[About 98 cases of dengue hospitalized in a private clinic of Ouagadougou: epidemiology, diagnostic and evolution]

Bull Soc Pathol Exot. 2017 Dec;110(5):291-296. doi: 10.1007/s13149-017-0585-7. Epub 2018 Jan 4.
[Article in French]

Abstract

Extremely widespread, the dengue is a reemerging infectious disease. In Burkina Faso, dengue is a reality that was little known. The aim of this study was to study epidemiology, diagnostic and outcomes of dengue patients in Ouagadougou. A retrospective study covered a period of two years, from 1 January 2013 to 31 December 2014 in a private clinic in Ouagadougou. Patients included in the study were hospitalized for fever and painful syndrome with a positive test to the dengue non-structural antigen 1 (NS1 Ag). Ninety-eight cases of dengue on 343 suspected cases were registered. The average age of patients was 35.9 years. The sex-ratio (M/F) was 1.18. According to the professional activity, there was a predominance of civil servants (35.7%). The pain syndrome was found in 93.9% of patients. Leukopenia (73.5%), neutropenia (56.1%) and severe thrombocytopenia (57.1%) were the predominant hematological disturbances. Of the patients, 18.4% had hemorrhagic dengue and 11.2%, a dengue shock syndrome. Four patients died. The use of non-steroidal antiinflammatory drugs was associated with the severity of the infection (p=0.04). Dengue fever occurs in our context and constitutes a risk of mortality. The diagnosis of dengue should be performed systematically in front of a painful and febrile syndrome. The vector control is the best way of prevention against dengue pending the development of a vaccine.

Keywords: AgNS1; Burkina Faso; Dengue; Ouagadougou; Private clinic; Rapid Diagnostic Test; Sub-Saharan Africa.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Burkina Faso / epidemiology
  • Child
  • Child, Preschool
  • Dengue / diagnosis*
  • Dengue / epidemiology*
  • Dengue / pathology
  • Disease Progression
  • Female
  • Hospitalization / statistics & numerical data*
  • Hospitals, Private
  • Humans
  • Male
  • Middle Aged
  • Retrospective Studies
  • Young Adult