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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

Bacteriological Profile of Effusion Fluids Infections at Charles De Gaulle University Pediatric Hospital from 2017 to 2020

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Open Journal of Medical Microbiology 2024年第2期14卷 146-163页

作者： Kambiré Dinanibè ouédraogo oumarou Tiendrebéogo Salam Tondé issa Tamboura Mamadou Zida Sylvie Kpoda Dissinviel Sagna Tani Compaoré T. Rebeca Zouré Abdou-Azaque Soubeiga R. Serge Théophile Sawadogo Stanislas Ilboudo Maïmouna Rouamba Hortense ouédraogo Wenkouni Henri Gautier ouédraogo-Traoré Rasmata Sanou Mahamoudou Institut de Recherche en Sciences de la Sant Ouagadougou Burkina Faso Centre Hospitalier Universitaire Pdiatrique Charles De Gaulle Ouagadougou Burkina Faso Centre Universitaire de Ziniar Ziniar Burkina Faso Universit Joseph Ki-Zerbo Ouagadougou Burkina Faso Universit ouaga 3S Ouagadougou Burkina Faso Centre Mdical Urbain de Samandin Ouagadougou Burkina Faso

Introduction: Microbiology of effusion fluids in children in Burkina Faso is characterized by the scarcity of data. This work aimed to study the bacteriological and antibiotics susceptibility profile of bacteria involved in effusion fluid infections in paediatrics in order to improve the choice of probabilistic antibiotics therapy. Methods: A cross-sectional, descriptive study was used in children aged 0 to 15 years from 2017 to 2020 at the Charles De Gaulle Pediatric University Hospital Center (CHUP-CDG) in ouagadougou. Classical bacteriology methods such as macroscopy, Gram staining, identification galleries and antibiotics susceptibility testing were used. Results: Of 231 samples, 64 bacteria were isolated. The most common bacterial strains of pleural fluid were Staphylococcus aureus (25%) and 40% for Enterobacteriaceae. Of the peritoneal fluid, 77% were Enterobacteriaceae with 57% Escherichia coli;and from joint fluid, 33% were S. aureus and 22% for P. aeruginosa. The overall susceptibility profile showed 29% extended-spectrum beta-lactamase-producing Enterobacteriaceae (ESBL), 10% methicillin-resistant S. aureus (MRSA), and 8% carbapenemases. Conclusion: Bacteriological profile is characterized by ESBL-producing Enterobacteriaceae and MRSA. The most active antibiotics were macrolides, aminoglycosides, and cefoxitin (methicillin) for Gram-positive cocci, carbapenems, and aminoglycosides for Gram-negative bacilli. Then, the monitoring of antibiotics resistance must be permanent.

关键词： Bacteriological Profile Effusion Fluid Infections

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

Hepatitis B Surface Antigen and Hepatitis C Virus Antibodies among Drug Users in Burkina Faso

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Advances in Microbiology 2024年第1期14卷 92-104页

作者： Sylvie Zida Kadari Cissé Odette Ky-Zerbo Dinanibè Kambiré Serge Théophile Soubeiga Simon Tiendrebéogo Fatou Sissoko issa Sory Célestine Ki-Toé Solange Dioma Djeneba Zorom Adama ouédraogo Cedric Dimitri Axon Hien Mahamoudou Sanou Seni Kouanda Henri Gautier ouédraogo Institut de Recherche en Sciences de la Santé Ouagadougou Burkina Faso Dé partement de G&eacuteographie Universit&eacute Norbert ZONGO Koudougou Burkina Faso Secré tariat permanent du Conseil national de lutte contre le Sida et les IST (SP/CNLS-IST) Ouagadougou Burkina Faso Initiative Privé e et Communautaire pour la Sant&eacute et la Riposte au VIH/SIDA au Burkina Faso (IPC/BF) Ouagadougou Burkina Faso Unité de Formation et de Recherche en Sciences de la Sant&eacute (UFR-SDS) Universit&eacute Joseph KI-ZERBO Ouagadougou Burkina Faso

Introduction: The epidemiology of both hepatitis B virus (HBV) and hepatitis C virus (HCV) infections among drug users (DUs) is little known in West Africa. The study aimed to assess the prevalence of hepatitis B and C viruses among drug users in Burkina Faso. Methodology: This was a cross-sectional biological and behavioral survey conducted between June and August 2022, among drug users in ouagadougou and Bobo Dioulasso, the two main cities of Burkina Faso. A respondent-driven sampling (RDS) was used to recruit drug users. Hepatitis B surface antigen was determined using lateral flow rapid test kits and antibodies to hepatitis C virus in serum determined using an Enzyme-Linked Immunosorbent Assay. Data were entered and analyzed using Stata 17 software. Weighted binary logistic regression was used to identify the associated factors of hepatitis B and C infections and a p-value Results: A total of 323 drug users were recruited with 97.5% males. The mean age was 32.7 years old. The inhaled or smoked mode was the most used by drug users. The adjusted hepatitis B and hepatitis C prevalence among study participants were 11.1% and 2.3% respectively. The marital status (p = 0.001), and the nationality (p = 0.011) were significantly associated with hepatitis B infection. The type of drug used was not significantly associated with hepatitis B infection or hepatitis C infection. Conclusion: The prevalence of HBsAg and anti-HCV antibodies among DUs are comparable to those reported in the general population in Burkina Faso. This result suggests that the main routes of contamination by HBV and HCV among DUs are similar to those in the population, and could be explained by the low use of the injectable route by DUs in Burkina Faso.

关键词： Drug Users Hepatitis C Hepatitis B Prevalence Burkina Faso

ST of Streptococcus pneumonia Circulating in Burkina Faso before the Introduction of PCV-13, 2013

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Advances in Microbiology 2023年第5期13卷 237-248页

作者： Kambiré Dinanibè Tamboura Mamadou ouédraogo oumarou Tondé issa ouédraogo W. H. Gautier Sanou Mahamoudou Zouré Abdou Azaque Compaoré Rebeca Sagna Tani Soubeiga R. S. Théophile Zida Sylvie Aké Flavien Abdoul-Salam ouédraogo Sangaré Lassana Méda Isaïe Kouanda Séni ouédraogo-Traoré Rasmata Centre Hospitalier Universitaire Pédiatrique Charles De Gaulle Ouagadougou Burkina Faso Institut de Recherche en Sciences de la Santé Ouagadougou Burkina Faso Davycas International Ouagadougou Burkina Faso Centre Hospitalier Universitaire Yalgado ouédraogo Ouagadougou Burkina Faso Centre Hospitalier Universitaire Sanon Sourô Bobo-Dioulasso Burkina Faso Direction Générale de la Santé Publique Ouagadougou Burkina Faso

Introduction: Burkina Faso experiences regular cases of Streptococcus pneumoniae meningitis. As part of the strategy to reduce cases of meningitis, the 13-valent pneumococcal conjugate vaccine (PCV-13) has been introduced in the Expanded Programme on Immunisation (EPI). Despite these efforts, there are some cases of pneumococcal meningitis including both vaccine and non-vaccine serotypes. The objective of this study was to describe the pneumococcal sequence types (ST) circulating in Burkina Faso before the introduction of the 13-valent pneumococcal conjugate vaccine (PCV-13). Methods: It was a descriptive cross-sectional study that took place from 27th October 2013 to 7th January 2014. S. pneumoniae strains were collected in Burkina Faso and Multi Locus Sequence Typing (MLST) was performed at the Pneumococcal Laboratory at the Centers for Disease Control and Prevention (CDC) in the USA (United States of America). MLST consists of 4 steps: amplification, purification, sequencing and interpretative reading of the results. The amplification used 7 primers consisting of sequences of aroe, gdh, gki, recP, spi, xpt, ddl genes. Results: Of 37 strains tested, 10 serotypes were identified. Serotype 1 was prevalent in 48.7% (18/37) followed by serotype 25F in 10.8% (4/37). Serotypes 5 and 12F/12A/12B/44/46 were 8.1% (3/37) each. Serotype 1 contained 5 STs including ST303 24.3% (9/37), ST217 8.1% (3/37) and ST618 8.1% (3/37);followed by serotype 25F with ST105 10.8% (4/37), serotype 5 with ST289 8.1% (3/37) and serogroup 12F/12A/12B/44/46 with ST 989 8.1% (3/37). Conclusion: Pneumococci are characterised by their great variability both in number of serotypes and in ST within the same serotype. Thus, 10 serotypes have been identified. Also, within serotype 1, 5 different STs have been described. These data indicate the complexity of the pneumococcus which is strongly involved in purulent bacterial meningitis at national level. This requires continuous surveillance of pneumococc

关键词： Streptococcus pneumoniae Burkina Faso PCV-13 Sequence Types

Experience of Patients Who Underwent Scheduled Gynaecological Surgery at the Bogodogo University Hospital, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2023年第9期13卷 1595-1603页

作者： Yobi Alexis Sawadogo Adama ouattara issa ouédraogo Sibraogo Kiemtoré Emmanuel ouedraogo Dantola Paul Kain Charlemagne ouedraogo Ali ouedraogo Department of Obstetrics and Gynaecology Bogodogo University Hospital Ouagadougou Burkina Faso Health Science Training and Research Unit Joseph Ki-Zerbo University Burkina Faso Department of Obstetrics and Gynaecology Ouahigouya Regional Hospital Burkina Faso Department of Obstetrics and Gynaecology Yalgado Ouédraogo University Hospital Burkina Faso Department of Obstetrics and Gynaecology Tengandogo University Hospital Ouagadougou Burkina Faso

Introduction: Surgery can cause anxiety and worry, such as waking up in pain, being physically harmed or dying. This study aimed to assess the experience of patients undergoing planned gynaecological surgery in the Obstetrics Gynaecology and Reproductive Medicine department of the University Hospital Centre of Bogodogo. Patients and methods: This was a cross-sectional study with prospective data collection during the period from June 1 to August 31, 2018. The study population consisted of patients who received scheduled gynaecological surgery during the period. Results: Seventy-six (76) patients underwent scheduled surgery and 62 were included. During discussion with the gynaecologist, 58 patients (93.55%) were satisfied. When the surgery was announced, 41 patients (66.13%) were anxious. At the consultation with the anaesthetist 59 patients (95.16%) were satisfied with the discussions. Fifty-five patients (88.7%) were anxious on admission to the operating theatre. The quality of care was satisfactory for 61 patients (98.39%) and all patients were satisfied with the care team. Conclusion: Periodic evaluation of patients’ experiences should therefore be incorporated into care evaluation policies in health facilities in order to contribute to continuous improvement in the quality of medical and surgical care.

关键词： Experience Surgery Gynaecology Bogodogo

Meningitis outbreak Caused by Neisseria meningitidis Serogroup C ST 10217 in 2019 in Diapaga, Burkina Faso

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Advances in Infectious Diseases 2023年第1期13卷 66-76页

作者： Kambiré Dinanibè Tondé issa ouédraogo W. H. Gautier Sanou Mahamoudou ouédraogo L. S. L. Wilfrid Savadogo Mahamoudou Tamboura Mamadou Zongo Moumouni ouédraogo oumarou Zouré Abdou Azaque Compaoré Rebeca Sagna Tani Zida Sylvie Soubeiga R. S. Théophile Aké Flavien Sangaré Lassana Méda Isaïe Kouanda Séni ouédraogo-Traoré Rasmata Centre Hospitalier Pédiatrique Universitaire Charles De Gaulle Ouagadougou Burkina Faso Institut de Recherche en Sciences de la Santé Ouagadougou Burkina Faso Direction de la protection de la Santé de la Population Ouagadougou Burkina Faso Centre Hospitalier Universitaire Yalgado Ouédraogo Ouagadougou Burkina Faso Davycas International Ouagadougou Burkina Faso Direction Générale de la Santé Publique Ouagadougou Burkina Faso

Introduction: Meningitis caused by Neisseria meningitidis constitutes a burden for the countries in the meningitis belt of sub-Saharan in general and particularly for Burkina Faso. In 2019 the Diapaga health district experienced a meningitis epidemic due to N. meningitidis serogroup C. Methods: This is a cross-sectional study with a descriptive aim in the health district of Diapaga where all cases of meningitis were included in this work. Rapid diagnostic tests (RDTs), culture as well as real-time PCR were used for the biological analysis of cerebral spinal fluid (CSF) samples. Results: Of 155 CSF samples analysed, 42% (65/155) were tested positve. Of them, N. meningitidis C accounted for 83% of all positive cases. Likewise, all thirteen (13) NmC strains were susceptible to oxacillin, ceftriaxone, penicillin and chloramphenicol. All strains of NmC belonged to the sequence type (ST) 10 217 and to the clonal complex (CC) 10 217. These CCs belonged to the same variant PorA type: P1.21-15.16;FetA type: F1-7;PorB type: 3-463. Conclusion: Burkina Faso had known an epidemic of meningitis caused by NmC in 2019 in the health district of Diapaga. This outbreak was contained in time due to the performance of the epidemiological surveillance system which made it possible to investigate on time and introduce the vaccine against the pathogen NmC.

关键词： Meningitis Neisseria meningitidis VS Diapaga Burkina Faso

The Rate of Caesarean Sections in Burkina Faso’s Regional and University Hospitals According to the Classification System of Robson’s Ten Groups

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Open Journal of Obstetrics and Gynecology 2021年第2期11卷 210-219页

作者： Adama ouattara Sibraogo Kiemtoré issa ouédraogo Yobi Alexis Sawadogo Tieba Millogo Mady Bikienga Seni Kouanda Charlemagne Marie Ragnang-Newendé ouédraogo Department of Gynecology-Obstetrics of the UFR/SDS of the Joseph KI ZERBO University Ouagadougou Burkina Faso Gynecology-Obstetrics Department of CHU-ouahigouya Ouagadougou Burkina Faso African Institute of Public Health CHU-Ouahigouya Ouagadougou Burkina Faso

Background: Quality assurance in labor and delivery is needed. The method must be simple and consistent, and be of universal value. The 10-Group Classification System is a simple method providing a common starting point for further detailed analysis within which all perinatal events and outcomes can be measured and compared. Objective: The purpose of this study was to analyze cesarean section (CS) rates using the classification system of Robson’s ten groups and to identify the main contributors to the overall CS rate in Burkina Faso’s regional and university hospitals. Materials and Method: A cross-sectional study with retrospective collection was carried out. All women who gave birth between July 1, 2017 and June 30, 2018, in the Regional Hospital Centres (RHC) and University Hospital Centres (UHC) of Burkina Faso were classified according to the Robson ten-group method. The overall CS rates and in each Robson group were calculated, as well as the contribution of each group to the overall CS rate. Results: The CS rate was 26.5% (8543 out of 32,240 deliveries) during the study period. nulliparous women with single term pregnancy in cephalic presentation during spontaneous labour (group 1), multiparous women with single pregnancy in cephalic presentation, gestational age ≥37SA, spontaneous labour (group 3) and multiparous women with previous CS (group 5) were the main contributors (67.7%) to the overall CS rate. In addition, we observed a variation in CS rates between different hospitals, especially among women with full-term pregnancies in cephalic presentation without previous CS (groups 1 to 4), showing large dif

关键词： Caesarean Section Robson’s Group Burkina Faso

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

Integration of Post Abortion Care Package in the Activity of 56 Health Facilities by the Burkina Faso Society of Obstetricians and Gynecologists (SOGOB)

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Open Journal of Obstetrics and Gynecology 2016年第8期6卷 457-462页

作者： Sibraogo Kiemtoré Hyacinthe Zamané Yobi Alexis Sawadogo Charlemagne Marie ouédraogo Dantola Paul Kaïn Abdoule Azize Diallo issa ouédraogo Adama Dembélé Ali ouédraogo Blandine Thiéba Jean Lankoandé Department of Obstetrics and Gynecology Yalgado Ouedraogo Teaching Hospital in Ouagadougou Ouagadougou Burkina Faso Unity of Training and Research in Health Sciences (UFR/SDS) University of Ouagadougou Ouagadougou Burkina Faso Department of Obstetrics and Gynecology Centre Hospitalier Régional de Ouahigouya Ouahigouya Burkina Faso Department of Obstetrics and Gynecology and Reproductive Health Sanou Sourou Teaching Hospital Bobo-Dioulasso Burkina Faso Higher Institute of Science Health Polytechnic University of Bobo-Dioulasso Bobo-Dioulasso Burkina Faso

Introduction: This article is an analysis of post-abortion care in 56 health facilities after their capacity building by the Burkina Faso Society of Obstetricians and Gynecologists (SOGOB). Patients and Methods: In 2012, with funds from Safe Abortion Action Fund, the SOGOB trained care providers and equipped 56 health facilities for post abortion care. Statistical data on the management of incomplete abortions after the capacity building were analyzed. The significance level was set at 0.05. Results: There were 6316 cases of abortion that have been managed in 56 health facilities. The evacuation of the uterine contents for incomplete abortion has been provided to 6167 patients. Manual vacuum aspiration (MVA) and misoprostol were used respectively in 69.4% and 26.9% of cases to evacuate uterine content. Post-treatment complications were 1.8% for MVA and 0.9% for misoprostol (p = 0.004). MVA’s complication rate in the health facilities of the 1st level of care (1.7%) was not different from the third level of care (1.2%) with p = 0.21. A modern method of contraception was provided after abortion to 65.7% of the patients. In addition to the post abortion care, 7.3% of the patients received other reproductive health services. The community was involved in the development process of post abortion care in the facilities of the first level of care. Conclusion: The support of health facilities by SOGOB has provided post abortion care to thousands of women with little complications. Given the good results, an extension to other health facilities is desirable.

关键词： Post-Abortion Care MVA Misoprostol Family Panning Burkina Faso