Epidemiological and Evolutionary Aspects of Streptococcus pneumoniae Meningitis in Burkina Faso

Savadogo Mamoudou, Napon Christian, B. M. Boushab, Zaongo Abraham, Kyéleme Nicole
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Abstract

Aim: Pneumococcal meningitis remains a public health problem in Burkina Faso. The aim of our study was to describe the epidemiological and evolutionary aspects of pneumococcal meningitis. Patients and Methods: It was about a retrospective and descriptive study of the records of patients hospitalized for pneumococcal meningitis in the department of infectious diseases at CHU-YO, Burkina Faso during the period going from January 1st 2000 to December 31st 2014. Results: In 15 years, 318 cases were collected, representing a proportional morbidity of 5%. The sex ratio M/F was 1.2 and the average age was 24 years [44 days-70 years]. The majority (91%) of patients were from suburban areas of the city of Ouagadougou. Housewives, farmers and students were the most affected with 23%, 10% and 9%. The annual peaks of meningitis cases were recorded between January and April, which corresponds to the dry season. The evolution was fatal in 39.62%. The frequency of pneumococcal meningitis at CHU-YO remains relatively high with a heavy lethality. Hence the need to promote pneumococcal vaccination and strengthen the technical platform for an appropriate treatment of cases.
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布基纳法索肺炎链球菌脑膜炎的流行病学和进化方面
目的:肺炎球菌脑膜炎仍然是布基纳法索的一个公共卫生问题。我们研究的目的是描述肺炎球菌性脑膜炎的流行病学和进化方面。患者与方法:对2000年1月1日至2014年12月31日在布基纳法索CHU-YO医院传染病科住院的肺炎球菌性脑膜炎患者进行回顾性和描述性研究。结果:15年共收集病例318例,发病率为5%。性别比M/F为1.2,平均年龄为24岁[44天~ 70岁]。大多数(91%)患者来自瓦加杜古市的郊区。家庭主妇、农民和学生受影响最大,分别为23%、10%和9%。每年脑膜炎病例的高峰记录在1月至4月之间,这与旱季相对应。39.62%的进化是致命的。在CHU-YO,肺炎球菌脑膜炎的发病率仍然相对较高,死亡率很高。因此,有必要促进肺炎球菌疫苗接种,并加强适当治疗病例的技术平台。
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