Publications by authors named "Herve Menan"

Regular monitoring of malaria rapid diagnostic tests (RDTs) for the management of uncomplicated malaria in healthcare facilities is a key factor in improving diagnostic quality and ensuring better case management. This study aimed to assess the performance of five RDTs (Standard Q Malaria P.f Ag and Standard Q Malaria P.

View Article and Find Full Text PDF
Article Synopsis
  • Artemether-lumefantrine (AL) and artesunate-amodiaquine (ASAQ) are the first-line treatments for uncomplicated malaria in the Ivory Coast, with various studies examining their efficacy.
  • This meta-analysis aimed to assess malaria treatment failures in randomized control trials comparing AL and ASAQ between 2009 and 2016, utilizing data from four multicenter studies.
  • Results indicated high clinical and parasitological responses above 95% for both drug combinations, but a higher recurrence of infection was observed in the AL group compared to ASAQ, with most treatment failures classified as new infections after molecular testing.
View Article and Find Full Text PDF

Purpose: Microscopic diagnosis of Giemsa-stained thick and thin blood films remained the gold standard laboratory method for the diagnosis of malaria. In this context, we felt it was important to conduct this evaluation with 40 public medical biology laboratories (MBLs) in the Abidjan 1 health region that perform blood parasitology tests to improve their implementation process.

Methods: This descriptive and analytical study took place in July 2020 and involved participating laboratories (PLs) from the public sector in Abidjan.

View Article and Find Full Text PDF
Article Synopsis
  • * A survey of 447 auxiliaries revealed they had strong knowledge of clinical signs and treatments for uncomplicated malaria, but less familiarity with the malaria pathogen and national treatment guidelines.
  • * While most auxiliaries were aware of vector control strategies and common anti-malarial drugs, knowledge gaps existed regarding specific NMCP recommendations for managing malaria and the classification of malaria severity.
View Article and Find Full Text PDF

Background: Malaria is a major public health problem, particularly in the tropical regions of America, Africa and Asia. Plasmodium falciparum is not only the most widespread but also the most deadly species. The share of Plasmodium infections caused by the other species (Plasmodium ovale and Plasmodium malariae) is clearly underestimated.

View Article and Find Full Text PDF

Background: Dermatophytosis, particularly the subtype tinea capitis, is common among African children; however, the risk factors associated with this condition are poorly understood.

Objectives: This study aimed to determine the factors associated with tinea capitis and the prevalence rate of other dermatophytoses among primary school students in the rural and urban areas of the southern and central CĂŽte d'Ivoire.

Patients And Methods: The study was carried out in seven towns of Cîte d'Ivoire from October 2008 to July 2009, among 17,745 children aged 4-17 years and attending urban and rural primary schools; a complete physical examination of the skin and appendages, including nails and hair, was performed by the physicians.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the genetic variability and structure of Schistosoma haematobium populations in CĂŽte d'Ivoire, a topic with limited previous research.
  • A total of 2692 miracidia were collected and analyzed, revealing significant genetic differences between regions and a high genotypic diversity in the populations.
  • The most common genetic hybrid observed was S. bovis × S. haematobium, making up 42% of samples, highlighting the need for further research on hybrid schistosomes in local animal populations.
View Article and Find Full Text PDF

is an emerging foodborne parasite that causes cyclosporiasis, an enteric disease of humans. Domestically acquired outbreaks have been reported in Canada every spring or summer since 2013. To date, investigations into the potential sources of infection have relied solely on epidemiological data.

View Article and Find Full Text PDF
Article Synopsis
  • Early initiation of antiretroviral therapy (ART) in asymptomatic HIV-infected individuals may enhance motivation and compliance, reducing the risk of drug resistance.
  • In the Temprano trial, participants were split into immediate and deferred ART groups, with findings showing that those who deferred had higher rates of virological failure and lower CD4 counts at baseline.
  • Results indicated that starting ART early leads to better virological outcomes and less drug resistance over 30 months, highlighting its significance, especially in regions with limited monitoring resources.
View Article and Find Full Text PDF
Article Synopsis
  • The study focused on HIV-1 controllers in Africa, specifically looking at adults monitored in the Temprano trial who were not on antiretroviral therapy (ART) yet.
  • Out of 1023 participants, 1.8% were classified as HIV-1 controllers, with 0.7% as elite controllers and 1.1% as viremic controllers.
  • These controllers displayed low levels of HIV-1 DNA in their blood, maintained healthy CD4+ cell counts, and had a lower rate of health issues, suggesting a need for more research on whether ART could be unnecessary or even harmful for some individuals.
View Article and Find Full Text PDF

Background: Hepatitis B virus (HBV) co-infection in human immunodeficiency virus (HIV)-positive individuals increases the risk of overall mortality, especially when HBV DNA levels are high. The role of CD4 cell counts in this association is poorly defined. We aimed to determine whether HIV-HBV co-infection influences changes in CD4 cell count before and during antiretroviral therapy and whether it affects mortality risk at levels of CD4.

View Article and Find Full Text PDF

It is unknown how past and active hepatitis B virus (HBV) infection affect immunorecovery and mortality in people with HIV who initiate tenofovir-based antiretroviral therapy (ART). Using data collected between 2008 and 2015, we studied people with HIV in sub-Saharan Africa initiating immediate ART in the Temprano randomized control trial. We classified participants into HBV groups at ART initiation: hepatitis B surface antigen (HBsAg)-positive with HBV DNA ≄ 2,000 IU/ml; HBsAg-positive with HBV DNA < 2,000 IU/ml; isolated HBcAb-positive; resolved infection (HBsAb-positive/HBcAb-positive); and HBV non-immune/vaccinated (HBcAb-negative).

View Article and Find Full Text PDF

Background: High HIV-1 DNA levels in peripheral blood mononuclear cells (PBMC) were associated with a higher risk of severe morbidity and a faster decline in CD4 count in ART-naive patients. We report the association between HIV-1 DNA and mortality in HIV-infected adults in a trial of early ART in West Africa.

Methods: In the Temprano trial, HIV-infected adults were randomly assigned to start ART immediately or defer ART.

View Article and Find Full Text PDF

The purpose of this study was to update efficacy data of Artesunate-Amodiaquine (AS+AQ) and Artemether-Lumefantrine (AL) used as first-line malaria treatment in CĂŽte d'Ivoire since 2005. This was an open-label, randomized trial conducted in patients older than 6 months with uncomplicated P. falciparum malaria at six sentinel sites.

View Article and Find Full Text PDF

Genetic diversity analyses were performed by sero-genotyping and multi-locus sequence typing on 252 cryptococcal isolates from 13 HIV-positive Ivorian patients followed-up for cryptococcal meningitis. Antifungal susceptibility analyses were performed according to the CLSI M27A3 method. The majority (67.

View Article and Find Full Text PDF

Schistosomiasis is a neglected tropical disease, though it is highly prevalent in many parts of sub-Saharan Africa. While Schistosoma haematobium-bovis hybrids have been reported in West Africa, no data about Schistosoma hybrids in humans are available from CĂŽte d'Ivoire. This study aimed to identify and quantify S.

View Article and Find Full Text PDF

Schistosomiasis is a parasitic disease affecting more than 250 million people, primarily in sub-Saharan Africa. In CĂŽte d'Ivoire both (causing urogenital schistosomiasis) and (causing intestinal schistosomiasis) co-exist. This study aimed to determine the prevalence of and and to identify risk factors among schoolchildren in the western and southern parts of CĂŽte d'Ivoire.

View Article and Find Full Text PDF

Asymptomatic carriers of are considered a reservoir of the parasite in humans. Therefore, in order to be effective, new malaria elimination strategies must take these targets into account. The aim of this study was to analyse genetic diversity of among schoolchildren in three epidemiological areas in CĂŽte d'Ivoire.

View Article and Find Full Text PDF

The CĂŽte d'Ivoire National Immunization Technical Advisory Group 2015 work plan included elaboration of an opinion on inclusion of hepatitis B vaccination at birth in the Expanded Program on Immunization (EPI) in CĂŽte d'Ivoire. A task force was set up to conduct this assessment according to a systematized method. The task force analysed scientific articles on the burden of hepatitis B in CĂŽte d'Ivoire, the burden of mother-child transmission, the impact of hepatitis B vaccination at birth in countries which have adopted this strategy, the efficacy and safety of hepatitis B vaccine in newborns, the cost-effectiveness of hepatitis B vaccination at birth, and the best strategy to introduce hepatitis B vaccination at birth in the EPI.

View Article and Find Full Text PDF

The objective of this study was to monitor the effectiveness of artesunate-amodiaquine fixed-dose combination tablets (ASAQ WinthropÂź) in the treatment of uncomplicated malaria in CĂŽte d'Ivoire. Two enrolment periods (November 2009 to May 2010 and March to October 2013) were compared using an identical design. Subjects with proven monospecific infection according to the WHO diagnostic criteria were eligible.

View Article and Find Full Text PDF

Purpose: The aim of this study was to assess the biotope of the Cryptococcus neoformans/Cryptococcus gattii species complex from Ivory Coast, and clarify the possible epidemiological relationship between environmental and clinical strains.

Methodology: Samples from Eucalyptus camaldulensis (n=136), Mangifera indica (n=13) and pigeon droppings (n=518) were collected from different sites close to the living environment of Ivorian HIV patients with cryptococcosis (n=10, 50 clinical strains). Clinical and environmental strains were characterized by molecular serotyping and genotyping [RFLP analysis of the URA5 gene, (GACA)4, (GTG)5 and M13 PCR fingerprinting] and compared.

View Article and Find Full Text PDF

Background: Temprano ANRS 12136 was a factorial 2 × 2 trial that assessed the benefits of early antiretroviral therapy (ART; ie, in patients who had not reached the CD4 cell count threshold used to recommend starting ART, as per the WHO guidelines that were the standard during the study period) and 6-month isoniazid preventive therapy (IPT) in HIV-infected adults in Cîte d'Ivoire. Early ART and IPT were shown to independently reduce the risk of severe morbidity at 30 months. Here, we present the efficacy of IPT in reducing mortality from the long-term follow-up of Temprano.

View Article and Find Full Text PDF

Introduction: Cryptococcal meningitis (CM) may be caused by several species of

Case Presentation: We describe a fatal case of CM in a HIV-positive patient from Ivory Coast infected by VNI and . Isolates were recovered from cerebrospinal fluid (CSF) prior to systemic antifungal treatment. Six isolates were studied (the entire culture plus five isolated colonies from it).

View Article and Find Full Text PDF

. Toxoplasmosis is a widespread cosmopolitan anthropozoonosis, which affects more than a third of the world population. Except the modes of transmission well known, can be transmitted during transplantation or blood transfusion.

View Article and Find Full Text PDF

Cryptococcal meningitis is a severe opportunistic infection in HIV-infected patients. In Ivory Coast, despite the availability of antiretroviral treatment (ART), this infection is still prevalent. The study investigates the genetic diversity of 363 clinical isolates of Cryptococcus from 61 Ivorian HIV-positive patients, the occurrence of mixed infections and the in vitro antifungal susceptibility of the isolates.

View Article and Find Full Text PDF