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The aim of the study was to describe hydrocelectomy under local anesthesia in the health district of Kolondièba. This was a cross-sectional (analytical) study by exhaustive survey. The study took place in two phases: a collection phase from November 6 to 13, 2017 and a phase devoted to encoding, entry, purification, data analysis and writing from November 20 to November 15. December 2017. Included in this study are all patients operated on for filarial hydrocele, i.e. 42 patients. We proceeded by a purposive sampling by taking all patients with a filarial hydrocele whose age is greater than 11 years. The average age was 59 years old and 78.6% were married men. Farmers accounted for 69%. The duration of evolution of the hydrocele varied between 5 to 10 years. Half of the patients had grade 2 hydroceles. The impact of the hydrocele on their patients' work was found in 69% of cases and 73.8% had an impact on their sexual life. Total vaginal resection using the Winckelmann technique was performed in 90.5% of cases. The average duration of hydrocelectomy was 30 minutes in 97.6% of cases. A significant link between the quantity of fluid and the impact of hydrocele on work was found (P= 0.010 which is less than 5%). Filaricele surgery requires a good knowledge of the anatomy of the male reproductive system, mastery of surgical techniques, potential complications that may arise during the operation and adequate equipment. The vaginal resection technique is the one commonly used, recommended by WAHO and WHO.

Background: Escherichia coli is the main bacterium responsible for uncomplicated urinary tract infections (UTI). The increasing frequency of antibiotic resistance in E. coli isolates from UTI poses concern in their therapeutic management. The aim of this study is to describe the current antibiotic resistance profile of E. coli clinical isolates at the Yalgado Ouedraogo University Hospital of Ouagadougou (CHUYO), Burkina Faso, with a view to revising the treatment protocols for bacterial UTI. Methodology: This was a retrospective review and descriptive study of all E. coli isolates from febrile UTI at CHUYO from January 2010 to December 2021. During this period, two techniques were used to perform antibiotic susceptibility test; agar diffusion from 2010 to 2018 and commercial liquid susceptibility testing from 2019 to 2021 using the BD Phoenix M50 automated system. The detection of ESBLs was performed using the Expert System of the automated system or a synergy test combining an amoxicillin-clavulanic acid and a 3 rd generation cephalosporin (3GC) disc. Results: A total of 2055 non-repetitive strains of E. coli were isolated from UTI over the period of study, with 62.0% (1274) of isolates resistant to 3GC. Resistance to 3GC by ESBL production was the most dominant mechanism in 83.1% of cases (1059/1274). Among the 781 (38.0%) 3GC-susceptible isolates, there were high resistance rates to ampicillin (75.2%) and cotrimoxazole (60.2%), but these isolates retained full susceptibility to imipenem (carbapenem) and fosfomycin. As for the 3GC-resistant strains, there was high resistance to cotrimoxazole (93.0%) and ciprofloxacin (90.3%) but relatively low to medium resistance to gentamicin (56.0%) and amikacin (26.3%), and low resistance to nitrofurantoin (10.0%), fosfomycin (6.1%) and imipenem (4.2%). About one third (31.7%) of all the isolates tested were resistant to both ceftriaxone and gentamicin. Conclusion: In view of the results, the implementation of rapid diagnostic tools such as the β-lactamase test to guide empirical antibiotic therapy is essential for an early and efficient management of febrile UTI at the local level in Burkina Faso.

Strangulation of the penis by a metal ring is a rare situation in urology. It requires emergency care because it can jeopardize the functional prognosis of the penis. We report the case of strangulation of the penis by a metal steel ring associated with a right inguino-scrotal hernia from which we will present the non-surgical management of this urological emergency.

Objectif : Nous avons conduit une étude rétrospective, descriptive pour étudier les caractéristiques épidémiologiques, cliniques et paracliniques des patients décédés dans le service. Patients et méthode : Nous avons colligé les dossiers des patients décédés au cours de leur hospitalisation dans le service de pneumo-phtisiologie du centre hospitalo-universitaire du point G entre juin 2010 et juin 2012. Résultats : Sur un total de 1025 patients hospitalisés pendant la période d’étude, 307 sont décédés soit une fréquence de 29,95%. Seuls 189 dossiers répondaient à nos critères soit 18,44%. La mortalité globale était de 29,95%, avec une prédominance du sexe masculin (sex-ratio = 3,39). La tranche d’âge la plus élevée était de 60 à 90 ans (32,3%) des cas. Une radiographie thoracique de face pathologique dans 98,4% des cas avec des opacités occupant au moins les 2/3 du champ pulmonaire dans 39,8% et bilatérales dans 66,7% des cas. La durée moyenne de séjour dans le service était de 18,6 jours. La tuberculose était le diagnostic de deces le fréquemment retrouvée avec 28% des cas. Conclusion : Malgré les efforts fournis dans le cadre des objectifs du millénaire, notre pays continu à payer un lourd tribut à la Tuberculose.

To improve the productivity and sustainability of cotton and cereals based system, direct sow ing under mulch was tested for its efficacy on cotton and maize yields on the research station of Farako - Bâ, in Western Burkina Faso. The experimental design was a complete randomized blocks of Fisher with four replications. Conventional tillage by annual moldboard plowing (T7) was compared with direct sowing under mulch -based cropping system (DMC) using maize association with cover crop s defined as: maize without cover crop (T1), maize +Brachiaria ruziziensis(T2), maize + B. ruziziensis+ Mucuna cochinchinensis (T3), maize + B. ruziziensis+ Panicum maximum (T4), maize + B. ruziziensis + Stylosantes hamata (T5), and maize + Crotalaria juncea (T6). Cover crops were planted 21 days after maize emergence between the rows of this main crop. The biomass produced by the cover crops and maize straws were evaluated as well as maize and cotton yields, during the first 6 years of the study, from 2010 to 2015. Results showed that among cover crops, the biomass production was significantly lower with C. juncea. The associations of cover crops with maize increased significantly the production of total dry matter compared to plots without cover crops, in the conventional tillage. Association with cover crops did not influence significantly nitrogen, phosphorus and potassium contents of maize and the maize’s yields even if the depressive effects were recorded. Compared to the conventional tillage, the DMC appeared also effective on seed cotton yields even without a significant improvement during the 6 first years of the study . These promising results, confirm the feasibility in tropical conditions of DMC which must be continued to better analyze its long-term effects on soil properties. Made available in DSpace on 2018-01-16T23:20:27Z (GMT). No. of bitstreams: 1 Efficacyoftheassociationofcovercrops.pdf: 583116 bytes, checksum: c706c81e92e379b67da7fa9301346339 (MD5) Previous issue date: 2018-01-16