faso

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Multidrug-Resistant of Escherichia coli and Salmonella spp. Strains in Chicken Feces Intended for Consumption in Open Spaces of ouagadougou, Burkina Faso

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Open Journal of Applied Sciences 2024年第4期14卷 881-892页

作者： Stéphanie Lynseh Carine Sita Bénao Dabiré Amana Métuor Abdoul Karim ouattara Rahimatou Yasmine Wendkouni Tiemtoré Nicolas ouédraogo blandine ouédraogo Rhaina Olivia Badini Lionel Eliada Benoit Bambara Serge Sougué Jacques Simporé Biomolecular and Genetic Laboratory (LABIOGENE) Pietro Annigoni Biomolecular Research Center (CERBA) Department of Biochemistry-Microbiology University Joseph Ki-Zerbo Ouagadougou Burkina Faso Department of Biochemistry-Microbiology University of D&#233dougou D&#233dougou Burkina Faso National Malaria Research and Training Centre (CNRFP) Ouagadougou Burkina Faso

Resistant bacteria can be transmitted to humans through feces or contaminated meat from local chickens. Bacterial strains were isolated from the intestinal contents of 400 local chicken samples from various sales sites. These strains were then characterized using bacteriological and biochemical methods to identify resistant strains. In a study conducted in ouagadougou, we systematically collected chicken fecal samples from 20 locations across the city, followed by isolation and identification of Salmonella spp. using specific enrichment and culture methods, as well as Escherichia coli. Bacterial strains were characterized using antibiotic resistance profiles were determined through agar diffusion tests, revealing sensitivity or resistance to a range of antibiotics based on established scientific criteria. The results showed that out of the 400 samples collected, 81.25% and 63.5% were contaminated by Escherichia coli and Salmonella spp., respectively. Among these, 86.15% of identified Escherichia coli and 50.78% of Salmonella spp. displayed resistance to at least one tested antibiotic. Among 280 Escherichia coli isolates identified resistant to at least one antibiotic, 31.07% were resistant to cefotaxime (CTX), 20.35% to ceftazidime (CAZ), 21.07% to ceftriaxone (CTR), 75% to amoxicillin clavulanic acid (AMC), 23.57% aztreoname (ATM) and 27.14% were resistant to imipenem (IMP). In the case of the 129 Salmonella spp. isolates resistant to at least one tested antibiotic, 34.88% were resistant to CTX;41.08% to CAZ;35.65% to CTR, 92% to AMC, 39.53% to ATM and finally 47.28% were resistant to IMP. our study revealed high prevalence of resistance in bacterial strains isolated from local chickens sold outdoors in ouagadougou. These findings raise significant public health concerns, due to the possible transmission of these resistant strains to humans through the consumption of contaminated meat, thus complicating the treatment of bacterial infections.

关键词： Multidrug-Resistant Chicken ouagadougou Escherichia coli Salmonella spp. Antibiotic

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Management of Malaria in Pregnant Women at the Maternity Unit of the University Teaching Hospital Yalgado ouedraogo (UTH-YO) in ouagadougou: About Report on the Quality of Care

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Open Journal of Obstetrics and Gynecology 2018年第13期8卷 1337-1344页

作者： ouattara Adama ouédraogo Smaila Lankoandé Bako Coulibaly Natacha ouédraogo Marie Charlemagne ouédraogo Ali Thieba Bonané blandine Training and Research Unit in Health Sciences (TRU/HS) University Ouaga 1 Pr Joseph KI ZERBO Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The University Teaching Hospital Yalgado Ouedraogo of Ouagadougou (UTH-YO) Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The Bogodogo University Teaching Hospital of Ouagadougou (UTH-B) Ouagadougou Burkina Faso

Objective: To do a report on the quality of the treatment of malaria in pregnant women at University Teaching Hospital Yalgado ouedraogo (UTH-YO) in ouagadougou. Materials and Methods: This was a descriptive cross-sectional study conducted from 29 July to 02 October 2016. The targets were pregnant women and gynecology and obstetrics service care providers. The study used an individual questionnaire administered and clinical parasitological research by the Rapid Diagnostic Test (RDT). Some information was verified in the patient’s prenatal consultation logbook. A total of 351 women and 44 providers participated in the study. The data was captured on a microcomputer and analyzed using Epi info version 7 software. Results: Regarding preventive measures, patients’ responses were correct for long-lasting impregnated mosquito net (LLIN) in 98.8% of cases and for intermittent preventive treatment (IPT) in 96.5% of cases. About providers, they had given a good answer in all cases for using LLIN and taking IPT. Regarding care providers’ knowledge of the clinical signs of malaria, fever was cited in 95.5% of cases for simple malaria and Frankish jaundice in 97.7% of cases for severe malaria. With regard to curative treatment, 77.3% of the care providers surveyed stated that quinine was the reference molecule for the treatment of simple malaria in pregnant women. In terms of the availability of inputs used for malaria management, our survey found no RDTs. Also, the only molecule available was quinine in its compressed and injectable forms. Conclusion: Care Providers’ and patients’ knowledge of malaria in the obstetrics and genecology department is quite satisfactory. However, some shortcomings were noted in the provision of screening and curative and preventive treatment. The elimination of malaria in our country will require joint efforts at all levels.

关键词： Malaria Pregnancy Treatment UTH-YO

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Anemia in Parturients within the Mother-Child Department of Tengandogo Teaching Hospital, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2022年第12期12卷 1296-1303页

作者： Dantola Paul Kain Hyacinthe Zamané Sibraogo Kiemtoré Abdoulaye ouédraogo Ali ouédraogo blandine Bonané/Thiéba Teaching Hospital of Tengandogo Ouagadougou Burkina Faso Yalgado ouedraogo Teaching Hospital Ouagadougou Burkina Faso

Objective: Study the epidemiological, clinical, para-clinical and therapeutic aspects as well as the maternal and perinatal prognosis of anemia in parturients. Background: Anemia is a public health problem in Burkina Faso. It mainly affects pregnant women. Patients and Methods: This was a descriptive and analytical cross-sectional study with prospective data collected from January 1st to September 30th, 2021. The study population included all parturients received within the department. Results: We included 378 parturients. We included in our study, all the parturients who underwent blood count upon admission and who had a hemoglobin rate below 11 g/dl. The frequency of anemia was 35.9%. The average age of anemic parturients was 27 ± 6.3 years. Compliance with anemia preventive treatment was good in 63% of cases. out of the 378 anemic parturients, 55.8% were delivered by cesarean section. At delivery, 21 stillbirths were recorded. The mean hemoglobin level on admission was 9.27 g/dl ± 1.6. Normochromic microcytic anemia was present in 50.7% of cases. We recorded 1 case of maternal death (0.2%). The perinatal mortality rate was 7.4%. Conclusion: Despite the government’s efforts, anemia in pregnant women remains a public health problem in our country. This reality calls on decision-makers to lay emphasis on measures to prevent anemia in pregnant women.

关键词： Anemia Pregnant Women Delivery Burkina Faso

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Episiotomy: Epidemiological Aspects, Indications and Prognosis in the Bogodogo Health District

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Open Journal of Obstetrics and Gynecology 2018年第13期8卷 1354-1363页

作者： ouattara Adama Lankoandé Bako Natacha ouédraogo Smaila Sawadogo Yobi Alexis Millogo Traoré Francoise ouédraogo Marie Charlemagne ouédraogo Ali Thieba Bonané blandine Training and Research Unit in Health Sciences (TRU/HS) University Ouaga 1 Pr Joseph KI ZERBO Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The University Teaching Hospital Yalgado Ouedraogo of Ouagadougou (UTH-YO) Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The Bogodogo University Teaching Hospital of Ouagadougou (UTH-B) Ouagadougou Burkina Faso

Objectives: To study the epidemiological aspects, indications and short and medium term prognosis of episiotomy in the health district of Bogodogo in ouagadougou, Burkina Faso. Materials and Method: It was a descriptive prospective study over 4 months from 1 July 2016 to 30 October 2016. It was conducted in 4 health facilities in the health district of Bogodogo in the city of ouagadougou. The study concerned the patients who gave birth after 28 gestational age (GA) and more, vaginally with episiotomy, in the 4 health facilities and who were reviewed at the appointment of the 9th day and the 3rd month. The data were collected using a questionnaire developed for the purposes of the study, seized with a laptop, then analyzed using the Epi-info software in its 3.5.1 version of the Atlanta C.D.C. Statistical comparisons were made using the Pearson chi-square test, with a significance level of p 0.05. Results: The overall episiotomy rate was 22%. For follow-up, 248 patients were reviewed on the 9th day and 109 patients on the 3rd month. The average age of our patients was 23.1 years. The average number of pregnancies was 1.7 with nulliparous women predominating (60.5% of cases). Excision was associated with episiotomy in 92.3% of cases, with perineal narrowing in 82.5% of patients. The mediolateral episiotomy was the most performed, in 76.6% of patients. Vulvo-perineal stricture was the main indication (75% of cases). The experience during the episiotomy and the evolution following the immediate layer was marked by pain. Dyspareunia was the main difficulty in resuming sexual intercourse. Conclusion: The episiotomy rate in our study was 22%. A program of continuous improvement of the quality of care concerning episiotomy encompassing various actions (audits, training) could reduce the use of episiotomies.

关键词： Episiotomy Epidemiology Bogodogo

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Causes of Maternal Mortality According to Reports of Maternal Death Audits in the University Teaching Hospital Bogodogo (UTH-B) from January to December 2017

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Open Journal of Obstetrics and Gynecology 2018年第13期8卷 1345-1353页

作者： ouattara Adama ouédraogo Smaila Lankoandé Bako Coulibaly Natacha Kain Dantola Paul Tougma Sanou Aline ouédraogo Marie Charlemagne ouédraogo Ali Thieba Bonané blandine Training and Research Unit in Health Sciences (TRU/HS) University Ouaga 1 Pr Joseph KI ZERBO Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The University Teaching Hospital Yalgado Ouedraogo of Ouagadougou (UTH-YO) Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The Bogodogo University Teaching Hospital of Ouagadougou (UTH-B) Ouagadougou Burkina Faso

Objective: To study causes of maternal mortality according to reports of maternal death audits in the University Teaching Hospital Bogodogo (UTH-B) of ouagadougou, Burkina Faso. Materials and Method: This was a prospective study that took place over a year from 1 January to 31 December 2017.? It concerned maternal deaths that occurred during this period in the obstetrics and gynecology department of the University Teaching Hospital Bogodogo (UTH-B). All maternal deaths were systematically audited by the audit committee;interviews with providers and families were sometimes conducted. The record books of all patients were analyzed by the audit committee;if necessary, interviews were conducted with care providers and families. The main information collected were recorded on individual files, entered and analyzed using the software Epi-info 7. Result: During the study period, we recorded 32 maternal deaths i.e., 587 per 100,000 live births. Deceased women under age 20 were the most numerous, followed by women aged 20 to 24. The death occurred in most cases in the puerperium in 69.80% of cases. Complications of pregnancy were the most incriminated causes in maternal deaths. Bleeding was the leading cause, accounting for 34.3%. They are followed by hypertensive disorders of pregnancy (21.8%) and infections (18.8%). In the contributing factors, resource factors were incriminated in 56.2% of cases, social factors in 43.7% of cases and medical factors in 25.4% of cases. Death was non-preventable in 76.2% of cases compared to 23.8% of preventable deaths. Conclusion: Maternal mortality is a major public health problem at the maternity hospital of the university hospital Yalgado ouedraogo. Hemorrhage is the first cause of death. Hypertensive diseases are more and more worrying. Solutions must be found to improve the practice of audits in the obstetrics and gynecology department of UTH-B.

关键词： Audits Review Maternal Deaths Causes of Maternal Deaths

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Epidemiological, Clinical, Therapeutic and Prognostic Aspects of Puerperal Infections within the Gynecology Obstetrics Department of Yalgado ouedraogo University Teaching Hospital (CHU-YO), Burkina Faso

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Open Journal of Obstetrics and Gynecology 2021年第12期11卷 1657-1664页

作者： Kain Dantola Paul Zamané Hyacinthe ouédraogo Issa Ilboudo Isabelle Millogo/Traore Françoise ouédraogo Ali Bonané/Thiéba blandine Teaching Hospital of Tengandogo Ouagadougou Burkina Faso Yalgado ouedraogo Teaching Hospital Ouagadougou Burkina Faso Regional Teaching Hospital of ouahigouya Ouahigouya Burkina Faso

Objective: Conduct a study about the epidemiological, clinical, therapeutic and prognostic aspects of puerperal infections within Gynecology Obstetrics department of CHU-YO during the study period. Patients and Methods: This was a cross-sectional and descriptive study. The study period was from January 1st to December 31st, 2019. Data collection was retrospective. The exhaustive sample included all female patients having a puerperal infection. Results: Our study included 65 patients. The frequency of puerperal infections represented 1% of deliveries, the average age of patients was 27 ± 7.26 years. Housewives represented 64.4% of the patients. Hyperthermia and abdominal-pelvic pain respectively occurred in 63.8% and 21.3% of patients. The patients had given birth by caesarean section in 83.1% of cases. Endometritis represented 76.9% of cases of puerperal infections. The patients were treated with antibiotics, uterotonics and symptomatic therapy. Maternal death occurred in 13.9% of cases. Conclusion: A focus should be put on preventive measures in front of any high-risk puerperal infection sit

关键词： Puerperal Infection Endometritis CHU-YO

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Quality Control of First Trimester Ultrasound Examinations in the Gynecology and Obstetrics Department of the University Teaching Hospital Yalgado ouedraogo (UTH-YO) of ouagadougou, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2018年第13期8卷 1399-1413页

作者： ouattara Adama Nde ouédraogo Nina Astrid Lankoandé Bako Natacha ouédraogo Smaila Nare Amelie Tougma Sanou Aline Sawadogo Yobi Alexis Millogo Traoré Francoise ouédraogo Marie Charlemagne ouédraogo Ali Thieba Bonané blandine Training and Research Unit in Health Sciences (TRU/HS) University Ouaga 1 Pr Joseph KI ZERBO Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The University Teaching Hospital Yalgado Ouedraogo of Ouagadougou (UTH-YO) Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The Bogodogo University Teaching Hospital of Ouagadougou (UTH-B) Ouagadougou Burkina Faso

Objective: To evaluate the quality of first trimester ultrasound examinations in patients consulting in the gynecology and obstetrics department at the University Teaching Hospital Yalgado ouedraogo (UTH-YO) of ouagadougou. Method: our study took place from January 1st to March 31st 2017, in the department of Obstetrics and Gynecology of the University Teaching Hospital Yalgado ouedraogo of ouagadougou. This was a descriptive study on the records of the first trimester ultrasound of pregnancy, with analysis of the iconography. We used the criteria of the Technical Committee of Fetal Echography (TCFE) of France to analyse all the ultrasound reports brought by the patients. Results: Two hundred reports were collected in three months. In terms of ultrasound identification, only 2 reports out of 200 mentioned the brand and date of first circulation and 4 specified the type of device. The study of the quality of the appointment showed that only 52% of the ultrasounds had been performed at the right time, between 11SA - 14SA of amenorrhea. For the nuchal translucency quality, we rated by the Herman score, 41.67% of the scores were of “unacceptable” quality and only 58.33% were of “acceptable” quality we did not achieve “excellent” quality. The analysis of the biparietal diameter (BIP) cuts revealed that 1/4 only anatomical cuts had been well made. Analysis of the cranio caudal length (CCL) cuts showed that only 14.58% of the CCLs had been well done. Elements of early morphology had been explored to less than 5%. Conclusion: The results revealed the acceptable quality of the NC measurements, but a small proportion of NC achieved. The quality of the ultrasound, morphological analysis and biometrics period is not very acceptable.

关键词： Ultrasonography First Trimester Reports UTH-YO

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Place of Autologous Intraoperative Blood Transfusion in the Treatment of Broken Ectopic Pregnancy (EP) at the Chiphra Hospital of ouagadougou, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2017年第10期7卷 1035-1043页

作者： ouattara Adama Sib Sansan Rodrigue Tougma Aline Pegwendé ouédraogo Issa Zalha Assoumana Millogo Traoré Francoise Danielle ouédraogo Charlemagne Marie ouédraogo Ali Thieba Bonané blandine Gynecologist Obstetrician at the University Teaching Hospital of ouagadougou Ouagadougou Burkina Faso Gynecologist Obstetrician at the University Teaching Hospital of ouahigouya Ouahigouya Burkina Faso Gynecologist Obstetrician at the Schiphra Hospital of ouagadougou Ouagadougou Burkina Faso

Objective: To describe the role of autologous regenerative intraoperative bleeding of recent intra-cavity losses over the ectopic pregnancy ruptured at the Schiphra Hospital of ouagadougou. Methodology: It has been a cross-sectional descriptive study over a period of 18 months from January 1st 2014 to June 30th 2015 in the obstetrics and gynecology department at the schiphra hospital of ouagadougou. In our study, we included all pregnant women having received emergency with a diagnosis of broken ectopic pregnancy complicated by a significant array of clinical haemoperitoneum and who have consented to participate in the survey. Results: During the study period, we recorded 322 cases of ectopic pregnancy, among which 106 were broken. Autotransfusion was performed in 59 patients, that is to say 18.3%. The average age of patients was 27 years (18 - 40). The average rate of childbirth was 5.25 (0 - 11). The general condition of the patients was pretty good at 8.5% and poor in 91.5% of cases. The average amount of blood transfused per patient was 935 ml with a range of 400 and 1600 ml. After autotransfusion, 62% of patients had greater improvement in hemoglobin 10 g/dl. Maternal prognosis was marked by a case of fever with a morbidity rate of 1.9% and a death post autotransfusion case fatality rate of 1.9%. Conclusion: In the context of shortage of blood products, autologous transfusion could be an alternative in the treatment of ruptured ectopic pregnancy in developing countries.

关键词： Ectopic Pregnancy Haemoperitoneum Autotransfusion ouagadougou

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Low Birth Weight at Term: Risk Factors and Perinatal Prognosis in the Teaching Hospital Yalgado ouédraogo, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2018年第14期8卷 1510-1519页

作者： Dantola Paul Kain Adama ouattara Hyacinthe Zamané Sibraogo Kiemtoré Issa ouédraogo Yobi Alexis Sawadogo Ali ouédraogo blandine Thiéba Teaching Hospital Yalgado ouédraogo Ouagadougou Burkina Faso Teaching Hospital ouahigouya Ouahigouya Burkina Faso

Objective: The objective of our study was to study the risk factors of low birth weight at term in the Teaching Hospital Yalgado (CHU-YO) ouédraogo. Patients and Methods: This dealt with a comparative and analytical control case study. The group of cases was made up of female patients who gave birth to newborns with low birth weight at term and that of control cases included female patients who delivered a normal-weighted newborn at term. Results: The frequency of low birth weight at term was therefore estimated at 4.4%. The average age of the parturients was 25 ± 6.36 years. Female patients living in a marital setting accounted for 93.1% of cases and 64.4% of them had no income-generating activities. A maternal underweight, a height below 155 cm, passive smoking, and malaria during pregnancy have been identified as the factors associated with a low birth weight. Conclusion: Quality prenatal care could reduce the incidence of low birth weight at term.

关键词： Low Birth Weight Risk Factors Prognosis Burkina Faso

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