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Risk Factors and Syndromic Management of Sexually Transmitted Infections among Sex Workers in the Kadiolo Circle

Advances in Infectious Diseases 2021年第2期11卷 95-103页

作者： Diarra Aminta Cissoko Yacouba Konate Issa Matchim Kouam Clemence Samake Dramane traore madou Daou Sounkalo Support and Counseling Care Unit for People Living with HIV/AIDS Dermatology Hospital Bamako Mali Infectious and Tropical Diseases Department of the University Hospital of Point G Bamako Mali Mopti Regional Hospital Mopti Mali Sikasso Regional Hospital Sikasso Mali

Sexually transmitted infections constitute a gateway for the human immunodeficiency virus by the presence of ulcerations and local inflammatory manifestations, thus increasing the risk of transmission. The aim of the study was to assess the sexual behavior and syndromic management of sexual infections among female sex workers in the Kadiolo circle. Material and method: This was a descriptive cross-sectional study carried out in the Kadiolo circle from January 1 to December 31, 2014. It focused on clandestine or posted sex workers, aged 15 and over. Results: We collected 465 sex workers aged 15 and 49, aged 26.6 on average and from Ivory Coast 52%, Nigeria 26.2% and Mali 9.7%. Educational attainment was higher with 2.4%. Posted sex workers represented 92.5% and housed in brothels with a stay of 6 months with 53.3%. They were single with 70.8% of cases and about 72.9% lived alone and without a spouse. The age at first sexual intercourse was between 15 - 19 years with 76.6% of cases. The number of first commercial sex was between 15 - 19 years (26%) and 20 - 24 years (45.8%). Usual condom use with regular sex partners was 22.1%. Condom use was almost compulsory at 89.7% with occasional clients or non-regular sexual partners. The average number of clients per day was five (5). The major reason for consultation was vaginal discharge 16.4% followed by abdominal pain. The human immunodeficiency virus test was not compulsory and only 86 workers or 18.5% accepted with a positive result of 11 people or 12.8% of cases. Conclusion: Sexually transmitted infections are common especially as they affect young people.

关键词： Sex Worker Kadiolo Infectious Disease

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Pulmonary and Extra-Pulmonary Tuberculosis: Epidemiological and Diagnostic Aspects at Sominé DOLO Hospital in Mopti

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Journal of Tuberculosis Research 2021年第1期9卷 63-71页

作者： Dramane Samake Modibo Coulibaly Mamadou Sayon Keita Mamoutou Dembele Aboubacar Sidiki traore Damissa Samuel Coulibaly Oumar Guindo madou traore Bakary Sayon Keita Sounkalo Dao Infectious Diseases and Infectious and Tropical Diseases Research Officer Head of Medicine Sominé DOLO Hospital Mopti Mali Laboratory Department of Medical Biology at Sominé DOLO Hospital Mopti Mali Sectorial Unit to Fight HIV/AIDS Tuberculosis and Viral Hepatitis Bamako Mali Department of Medicine at Sominé DOLO Hospital Mopti Mali Department of Medicine at Nianankoro Fomba Hospital Ségou Mali General Director of Sominé DOLO Hospital Mopti Mali Department of Medicine Sikasso Regional Hospital Sikasso Mali Department of Medicine of the Fousseyni Daou Hospital Kayes Mali Head of Infectious Diseases Department at Point G University Hospital Bamako Mali

Despite the efforts made to fight the tuberculosis, Mycobacterium tuberculosis still remains a public health problem, particularly for low-income countries. According to the World Health Organization data, our country, Mali has detected only half of the 10,385 cases of tuberculosis expected for 2014 for a population of 17,309,000 inhabitants. The objective of this present work was to describe the different clinical aspects and the epidemiology of tuberculosis at Hospital Sominé Dolo in Mopti. We performed a retro-prospective and descriptive of tuberculosis cases diagnosed in our department of medicine between May 2016 and August 2018. A total of 96 tuberculosis cases were recorded, i.e. 4.6% and 1.0% for hospitalizations and consultations patterns, respectively. The median of age was 41 with extremes from 5 to 80 years. The age group [31 - 40 years] was the most affected with 20.8%. Men and women were affected in identical proportions, i.e. 50%. Pulmonary locations were the most frequent with 55.2%. Pleural tuberculosis was far the most frequent of the extra-pulmonary forms with 24.0% followed by

关键词： Tuberculosis Clinical Aspects Epidemiology Hospital Sominé DOLO Mopti

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Detection of Adenovirus in Fresh Fruit, Vegetables, Wastewater and Manure from Irrigated Farms in Ouagadougou, Burkina Faso

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Food and Nutrition Sciences 2024年第7期15卷 644-662页

作者： Kuan Abdoulaye traore madou Sanou Jean Bienvenue Ouoba Bruno Lalidia Ouoba Pierre Roques Nicolas Barro Laboratoire de Biologie Molculaire dEpidmiologie et de Surveillance des Bactries et Virus Transmissibles par les Aliments (LaBESTA) Universit Joseph KI-ZERBO Ouagadougou Burkina Faso Laboratoire Sciences de la Vie et de la Terre (LaSVT) Universit Norbert ZONGO Koudougou Burkina Faso Virology Unit Institut Pasteur de Guine Conakry Guinea

Enteric viral pathogens are responsible for numerous epidemics associated with the consumption of fresh fruit and vegetable, whether raw or minimally processed. The aim of the present study was to assess agricultural practices and the presence of adenovirus (AdV) in fruits and vegetables, manure and irrigation wastewater sampled in the urban and peri-urban perimeters of Ouagadougou. A total of 286 samples including 30 lettuces, 42 tomatoes, 30 carrots, 30 strawberries, 74 manures and 80 wastewater samples were collected from four market garden sites in and around Ouagadougou. Nested PCR was performed with specific primers to detect adenoviruses (AdVs). A face-to-face survey was carried out using a questionnaire on market garden production practices. Overall, adenoviruses prevalence was 5.9% [IC95, 3.2% - 8.7%] in all samples analyzed. It was specifically 7.14% (3/42) from tomatoes, 6.7% (2/30) from lettuces, 20% (6/30) on strawberries and 7.5% (6/80) in irrigation water. The survey showed that irrigation water came from untreated sources (dam, well, canal) and then 52% of farms used untreated manure. No farms have implemented measures to limit access by domestic and wild animals. This work shows the presence of human adenoviruses in surface irrigation water and fresh produce, which is of concern when fresh produce is consumed raw. To reduce the public health risks associated with consuming these foods, it is essential to follow good hygiene and cultivation practices.

关键词： Adenovirus Raw Fruits and Vegetables Nested PCR Wastewater Manure Ouagadougou

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Bart’s Syndrome: A Neonatal Observation about a Case Report

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Open Journal of Pediatrics 2021年第3期11卷 406-412页

作者： Assetou Cissouma Djibril Kassogue Mala Sylla Guedioma Dembélé Soumaila Alama Traoré Abdoulaye Kissima-Traoré Dadé Ben Sidi Haidara Mamadou Bernard Coulibaly madou traore Mady Niakaté Sikasso Hospital Sikasso Region Mali Timbuktu Hospital Timbuktu Region Mali Bougouni Reference Health Centre Bougouni Mali Mali Hospital Bamako Mali Luxembourg Hospital Bamako Mali

Introduction: Bart’s syndrome is a rare neonatal pathology combining congenital skin aplasia affecting the extremities and congenital epidermolysis bullosa, exceptionally described on black skin. Observation: A 2-day-old male newborn was referred for multiple ulcerations of the limbs observed at birth. The clinical examination found an absence of bilateral and symmetrical skin occupying almost all of the two lower limbs with some flaccid bubbles. The vascular network was clearly visible. The rest of the skin coating was normal. The diagnosis of Bart syndrome in connection with epidermolysis bullosa was evoked clinically and despite pediatric and dermatological management, the evolution was rapidly fatal by severe sepsis. Discussion: Bart syndrome corresponds to a clinical picture of congenital skin aplasia associated with congenital epidermolysis bullosa suspected by areas of fragility and sometimes bubbles. All types of congenital epidermolysis bullosa may be associated with this syndrome. The clinical diagnosis is generally easy but the therapeutic management is difficult and the prognosis reserved. Conclusion: Bart syndrome is a curious congenital association of well-defined skin symptoms, the etiopathogeny of which still remains poorly elucidated, hence the difficulty of establishing an antenatal diagnostic strategy or giving appropriate genetic advice.

关键词： Skin Aplasia Congenital Newborn Skin Black

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