Ledru S, Meda N, Fofana M, Soula G, Bazié A J, Chiron J P
Centre Muraz/Organisation de Coordination et de Coopération pour la lutte contre les Grandes Endémies, Bobo-Dioulasso, Burkina Faso.
Sex Transm Dis. 1996 Mar-Apr;23(2):151-6. doi: 10.1097/00007435-199603000-00011.
Genitourinary infections have a major impact on public health, especially in Africa. Relative distribution of the different pathogens is unknown in Bobo-Dioulasso.
To describe the etiology of genitourinary infections, to establish the sensitivity of Neisseria gonorrhoeae to antibiotics, and to provide epidemiologic and biologic evidence to optimize the treatment of genitourinary infections.
Clinical and biologic diagnoses were performed on 223 women with genitourinary infections.
Etiologies found were trichomoniasis (27.8%), chlamydia (26.9%), bacterial vaginosis (19.7%), candidiasis (16.6), and N. gonorrhoeae infection (10.9%). Human immune deficiency virus antibodies were present in 42% of the patients. Spectinomycin or ceftriaxone should be recommended for the treatment of gonorrhoeae in Bobo-Dioulasso.
The prevalence of Chlamydia trachomatis is higher than that of N. gonorrhoeae in Bobo-Dioulasso. This should be taken into account in clinical management of sexually transmitted diseases in this setting.
泌尿生殖系统感染对公众健康有重大影响，尤其是在非洲。在博博迪乌拉索，不同病原体的相对分布情况尚不清楚。
描述泌尿生殖系统感染的病因，确定淋病奈瑟菌对抗生素的敏感性，并提供流行病学和生物学证据以优化泌尿生殖系统感染的治疗。
对223例泌尿生殖系统感染的女性进行了临床和生物学诊断。
发现的病因有滴虫病（27.8%）、衣原体感染（26.9%）、细菌性阴道病（19.7%）、念珠菌病（16.6%）和淋病奈瑟菌感染（10.9%）。42%的患者存在人类免疫缺陷病毒抗体。在博博迪乌拉索，治疗淋病应推荐使用大观霉素或头孢曲松。
在博博迪乌拉索，沙眼衣原体的患病率高于淋病奈瑟菌。在这种情况下，性传播疾病的临床管理应考虑到这一点。
