Survenue des obstructions tubaires chez les femmes à Cotonou (Bénin) : rôle des bactéries

Gandji, Servais; Bankole, Habeeb Adebodun; Dougnon, Victorien; Silva, J da; Zannou, C; Biaou, Olivier

doi:10.4314/ijbcs.v7i3.39

Cited by 5 publications

(3 citation statements)

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“…Myomas accounted for more than 77% of all causes of uterine origin. This figure is very close to that found by Gandji et al [13] who found 76.8% of causes of infertility linked to myomas, especially submucosal.…”

Section: Discussionsupporting

confidence: 91%

Ultrasound Causes of Female Infertility at the Fertilia Medical Clinic in Bamako

Dembele,

Kouma,

Guindo

et al. 2023

OJMI

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Aims: Infertility is a major problem in our current societies and the Fertilia medical clinic in Bamako is a center for medical assistance in procreation (MAP) where there is an increasingly growing demand for ultrasound. The objective of our study was to investigate the ultrasound causes likely to prevent the occurrence of pregnancy in a group of infertile and subfertile women. Subjects and Methods: This was a 5-year cross-sectional and prospective study, between January 2017 and January 2022, which involved 250 women wishing to become pregnant (infertile or subfertile), who came for pelvic ultrasound or follicular monitoring and who agreed to participate in our study. The parameters used were ultrasound reports including uterine, ovarian and tubal pathologies. It should be noted that in some cases no ultrasound cause of infertility was found. Data were entered and analyzed in SPSS. Results: 250 women were recruited into our. The average age was 32 years with extremes ranging from 17 to 51 years. 179 patients or 71.6% were between 17 and 35 years old. 139 patients or 55.6% had secondary infertility against 44.4% primary infertility. 202 patients or 80.8% had at least one ultrasound lesion and 48 patients or 19.2% had no significant ultrasound abnormality. The most represented ultrasound lesions were of uterine origin with 72.20%, 23.7% ovarian lesions and 04% tubal lesions. Uterine lesions were dominated by myomas, adenomyosis, endometrial polyps, uterine malformations and synechiae. As for ovarian lesions we noted cysts, polycystic ovary syndrome (PCOS), ovarian endometriosis, non-follicular ovaries and tubal ultrasound lesions showed unilateral or bilateral hydrosalpinx. Conclusion: In our study, ultrasound was an invaluable contribution to the diagnosis of the causes likely

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Section: Discussionsupporting

confidence: 91%

Ultrasound Causes of Female Infertility at the Fertilia Medical Clinic in Bamako

Dembele,

Kouma,

Guindo

et al. 2023

OJMI

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“…Les fluoroquinolones (ofloxacine, ciprofloxacine) avaient l'activité la plus faible vis-à-vis des souches de U. urealyticum (15%) ; cette activité était moyenne sur les souches de M. hominis (59% et 63%). (Karou et al, 2012 ;Gandji et al, 2013 ;Diaz et al, 2013 ;Diop-N'diaye et al, 2014 ;Xiaofei et al, 2016). Ces résultats sont contraires à celui de Ouégnin et al 2008 (Waites et al, 2012).…”

Section: Sensibilité Aux Antibiotiquesunclassified

Etude de la sensibilité aux antibiotiques des mycoplasmes isolés de spermes à Abidjan

Kouassi-Agbessi¹,

Cablan²,

Krizo³

et al. 2019

Int. J. Bio. Chem. Sci

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Les mycoplasmes sont des bactéries du tractus uro-génital souvent associés à l'infertilité masculine. Au plan thérapeutique, des résistances acquises vis-à-vis des antibiotiques ont été rapportées. Ce travail avait pour objectif de déterminer le niveau de sensibilité des mycoplasmes uro-génitaux isolés au cours de la spermoculture. L'étude rétrospective, a porté sur 313 mycoplasmes identifiés grâce au kit Mycoplasma IST 2 (Biomérieux, Réf 42 505). Ce kit permet la quantification différentielle, l'identification de Ureaplasma urealyticum, et Mycoplasma hominis, ainsi que l'étude de la sensibilité à neuf antibiotiques (josamycine, azithromycine, érythromycine, clarithromycine, pristinamycine, tétracycline, doxycycline, ofloxacine etciprofloxacine). Ureaplasma urealyticum a été identifié dans 245 échantillons (78,3%) et Mycoplasma hominis dans 27 (8,6%). La co-infection (Ureaplasma urealyticum/Mycoplasma hominis) a été retrouvée chez 41 patients (13,1%). La josamycine était active sur l'ensemble des germes avec des sensibilités respectives de 90,2% et 92,6% pour Ureaplasma urealyticum et pour Mycoplasma hominis. L'activité des cyclines sur Ureaplasma urealyticum était bonne tandis que celle des fluoroquinolones était médiocre. La pristinamycine était efficace sur Mycoplasma hominis (70%). L'étude a montré que la josamycine était active sur l'ensemble des mycoplasmes, les cyclines conservaient une bonne efficacité sur Ureaplasma urealyticum contrairement aux fluoroquinolones. Ces variations de sensibilité justifient l'intérêt de l'identification des deux espèces et l'étude de la sensibilité pour une bonne prise en charge de ces infections.

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“…The combined frequency of Mycoplasma hominis and Ureaplasma urealyticum in vaginal swabs was 7% in a 2009 study conducted in Burkina Faso [7]. In Benin, 35.1% of people tested positive for mycoplasma [8]. It was discovered that 71.4% of women living with Human Immunodeficiency Virus (HIV) in Cameroon also had mycoplasma infections [9].…”

Section: Introductionmentioning

confidence: 99%

Antibiotics Resistance of Urogenital Mycoplasma in Sexually Active Women Attending Gynecologic Consultation in Douala (Cameroon)

Nda Mefo’o,

Notio,

Nkwele

et al. 2023

AiM

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Introduction: Mycoplasmas are bacteria commonly found in the commensal flora of humans and can occasionally be pathogenic. The population and the geographical area determine their susceptibility to various antibiotics. Methodology: We carried out a cross-sectional study from January to June 2022 at the Douala General Hospital. All women who were sexually active and willing to participate were included. Endo-cervical swabbing was used to collect the samples. Culture and antibiotic susceptibility testing were performed in a liquid medium using Mycoplasma-SystemPlus Gallery (Liofilchem). All samples that degraded urea (threshold > 10 3 for Ureaplasma urealyticum) and arginine (threshold > 10 4 for Mycoplasma hominis) were deemed positive.Results: A total of 107 women with a median age of 33 ± 8.3 years and a predominance of 30-40 years (41.1%) were included. The frequency of mycoplasma infection was 73.8% with 34.1%, 11.4% and 54.4% for Ureaplasma urealyticum, Mycoplasma hominis and co-infection respectively. Resistance rates to Minocycline were low, 1.3% for Ureaplasma urealyticum and 3.7% for co-infection; for Pefloxacin the resistance rates were 3.7% (Ureaplasma urealyticum, Mycoplasma hominis) and 22.8% (co-infection). Ureaplasma urealyticum had a resistance rate of 3.7% for Erythromycin, 1.

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Survenue des obstructions tubaires chez les femmes à Cotonou (Bénin) : rôle des bactéries

Cited by 5 publications

References 1 publication

Ultrasound Causes of Female Infertility at the Fertilia Medical Clinic in Bamako

Ultrasound Causes of Female Infertility at the Fertilia Medical Clinic in Bamako

Etude de la sensibilité aux antibiotiques des mycoplasmes isolés de spermes à Abidjan

Antibiotics Resistance of Urogenital Mycoplasma in Sexually Active Women Attending Gynecologic Consultation in Douala (Cameroon)

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