Publications by authors named "Fiogbe A"

Drug-resistant tuberculosis (DR-TB) poses a significant public health challenge, particularly in resource-limited settings. The prevalence and management of DR-TB in African countries require comprehensive strategies to improve patient outcomes and control the spread of the disease. Aggregated routine data (from 2018 to 2022) on multidrug-resistant TB (MDR-TB) were collected from the National TB Programs (NTPs) from all six countries.

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The objective of this study was to assess tobacco use (TU) behaviors among newly diagnosed pulmonary TB (PTB) patients and identify associated factors in Benin and Burkina Faso. A cross-sectional study was conducted in 20 randomly selected TB clinics. To ensure a representative study cohort, clinics were stratified during the sampling process.

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Article Synopsis
  • - In Togo, the COVID-19 pandemic led to the implementation of two community-level treatment strategies for tuberculosis (TB): community health worker-based (CHW-DOT) and family-based (FB-DOT), evaluated from April 2021 to January 2022.
  • - A study involving 182 TB patients found that the CHW-DOT approach significantly improved sputum conversion rates and resulted in more favorable treatment outcomes compared to FB-DOT.
  • - Factors such as smoking status were crucial, with non-smokers showing notably better treatment results, indicating that incorporating smoking cessation support into the CHW-DOT approach could enhance TB treatment efficacy.
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  • * Out of 193 children evaluated, only 16.1% had confirmed TB, and the Ultra test showed a sensitivity of 55.0% and high specificity of 95.0%, indicating it may miss some TB cases while accurately identifying non-cases.
  • * The overall diagnostic yield of the Ultra test was 67.7%, which is slightly lower than the culturing method's yield of 70.9%, suggesting that Ultra may not be fully reliable for diagnosing TB in children.
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Background: The Epworth Sleepiness Scale (ESS) is a tool widely used to assess excessive daytime sleepiness. Unfortunately, it is not reliable in low-income countries where situations such as reading a book, watching TV or driving a car are not common. The aim of this study was thus to assess the performance of a modified version of the Epworth scale in a low-income country.

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  • A screening tool for obstructive sleep apnoea (OSA) was evaluated in an African population to determine its effectiveness compared to objective sleep recordings.
  • The study involved 1810 participants who underwent respiratory polygraphy and completed various OSA screening questionnaires, with scores being measured against the severity categories of OSA defined by their apnoea-hypopnoea index.
  • Results indicated that while all screening scores had low positive predictive values, the NoSAS8 score showed the best performance and is recommended for use in low-resource settings for OSA screening.
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  • The project aimed to implement contact investigation (CI) methods in national tuberculosis programs across eight countries, focusing on children under 5 years and people living with HIV (PLHIV).
  • Over 9,000 home and clinic visits were conducted, revealing that 2.6% of children and 10.1% of PLHIV screened were diagnosed with active TB, with a high treatment uptake for both groups.
  • The initiative showed that CI can be effectively scaled up within existing TB programs in several African countries, leading to a successful implementation in six out of the eight participating nations by the end of 2021.
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Background: The African continent is currently facing an epidemiological transition characterized by a shift from communicable to non-communicable diseases. Prominent amongst the latter are allergies and asthma. In that context, wheeze has multiple potential contributory factors that could include some of the endemic helminth infections, as well as environmental exposures, such as household air pollution.

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Context Bronchial cancer in a person under 30 years of age is quite rare. It generally occurs after 40 years of age following heavy smoking intoxication. We report a clinical case illustrating the early onset of a small cell lung carcinoma in young heavy smoker.

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Point-of-care ultrasound (POCUS) is an increasingly accessible skill, allowing for the decentralization of its use to nonspecialist healthcare workers to guide routine clinical decision-making. The advent of ultrasound-on-a-chip has transformed the technology into a portable mobile health device. Because of its high sensitivity to detect small consolidations, pleural effusions, and subpleural nodules, POCUS has recently been proposed as a sputum-free likely triage tool for tuberculosis (TB).

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Background: Data on the prevalence of sleep-disordered breathing (SDB) in the African general population are scarce, and a better understanding is urgently needed. Our study aimed to objectively determine the prevalence of, and factors associated with, SDB in a large sample in Benin, west Africa.

Methods: In the Benin Society and Sleep (BeSAS) cross-sectional study, participants aged 25 years and older were recruited from both urban and rural areas.

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Introduction: Exposure to electrical and electronic equipment waste (e-waste) has become a growing health concern. The objective of this study was to measure the effect of exposure to e-waste on respiratory symptoms and on lung function parameters in workers involved in informal recycling activities in Cotonou city, Benin.

Methods: This was a cross-sectional study, in which exposed e-waste workers in Cotonou city were randomly selected.

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Over the past 15 years, and despite many difficulties, significant progress has been made to advance child and adolescent tuberculosis (TB) care. Despite increasing availability of safe and effective treatment and prevention options, TB remains a global health priority as a major cause of child and adolescent morbidity and mortality-over one and a half million children and adolescents develop TB each year. A history of the global public health perspective on child and adolescent TB is followed by 12 narratives detailing challenges and progress in 19 TB endemic low and middle-income countries.

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Introduction: Contingency measures taken by governments with movement restrictions during the COVID-19 pandemic may create difficulties in conducting some field activities for TB control especially the supervision of Basic Management Units (BMUs). We described in this paper an innovative initiative to conduct remote supervision (Esupervision) using Information and Communication Technology tools.

Setting And Method: This initiative was conducted in Benin Republic.

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Sternal agenesis as well as ectopia cordis are extremely rare congenital malformations. We here report a single case treated in the Department of Paediatric Surgery in Benin. The study involved a 3-year-old girl with congenital sternal agenesis associated with ectopia cordis; firstly, she underwent controlled healing.

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Background: The COVID-19 pandemic has caused major disruption to healthcare services globally and has impacted on tuberculosis (TB) patients and TB diagnosis and treatment services both in low- and high-income countries. We therefore explored the perspectives of members of regional and international TB control and research networks to further understand TB service disruptions and compared the experiences of members from West African and European countries.

Methods: This cross-sectional, explorative descriptive study was conducted from May to July 2020 using an open online survey with target respondents from both West African and European countries.

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Background: Hand Hygiene (HH) has been described as the cornerstone and starting point in all infection control. Compliance to HH is a fundamental quality indicator. The aim of this study was to investigate the HH compliance among Health-care Workers (HCWs) in Benin surgical care units.

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Setting: National teaching hospital for the management of respiratory diseases, Cotonou, Benin.

Objective: 1) To estimate the prevalence of lung function impairment (LFI) and associated factors in patients cured of pulmonary tuberculosis (PTB); and 2) to determine the link between human immunodeficiency virus (HIV) infection and LFI occurrence.

Design: We performed a cross-sectional study in cured patients with smear-positive TB (PTB+) treated between 2012 and 2015.

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Introduction: The incidence of atypical mycobacterial infection in Europe is estimated at one case per 100,000 persons/year. Despite the low incidence of Mycobacterium avium infection, it can result in a nodular lesion simulating lung cancer. We report a case of atypical mycobacteriosis, mimicking lung cancer, which led to a lobectomy.

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Aims: we measured the burden of TB/HIV co-infection in a rural setting of Benin, and assessed the outcome of tuberculosis treatment at the end of the intensive phase of TB treatment.

Methods: This is a retrospective, cross-sectional, descriptive study, covering January 2006 to December 2011.

Results: A total of 256 patients were included, 67 (26.

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Aims: We measured the burden of HIV/tuberculosis (HIV/TB) co-infection in people infected by TB in rural settings of Benin, and assessed the outcome of TB treatment at the end of the intensive phase.

Methods: This is a retrospective, cross-sectional, descriptive study, covering January 2006 to December 2011.

Results: A total of 256 patients were gathered, 67 (26.

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Background: In tropical countries, iatrogenic retractile quadriceps fibrosis (IRQF), the cause of walking handicap in children, is often the result of intraquadricipital injection of quinine salts. The aim of this review was to analyse the epidemiological, clinical, therapeutic aspects and outcome of IRQF in children admitted in three hospitals in Benin Republic.

Patients And Methods: It was a 10-year retrospective, descriptive and analytic survey of IRQF, involving 81 children aged from 8 months to 15 years.

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