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Introduction: Smoking, a major preventable cause of morbidity and mortality is a real public health problem in the world. The objective was to establish the epidemiological profile of smoking among soldiers at Camp Almamy Samory Touré. Method: This was a descriptive cross-sectional study lasting 6 months in 2018 at Camp Almamy Samory Touré in Conakry including all serving soldiers, without distinction of age, sex, residence and who accepted freely to participate. Results: We investigated 384 soldiers, including 287 smokers, a prevalence of 75% and 97 non-smokers, 25%. The most represented age group was 31-40 years 25.5% with an average age of 38.95 ± 9.36 years. They were all male (100%) and the majority resided in Conakry 96.61%. The level of education was secondary followed by higher and primary respectively: 38.54%; 24.48% and 23.70%. Married people were more numerous 39.58% followed by single people 34.11%. The average age of onset of smoking among our soldiers was 18.86 ± 3.42 years. Leisure places 26.48% were the main place of initiation to tobacco smoking. The 38.46% of the military smoke 11-20 wicks of cigarettes per day. During the study, 55.93% of soldiers wanted to quit smoking now. Conclusion: The prevalence of smoking among soldiers at Camp Almamy Samory Touré in Conakry remains very high with a young and male predominance. Nearly 3/4 of the soldiers surveyed had smoked in the past and places of leisure were the main place of initiation to tobacco smoking. However, more than half of the soldiers now wanted to quit smoking after a good knowledge of the toxic effects of this practice. [ABSTRACT FROM AUTHOR]

Introduction: Smoking, a major preventable cause of morbidity and mortality is a real public health problem in the world., The Objective: was to establish the epidemiological profile of smoking among soldiers at Camp Almamy Samory Touré., Method: This was a descriptive cross-sectional study lasting 6 months in 2018 at Camp Almamy Samory Touré in Conakry including all serving soldiers, without distinction of age, sex, residence and who accepted freely to participate., Results: We investigated 384 soldiers, including 287 smokers, a prevalence of 75% and 97 non-smokers, 25%. The most represented age group was 31-40 years 25.5% with an average age of 38.95 ± 9.36 years. They were all male (100%) and the majority resided in Conakry 96.61%. The level of education was secondary followed by higher and primary respectively: 38.54%; 24.48% and 23.70%. Married people were more numerous 39.58% followed by single people 34.11%. The average age of onset of smoking among our soldiers was 18.86 ± 3.42 years. Leisure places 26.48% were the main place of initiation to tobacco smoking. The 38.46% of the military smoke 11-20 wicks of cigarettes per day. During the study, 55.93% of soldiers wanted to quit smoking now., Conclusion: The prevalence of smoking among soldiers at Camp Almamy Samory Touré in Conakry remains very high with a young and male predominance. Nearly ¾ of the soldiers surveyed had smoked in the past and places of leisure were the main place of initiation to tobacco smoking. However, more than half of the soldiers now wanted to quit smoking after a good knowledge of the toxic effects of this practice., (Le comité de rédaction se réserve le droit de renvoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de conserver un exemplaire du manuscrit, des figures et des tableaux.)

Introduction: Early neonatal bacterial infection (ENBI) is a major concern in neonatology. In Mali, no study had addressed this aspect, hence the initiation of this work to study the epidemiological-clinical, biological and bacteriological profile of ENBI., Materials and Methods: This was a descriptive longitudinal study that took place from june 27 to september 3, 2016 involving newborns aged ≤ 72 hours hospitalized for ENBI confirmed by blood culture in the neonatology service of the pediatrics department of the Center Hospitalier et Universitaire (CHU) Gabriel Toure in Bamako. The parameters studied were the socio-demographic and obstetrical characteristics of the mothers, the clinical, biological and bacteriological characteristics of newborns infected early., Results: Of the 324 blood cultures performed, 52 were positive, i.e. an ENBI frequency of 11.04%. The sex ratio was 1.3 with 73.1% low birth weight. On admission, 90.4% of newborns had less than 24 hours of life and 86.5% were births outside the CHU Gabriel Toure. The main clinical signs were hyperthermia or hypothermia and respiratory distress. The main bacteria isolated in blood culture were Staphylococcus aureus (55.8%), Klebsiella pneumoniae (13.5%) and Escherichia coli (07.7%). Sensitivity to first-line biantibiotic therapy (ceftriaxone + gentamicin) was low (63.6%) and that of amikacin was better (100%). Half of the newborns infected early died and 19.2% of exeat without medical agreement was recorded., Conclusion: Early neonatal bacterial infection is a major cause of neonatal morbidity and mortality. In our context, amikacin could be a better therapeutic alternative., (Le comité de rédaction se réserve le droit de renvoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de conserver un exemplaire du manuscrit, des figures et des tableaux.)

Background: Mortality among TB/HIV co-infected patients remains high in Africa. The study aimed to estimate survival and associated factors in a cohort of TB/HIV co-infected patients who started tuberculosis treatment during the Ebola outbreak in Conakry, Guinea., Methods: A prospective cohort study was conducted from April 2014 to December 2015. TB patients with HIV co-infection were enrolled at the University Hospital of Conakry. Survival and risk factors were analyzed according to Kaplan-Meier's method, log-rank test and Cox's regression., Results: Data from 573 patients were analyzed. From these, 86 (15.0%) died before the end of treatment, 52% occurring within eight weeks of treatment onset. Survival at 4, 12 and 24 weeks after the beginning of the TB treatment was 92%, 86% and 83%, respectively. Independent risk factors associated with death were in the cell CD4 <200 cells/mm 3 [adjusted hazard ratio (AHR): 2.25; 95% CI (confidence intervals): 1.16-4.37], opportunistic infections other than TB [AHR: 2.89; 95% CI: 1.39-6.02], and comorbidities [AHR: 4.12; 95% CI: 2.10-8.10]. An increase of one unit in hemoglobin [AHR: 0.81; 95% CI: 0.75-0.91] was protective of death., Conclusion: TB/HIV co-infected patients had a higher fatality rate during treatment of tuberculosis. Prevention of opportunistic infections, anemia and proper management of tuberculosis treatment in early comorbidities may improve survival for TB/HIV co-infected patients in restoring immune function., (Copyright © 2017 Elsevier Masson SAS. All rights reserved.)