title: [Obstetric endometritis at the UTH-Yalgado Ouedraogo of Ouagadougou (Burkina Faso): about the management of 102 cases].
abstract: This is a descriptive cross-sectional study over a nine months period conducted at the UTH-Yalgado Ouédraogo from all patients in whom the diagnosis of endometritis at obstetrical been laid. Endo-cervical and vaginal swabs were taken from all these patients. Commensal bacteria and anaerobes were investigated in the laboratory. During the study period, 102 cases of obstetric endometritis were recorded that to say a frequency of 1.4% of admissions. The average age of patients was 25.2 years [17-43]. The childbirth mean was 2.5 ± 2 [0-7]. The reason for consultation was dominated by hyperthermia in 98% of cases. The bacterial ecosystem was mainly dominated by Escherichia coli (49.2%), Staphylococcus aureus (29.5%), Streptococcus sp (4.9%). The acid + amoxicillin clavulanic showed low activity on most germs. The average hospital stay of patients was 6.30 days [1-33]. A maternal death was recorded in 3 patients that to say fatality rate of 2.9%. The lethality of endometritis at the UTH-Yalgado Ouedraogo is greater than the rate of 1% allowed by WHO. The resistance of germs is high enough with amoxicillin. The systematization of the bacteriological study is expected to guide the antibiotic to help better fight against maternal mortality.
authors.affiliation: Université de Ouagadougou, Burkina Faso, 04 BP 8201, Ouagadougou 04, Burkina Faso. ocharlemagne@yahoo.fr.
authors.forename: C M R
authors.initials: CM
authors.lastname: Ouédraogo
authors.affiliation: Département de gynécologie et d'obstétrique du CHU-YO, Ouagadougou, Burkina Faso.
authors.forename: A
authors.initials: A
authors.lastname: Ouattara
authors.affiliation: Département de gynécologie et d'obstétrique du CHU-YO, Ouagadougou, Burkina Faso.
authors.forename: A
authors.initials: A
authors.lastname: Sana
authors.affiliation: Département de gynécologie et d'obstétrique du CHU-YO, Ouagadougou, Burkina Faso.
authors.forename: A
authors.initials: A
authors.lastname: Ouédraogo
authors.affiliation: Département de gynécologie et d'obstétrique du CHU-YO, Ouagadougou, Burkina Faso.
authors.forename: D P
authors.initials: DP
authors.lastname: Kain
authors.affiliation: Département de gynécologie et d'obstétrique du CHU-YO, Ouagadougou, Burkina Faso.
authors.forename: E
authors.initials: E
authors.lastname: Komboigo
authors.affiliation: Département de bactériologie et de virologie du CHU-YO, Ouagadougou, Burkina Faso.
authors.forename: L
authors.initials: L
authors.lastname: Sangaré
authors.affiliation: Département de gynécologie et d'obstétrique du CHU-YO, Ouagadougou, Burkina Faso.
authors.forename: J
authors.initials: J
authors.lastname: Lankoandé
mesh_terms: D000293:Adolescent; D000328:Adult; D002050:Burkina Faso / Q000453:epidemiology; D003430:Cross-Sectional Studies; D004716:Endometritis / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology*; D004927:Escherichia coli Infections / Q000188:drug therapy / Q000453:epidemiology; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008428:Maternal Mortality; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000453:epidemiology; D013290:Streptococcal Infections / Q000188:drug therapy / Q000453:epidemiology; D055815:Young Adult
keywords: Bacteriology; Burkina Faso; Hospital; Lethality; Obstetric endometritis; Ouagadougou; Sub-Saharan Africa