Search

OBJECTIVE: The aim of our study was to evaluate the frequency, type, and risk factors associated with adverse drug reactions (ADRs) in HIV-positive children with adherence to antiretroviral therapy (ART) at the Unit of Care and Accompaniment for People Living With HIV (USAC) of Bamako. METHODS: A cross-sectional study was conducted at USAC of Bamako from May 1, 2014, to July 31, 2015. We included children aged 1 to 14 years with at least 6 months of ARV treatment initiated at USAC, with or without ADRs. Data collection was based on information collected from parents and clinical/biological assessments. RESULTS: Median age of participants was 36 months and female sex was predominant (54.8%). Poor adherence during the study was observed in 15% of cases. Of patients in the study, 52% had a CD4 count less than 350 cells/mm(3) at the time of adverse events. In bivariate analysis, we found that participants with adherence to ART tended to be younger than those with non-adherence to ART (36 vs 72 months, p = 0.093). In multivariable analysis, prophylactic treatment was the only factor marginally associated with ART adherence in HIV patients (p = 0.09). No other adverse biological effects or clinical conditions were associated with ART adherence in this study. CONCLUSIONS: In this study we found that ADRs were frequent in HIV-positive patients but less frequent in ART-adherent HIV-positive children. Therefore, it is essential to regularly monitor children receiving ARVs to detect and treat the complications associated with these therapies according to ART adherence.

L’eau chlorée est un désinfectant efficace et facile à préparer. Le département de la pharmacie du Centre Hospitalier Universitaire Sourou Sanou (CHUSS) est chargé de la préparation de l’eau chlorée qui est utilisée dans les services de l’hôpital depuis 2003. La qualité chimique, les conditions de production et d’utilisation de cette eau chlorée demeurent inconnues alors que les normes de bonnes pratiques exigent un contrôle de qualité de la production et de l’utilisation. Le but de cette étude était de contribuer à évaluer la qualité de l'eau chlorée et les conditions d’utilisation au CHUSS.Il s’agissait d’une enquête sur les conditions de production, d’utilisation et une analyse chimique de la qualité de l’eau chlorée. L’étude s’est déroulée du 1er Juillet au 30 Septembre 2014 au CHUSS.Elle a révélé que la production de l’eau chlorée ne respectait pas les recommandations du fabricant de l’appareil de production. La concentration moyenne en chlore actif mesurée à la production (2,74 ± 0,25 g/L) était inférieure à celle attendue (5 g/L). Le pH de l’eau chlorée à la production était de 8,42 ± 0,03. Les conditions d'utilisation étaient parfois non conformes. Des travaux ultérieurs sur l’efficacité microbiologique de cette eau chlorée doivent être envisagés. Mots-clés: désinfectants, eau chlorée, productions, utilisation, CHUSS. English Title:Study of the quality of chlorinated water and the conditions of use at the Sourou Sanou University Hospital Center (CHUSS) in Bobo-Dioulasso. English Abstract Chlorinated water is an effective disinfectant and easy to prepare. The pharmacy department of the University Hospital Center of Sourou Sanou (CHUSS) is responsible for the preparation of chlorinated water which has been used in hospital departments since 2003. The chemical quality, the conditions of production and use of this chlorinated water remains unknown. However, good practice standards require quality control of production and use. The aim of this study was to help assess the quality of chlorinated water and the conditions of use at CHUSS. It was a survey on the conditions of production, use and a chemical analysis of the quality of chlorinated water. The study took place from July 1 to September 30, 2014 at CHUSS. The investigation revealed that the production of chlorinated water did not meet the recommendations of the manufacturer of the production device. The average concentration of active chlorine measured at production (2.74 ± 0.25 g / L) was lower than that expected (5 g / L). The production pH of chlorinated water was 8.42 ± 0.03. The conditions of use were sometimes non-compliant. Further work on the microbiological effectiveness of this chlorinated water should be considered. Keywords: disinfectants, chlorinated water, production, utilisation, CHUSS

The continuous degradation of agroecosystem is a major concern for Sub-Saharan African countries, particularly Burkina Faso. To fight against this agroecosystem degradation, SWC such as stone rows, grass strips, zaï, filtering dikes, half-moons and agroforestry had been introduced in the Yatenga Province in Northern Burkina Faso several decades ago. Decades after introduction of SWC practices, a survey was conducted with 120 farmers equally distributed in four villages in the region to learn the farmers’ perceptions of the effects of these practices on their farms. Results revealed a higher proportion of men in the study sites (63%) compared to women. The largest difference in proportions between surveyed men and women was observed in Bogoya where only 22% of the surveyed persons were women. The average years of the respondents across villages was 53 years with 57% of farmers being members of at least one farmer organization. The proportion of educated farmers was 73% and those who received training in SWC techniques represented 36%. Results indicated that white grain sorghum and pearl millet were the main crops produced by 95% of farmers and stone rows and zaï were the dominant SWC techniques used by 77-80% of farmers. Data from the survey indicated a fairly high proportion of big ruminant breeders and small ruminant breeders as well. In fact, 79% of farmers bred big ruminants and 78% bred small ruminants. The main beneficial and direct effects of SWC techniques perceived by farmers was their capacity to improve soil fertility, recover soil, reduce water run-off, and allow good water infiltration in the field, thus improving soil productivity. Farmers pointed out indirect effects of SWC practices on livestock by the regeneration and increase of grass, tree and small shrub biomass available to improve animal growth and health. However, some farmers commented that the long-term use of zaï could lead to soil degradation. The study showed that farmers did perceive the beneficial effects of SWC practices and that greater extension and adoption will only be achieved if they could still receive training, financial and equipment supports.

Erythrina senegalensis DC (Fabaceae) is a plant used in traditional medicine in Burkina Faso (West Africa) to cure several diseases such as malaria, rheumatism, abdominal pain, fibroma and infections which are always accompanied by oxidative stress. This study aimed to highlight the antioxidant activities in dichloromethane (DCM) and ethyl acetate (EtOAc) extracts of E. senegalensis stem bark and roots. We used the 1, 1 diphenyl-2-picryl hydrazyl (DPPH) radical scavenging test and the 12-lipoxygenase I-B inhibitory method. We previously characterized the phytochemical groups by thin layer chromatography and colored reactions in tubes. The extracts in DCM (IC50-root: 5.18 ± 0.06 and IC50-bark: 5.76 ± 0.68) showed strong scavenging activity. However, as a 12-lipoxygenase inhibition, the DCM extracts were almost inactive. The EtOAc extracts from root (IC50-LOX: 7.21 ± 2.31; IC50-DPPH: 7.27 ± 0.13) and from stem bark (IC50-LOX : 4.95 ± 1.12; IC50-DPPH : 11.4 ± 1.3) presented both the radical scavenging and the 12-lipoxygenase inhibitory effects. Polyphenols (flavonoids, tannins), steroids and terpenoids characterized in all extracts may be involved in the observed 12-lipoxygenase inhibition and radical scavenging. Key words: E. senegalensis, antioxidant, 12-lipoxygenase I-B inhibitory.

The continuous degradation of agroecosystems is a major concern for Sub-Saharan African countries, particularly Burkina Faso. To fight against this problem, various research projects and programs have implemented S oil and W ater C onservation practices (SWC) in Northern Burkina Faso. The objective of this study was to assess the economic performance of stone rows, grass strips, zai, filtering dikes, half-moons and agroforestry on agricultural production in this part of Burkina Faso. Stochastic Frontier Analysis was used to estimate SWC’s technical efficiency. Results indicated that the cost for SWC construction did not influence white sorghum and pearl millet yield. However, an increase of 1% in the investment for SWC implementation results in a 0.42% increase in groundnut yield and 0.19% in cowpea yield. Although, the half-moon technique had a positive effect on the farmer’s technical efficiency, the effects of stone rows, filtering dikes, zai and grass strips were not significant. Given the tremendous efforts that farmers develop to implement these anti-erosion practices, one recommendation is that policy makers strengthen the technical, financial and equipment supports to farmers for efficient implementation of SWC techniques to ensure sustainability of agricultural production systems in Northern Burkina Faso.

To ensure the safety and effectiveness of drugs delivered to patient, certain references of medical prescription are made compulsory by law. This study aimed to check the regulatory compliance of medical prescriptions in the city of Bobo - Dioulasso (Burkina Faso). A descriptive cross-sectional study was undertaken between June and September 2015 to analyze digitized prescriptions in private pharmacies chosen randomly. The regulatory compliance was checked according to the standards of the country. Prescriptions originated from private health structures (34.11%) and first level public ones (17.54%). The qualification of the prescriber was missing on 68.4% of prescriptions and if mentioned it was the fact of physicians (18.92%), nurses (12.15%) and midwives (0.55%). Omissions were related to the identity of the prescriber and patient characteristics. About 64.2% of prescriptions were unreadable. The study has revealed a low compliance of medical prescriptions in Bobo-Dioulasso that can be improved through the sensitization and retraining of prescribers in this city.