Etiologic Study of Genitourinary Infections in Women of Childbearing Age in Bobo-Dioulasso, Burkina Faso, 1992

Abstract
Background and Objectives: Genitourinary infections have a major impact on public health, especially in Africa. Relative distribution of the different pathogens is unknown in Bobo-Dioulasso. Goal: To describe the etiology of genitourinary infections, to establish the sensitivity ofNeisseria gonorrhoeaeto antibiotics, and to provide epidemiologic and biologic evidence to optimize the treatment of genitourinary infections. Study Design: Clinical and biologic diagnoses were performed on 223 women with genitourinary infections. Results: Etiologies found were trichomoniasis (27.8%), chlamydia (26.9%), bacterial vaginosis (19.7%), candidiasis (16.6), andN. gonorrhoeaeinfection (10.9%). Human immune deficiency virus antibodies were present in 42% of the patients. Spectinomycin or ceftriaxone should be recommended for the treatment of gonorrhoeae in Bobo-Dioulasso. Conclusions: The prevalence ofChlamydia trachomatisis higher than that ofN. gonorrhoeaein Bobo-Dioulasso. This should be taken into account in clinical management of sexually transmitted diseases in this setting.