[Management of sexually transmissible diseases in an urban environment in Cameroon in 1992]. / Prise en charge des maladies sexuellement transmissibles au Cameroun, en milieu urbain, en 1992.

During the progress, in 1989, of a programme of social marketing of condoms in Cameroon, it was obvious that this approach should be supplemented by a similar programme for the management of STD's. Nine surveys were carried out in 1992 in Yaounde and Douala in the sexually most active male population (in the general community, at the workplace and in the leisure environment) in order to collect the basic data necessary for its implementation. Treatment essentially consists of mono-chemotherapy with drugs which are generally inefficient against the two principal etiologies of urethritis: Neisseria gonorrhoeae and Chlamydia trachomatis. The cost of treatment is considered excessive and leads to poor follow-up of the complete prescription. Simultaneous treatment of partners should be developed. All these data have been taken into account for the elaboration of a pilot programme which should be implemented in 1993.

[Chlamydia trachomatis: a prevalence study among pregnant and infertile female patients and among men suffering from chronic urethritis]. / Chlamydia trachomatis: etude de la prevalence chez la femme enceinte, la femme infeconde, et l'homme souffrant d'une uretrite chronique.

PIP: In recent years, Chlamydia trachomatis infections have been found to be among the major causes of salpingitis throughout the world. In order to determine in the 1st trimester of pregnancy the prevalence of this infection in a previously unscreened population by direct immunofluorescence (Microtrak), we examined 3 groups: women (n=58), infertile women (n=87) and males with subacute urethritis (n=24). Infertility was defined as incapacity to achieve a pregnancy after 12 months of unprotected coitus; subacute urethritis patients had been treated previously for an acute disease and later presented with persistent urethral complaints. The overall prevalence of Chlamydia in all 3 population groups was 13.0% among 169 patients. This rate was divided as follows: pregnant women--8.6%; infertile women--11.5%; men with subacute urethritis--29.2%. Compared to the pregnant group, the infertile and subacute urethritis groups had a significantly high risk of harboring a chlamydial infection. In all female patients, the risk of chlamydial infection decreased with increasing parity, suggesting an association between chlamydial infection and infertility. (author's)^ieng