Itineraires Therapeutiques Pluriels Et Recours Tardif Des Malades De L’ulcere De Buruli Dans Les Centres De Prise En Charge Dans Le District Sanitaire De Yamoussoukro (Côte d’Ivoire)

Buruli ulcer is an infectious disease caused by Mycobacterium ulcerans. It begins with a lump, swelling, skin plate and progresses to severe ulceration and disabling sequelae . For over a decade, it is a real public health problem in Côte d'Ivoire. The institutions responsible for the fight against this disease advocate for patients in endemic areas early case detection and immediate recourse to specialized care centers. Despite this recommendation, the therapeutic itinerary of patients is multimodal. This study aims to analyze the therapeutic itinerary plural sick of Buruli ulcer and to determine the factors that justify the paradoxes and contradictions between state recommendations and behaviors of patients. It took place in three support centers in the health district of yamoussoukro. In a qualitative approach, with observation checklists, interview guides, this study was conducted with 50 patients, 18 healers in the care center and 4 traditional healers. Patients rely successively, alternatively or additionally to the African medicine and care center. Traditional medicine is the first therapeutic choice for most patients. The proximity of traditional healer, cultural beliefs and representations related to the disease, the constraints of hospitalization, ignorance of the disease make account plural therapeutic itineraries sick of Buruli ulcer.The patients do not adhere to early detection and immediate access to health care centers. Free medical care for Buruli ulcer is fraught with difficulties because of patient behaviors. The hospital management does not consider the social environment of patients and the relationship between the disease and culture that influence the therapeutic itinerary of patients.

Download Full-text

Itineraires Therapeutiques Des Malades De L’ulcere De Buruli Et Difficultes De Prise En Charge Hospitaliere A Djekanou (Cote d’Ivoire)

European Scientific Journal ESJ ◽

10.19044/esj.2017.v13n3p197 ◽

2017 ◽

Vol 13 (3) ◽

pp. 197

Author(s):

Adjet A. Abel

Keyword(s):

Cote D'ivoire ◽

Côte D’Ivoire ◽

Health Workers ◽

Care Center ◽

Significant Proportion ◽

Public Health Problem ◽

Prise En Charge ◽

Cote D’Ivoire ◽

Awareness Campaigns ◽

Côte D'ivoire

Among the neglected tropical disease, Buruli ulcer (BU) is a real public health problem in Côte d'Ivoire. Facing this pathology, international and national institutions to combat advocate for people in endemic areas early detection and immediate use of support centers at the first signs. However, patients continue to attend late care centers with large ulcerative lesions. Therefore, healing requires a long-term hospitalization that requires medical and surgical treatment. The main objective of this study is to analyze the factors that change the therapeutic route of BU patients and constraints socio - economic issues related to their hospitalisation. This is a qualitative and quantitative study. We used the technique of reasoned choice. It covered 55 patients met at the Djekanou care center in the Toumodi Health District. Data were collected through structured and semi - structured interviews based on questionnaires, individual interview guides and focus groups. A significant proportion of patients with BU are children and adolescents. The sick are accompanied by a parent who takes care of them. Awareness campaigns, community health workers, television and radio did not really help to change the therapeutic itinerary of patients. The patients encountered testify to the ineffectiveness of traditional care. The hospitalization of patients is marked by difficulties of several kinds.

Download Full-text

Case Report: A New Mycobacterium ulcerans Genotype Causing Buruli Ulcer in Côte d’Ivoire

American Journal of Tropical Medicine and Hygiene ◽

10.4269/ajtmh.20-1307 ◽

2021 ◽

Author(s):

Philippe Bahadoran ◽

Nassim Hammoudi ◽

Alice Gaudart ◽

Jamal Saad ◽

Yoan Di Filippo ◽

...

Keyword(s):

Case Report ◽

Cote D'ivoire ◽

Côte D’Ivoire ◽

Buruli Ulcer ◽

Opportunistic Pathogen ◽

Mycobacterium Ulcerans ◽

Rural Populations ◽

Whole Genome ◽

Cote D’Ivoire ◽

Côte D'ivoire

Mycobacterium ulcerans, the opportunistic pathogen causing Buruli ulcer, is reported to affect rural populations in 36 tropical countries. We report one case of Buruli ulcer in a peri-urban area in Côte d’Ivoire, confirmed by whole genome sequencing which indicated a M. ulcerans genotype previously unreported in Côte d’Ivoire.

Download Full-text

Detection of Mycobacterium ulcerans in Mastomys natalensis and Potential Transmission in Buruli ulcer Endemic Areas in Côte d'Ivoire

Mycobacterial Diseases ◽

10.4172/2161-1068.1000184 ◽

2015 ◽

Vol 05 (03) ◽

Cited By ~ 1

Author(s):

Christelle Dassi Lydia Mosi

Keyword(s):

Cote D'ivoire ◽

Côte D’Ivoire ◽

Buruli Ulcer ◽

Mycobacterium Ulcerans ◽

Mastomys Natalensis ◽

Cote D’Ivoire ◽

Côte D'ivoire ◽

Endemic Areas

Download Full-text

Multilocus VNTR analysis of Mycobacterium ulcerans strains isolated in Côte d’Ivoire

The Journal of Infection in Developing Countries ◽

10.3855/jidc.1364 ◽

2010 ◽

Vol 5 (01) ◽

pp. 059-063 ◽

Cited By ~ 3

Author(s):

Grossmann Marie-David Coulibaly-N´Golo ◽

Euloge Ekaza ◽

Bakary Coulibaly ◽

N’guetta Aka ◽

Raymond Kouassi N’Guessan ◽

...

Keyword(s):

Cote D'ivoire ◽

Tandem Repeats ◽

Côte D’Ivoire ◽

Buruli Ulcer ◽

Variable Number ◽

Mycobacterium Ulcerans ◽

Clinical Samples ◽

Bacterial Strains ◽

Cote D’Ivoire ◽

Côte D'ivoire

Introduction: Buruli ulcer, caused by Mycobacterium ulcerans, is endemic in more than 30 countries worldwide, with Côte d'Ivoire being among the most affected countries. Methodology: We used seven variable number of tandem repeats (VNTR) markers and analyzed 114 samples from 11 Ivorian localities consisting of 33 bacterial strains and 81 clinical samples. Complete data sets at loci 1, 6, 9 and 33 were obtained for 18 of these strains (n = 15) and samples (n = 3) collected in each of the localities. Results: All the strains had allelic profile [3113], corresponding to the previously described Atlantic Africa genotype. Conclusion: Sequencing of PCR products at all loci showed no variation in sequence or repeat number, underlining the genetic monomorphism of M. ulcerans in Côte d'Ivoire.

Download Full-text

Confirming Autochthonous Buruli Ulcer Cases in Burkina Faso, West Africa

American Journal of Tropical Medicine and Hygiene ◽

10.4269/ajtmh.20-0895 ◽

2021 ◽

Author(s):

Anselme Millogo ◽

Dezemon Zingue ◽

Amar Bouam ◽

Sylvain Godreuil ◽

Michel Drancourt ◽

...

Keyword(s):

West Africa ◽

Burkina Faso ◽

Cote D'ivoire ◽

Côte D’Ivoire ◽

Buruli Ulcer ◽

Mycobacterium Ulcerans ◽

Chain Reaction ◽

Cote D’Ivoire ◽

Côte D'ivoire ◽

Polymerase Chain

Environmental Mycobacterium ulcerans causes a disabling skin disease called Buruli ulcer. Recent studies completed the knowledge of the evolving geographic extension and epidemiology of Buruli ulcer in West Africa, where Côte d’Ivoire is reporting the highest number of cases. We report seven polymerase chain reaction-documented patients in Burkina Faso, a neighboring country of Côte d’Ivoire, where previously Buruli ulcer cases were confirmed primarily using clinical arguments.

Download Full-text

Integrated approach in the management of skin NTDs: Situational analysis of the integrated screening campaigns of skin diseases (leprosy, Buruli ulcer and yaws) in three health districts of Côte d’Ivoire

10.21203/rs.2.13484/v1 ◽

2019 ◽

Author(s):

Aboa Paul Koffi ◽

Théodore Ange Kouakou Yao ◽

YVES Thierry BAROGUI ◽

Roch Christian Johnson ◽

Gabriel Diez ◽

...

Keyword(s):

Capacity Building ◽

Cote D'ivoire ◽

Côte D’Ivoire ◽

Skin Diseases ◽

Buruli Ulcer ◽

Integrated Approach ◽

Cote D’Ivoire ◽

Côte D'ivoire ◽

Integrated Screening ◽

Health Districts

Abstract BackgroundNeglected Tropical Diseases (NTDs) comprise 20 communicable diseases that are prevalent in rural poor and remote communities with less access to the health system. For an effective and efficient control, the WHO recommends to affected countries the implementation of integrated control interventions that take into account the different co-endemic NTDs in the same community. However, implementing these integrated interventions involving several diseases with different etiologies, requiring different control approaches and driven by different vertical programs remains a challenge. We report here the results and lessons learned from a pilot test of this integrated approach based on integrated screening of skin diseases in three co-endemic health districts of Côte d'Ivoire, a West African country endemic for Buruli ulcer, leprosy and yaw three skin NTDs. MethodThis cross-sectional study took place from April 2016 to March 2017 in 3 Districts of Côte d’Ivoire co-endemic for BU, leprosy and yaws. It was carried out in 6 stages: identification of potentially co-endemic communities; stakeholder training; social mobilization; mobile medical consultations; case detection and management; and a review meeting.ResultsIn total, 2310 persons were screened with skin diseases. Among them, 07 cases were diagnosed as Buruli ulcer. There were 30 leprosy cases and 15 yaws detected. Other types of ulcerations and skin conditions have been identified and represent the majority of cases detected. We learned from this pilot experience that integration can be successfully implemented in co-endemic communities in Côte d’Ivoire. Health workers are motivated and available to implement integrated interventions instead of interventions focused on a single disease. However, it is essential to provide capacity building, a minimum of drugs and consumables for the care of the patients detected, as well as follow up of detected patients including those with other skin conditions.ConclusionsThe results of this study show that the integration of activities can be successfully implemented in co-endemic communities under the condition of a staff capacity building and a minimal care of the detected patients.

Download Full-text