[Screening for HIV, syphilis, Chlamydia trachomatis and Neisseria gonorrhoreae during a combined survey conducted in Malicouna, a Senegalese rural area]. / Dépistage du VIH, de la syphilis, des infections dues à Chlamydia trachomatis et à Neisseria gonorrhoreae au cours d'une enquête combinée conduite à Malicounda, une zone rurale du Sénégal.

To implement a second-generation HIV surveillance, through a prevention programme of HIV and sexually transmitted infections (STIs), Senegal conducted a combined survey from 2003 September 2 to October 5 in Malicounda located in the region of Thiès in the center of Senegal. The objectives of this study were to collect data on sexual behaviours and prevalence of HIV gonorrhoea, Chlamydia infections and syphilis in the community. After obtaining their informed consent, 679 people were interviewed among whom 617 accepted blood sampling and 619 accepted urine sampling, that is to say an acceptance rate of 90% and 91% respectively. Women reported having fewer sexual risk behaviours than men. However, when having sexual risk behaviour men only reported using condoms. Overall, the prevalence of HIV as well as the prevalence of STI are low: 0.5% for HIV, 0.9% for syphilis, 0.3% for Chlamydia trachomatis and 0.2% for Neisseria gonorrhoea. In this study, the small numbers of cases of infection identified did not allow to analyse the influence of sexual behaviour at risk on the occurrence of these infections.

[Glimpse of infectious diseases associated with HIV infected patients at general surgery department]. / Aperçu des pathologies infectieuses associées au terrain du VIH dans un service de chirurgie générale.

UNLABELLED: Because surgery is a bloody treatment its constitutes a situation of risk trannsmissibles disease like viral infections in peculiar the HIV. PURPOSE: To identify infectious pathologies associated with the ground with the HIV-infected patients and to report socio-demographic characteristics of the infected patients. METHOD: This descriptive and analytical study covered one period active of January 1, 1995 to December 31, 2005. We exploited the data base of the laboratory of bacteriology and virology of the CHU Aristide Dantec of Dakar. Thus on 530 requests for serology coming from the department of general surgery, 61 was positive with the HIV. And among these 61, 32 (52,4%) had an infectious disease and were the subject of this present study. RESULTS: There are 19 (59,3%) men and 13 (40,7%) women including 30 Senegalese, 1 Rwandan and 1 Guinean with an average age of 41,1+/-13,1 years. The housewives (7 cases), the tradesmen (5 cases) and the craftsmen/workers (5 cases) constituted the most represented professions. Matrimonial status was distributed as follow: 20 (62,5%) married, 6 (18,9%) unmarried, 2 (6,2%) widowed, 2 (6,2%) divorced, and for 2 (6,2%) patient this status was not specified. The HIV 1 was found at 25 (78,2%) patients, the HIV 2 at 5 (15,6%) patients and the association of the two viruses at 2 (6,2%) patients. Twenty seven (84,4%) patients was received in emergency and 5 (15,6%) had a programmed intervention. Suppuratives diseases of the proctologic area were in the first rang with 10 (31,2%) cases, followed by pleuro-pulmonary suppuratives diseases, 8 (25%) cases, then of the suppuratives wound infections, 6 (18,8%) and finally of the intra abdominal suppuratives infections and of the candidosis of the esofagus, 4 (12,5%) cases each one. CONCLUSION: Socio-demographic characteristics of HIV-infected patients and presenting a suppurative disease "surgical" is identical to those of the other HIV positive patients. These patients were generally received in an emergency context for anorectal, pleuro-pulmonary or parietal suppuratives diseases.