Publications by authors named "Jean-Bernard Lekana-Douki"

Article Synopsis
  • - Malaria is a leading cause of mortality, particularly among children in sub-Saharan Africa, and this study aimed to examine the characteristics and treatment outcomes of malaria in children at a hospital in Gabon.
  • - Conducted from February to May 2023, the study included 306 febrile children, revealing a malaria prevalence of 17.3%, with common symptoms including high fever, chills, and nausea.
  • - Findings indicated significant issues with self-medication and non-compliance to preventive measures, complicating treatment efforts, often requiring intravenous care for severe cases.
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Seroconversion surveys of anti-SARS-CoV-2 antibodies provide accurate estimates of the prevalence of SARS-CoV-2 infections. This nationwide population-based cross-sectional serosurvey aimed to evaluate the prevalence of SARS-CoV-2 antibodies among residents in Gabon and compare the estimated cumulative number of COVID-19 cases with the officially registered number of laboratory-confirmed cases up to December 2021. Households in each province were randomly selected.

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Background: In sub-Saharan Africa, understanding of the immune process associated with the COVID-19 pandemic remains scarce. This study aimed to investigate the relationship between plasma neopterin concentrations and COVID-19 infection, focusing on changes over time and age-related changes in immune response.

Methods: A retrospective case study was conducted during the first wave of COVID-19 from March to August 2020.

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Background: Human immunodeficiency virus (HIV) and tuberculosis (TB) are major contributors to morbidity and mortality in sub-Saharan Africa including Cameroon. Pharmacogenetic variants could serve as predictors of drug-induced hepatotoxicity (DIH), in patients with TB co-infected with HIV. We evaluated the occurrence of DIH and pharmacogenetic variants in Cameroonian patients.

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Objectives: Mpox is a neglected viral endemic tropical disease in Central and Western African countries transmitted to humans by an animal. However, the natural reservoir of the virus remains elusive. In this study, we looked for potential reservoirs of the mpox virus (MPXV) in Gabonese wildlife to prevent future outbreaks and enrich the literature with additional data on animal reservoirs.

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Article Synopsis
  • - The study analyzed malaria epidemiology in Gabon from 1980 to 2023 using five databases to track prevalence, drug resistance, and insecticide resistance markers.
  • - Gabon faces a significant public health challenge with high malaria rates, showing persistent resistance to chloroquine (CQ) and emerging resistance to sulfadoxine-pyrimethamine (SP), while artemisinin-based combination therapies (ACTs) remain effective.
  • - Recent findings indicate a high frequency of insecticide resistance markers, with alternatives like organophosphates and carbamates suggested for vector control.
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Termites are one of the most common pests that damage wood and other cellulosic materials Although Africa has more varieties of termite species than any other continent, few entomological studies have been conducted in Gabon. Identifying termites poses significant difficulties for entomologists. The aim of this study was to evaluate the reliability and confirm the significance of MALDI-TOF MS in identifying fresh termites collected in equatorial Africa.

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Introduction: Infections caused by carbapenemase-producing Enterobacteriaceae (CPE) pose a significant threat, leading to severe morbidity and mortality among newborns.

Methods: This study, conducted at Franceville hospital's maternity and neonatology wards from February 22nd to June 20th, 2022, investigated the prevalence of CPE in 197 parturients and 203 newborns. Rectal swabs were taken from parturients before delivery and from newborns 30 minutes after birth.

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Background: Malaria remains a major public health issue in the world despite a decline in the disease burden. However, though symptomatic malaria is diagnosed and treated, asymptomatic infections remain poorly known and support transmission. This study assessed the prevalence of symptomatic and asymptomatic Plasmodium spp.

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Article Synopsis
  • The study aimed to assess how often asymptomatic infections of Anaplasma spp. and Ehrlichia spp. occur in children in southeastern Gabon.
  • A total of 452 blood samples were collected from school-aged children, revealing that 57.5% were positive for Anaplasma spp. and/or Ehrlichia spp. via microscopy, while a higher sensitivity of 86.9% was noted with PCR testing for Anaplasma spp.
  • The findings indicate a significant prevalence of Anaplasma spp. infections, suggesting a need for further research on various species, their impact on health, and how they spread.
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Article Synopsis
  • The study explores the need for non-invasive diagnostic methods for detecting malaria, as traditional blood sampling is invasive and challenging.
  • Saliva and stool samples were examined to see if they could effectively contain detectable DNA from malaria infection, using tests like microscopy and nested PCR.
  • Results showed that while blood samples had 100% detection of malaria DNA, saliva and stool samples were significantly less effective, indicating that they cannot replace blood tests for accurate malaria diagnosis.
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Background: Efficacy of sulfadoxine-pyrimethamine, the malaria chemoprophylaxis used in pregnant women, and in children when combined with amodiaquine, is threatened by the accumulation of mutations in the Plasmodium falciparum dihydropteroate synthase (pfdhps) and dihydrofolate reductase (pfdhfr) genes. Data on the prevalence of resistant alleles in central Africa and the new pfdhps I431V mutation, particularly associated with other mutations to form the pfdhps vagKgs allele, are scarce. We explored the frequency and geographical distribution of pfdhps and pfdhfr mutations in central Africa in 2014-18, and assessed the evolutionary origin of the vagKgs allele.

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Oxidative stress and inflammation play a key role in the occurrence of neurodegenerative diseases. Traditionally, leaves are used in dementia treatment. Therefore, this study aimed to evaluate the antioxidant and anti-inflammatory activities as well as the phytochemical composition of leaves from four Congo-Brazzaville regions.

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Article Synopsis
  • In Gabon, children under 5 and pregnant women are highly vulnerable to malaria, yet many mothers rely on community-based practices for managing fever, which can risk health outcomes.
  • A survey of 146 mothers showed that while the vast majority were aware of malaria, only 55.5% recognized the seriousness of severe malaria; many also engaged in self-medication instead of seeking formal healthcare, with 68.5% practicing this approach.
  • Overall, although mothers quickly identify fever as a malaria symptom, a lack of education about severe malaria and reliance on self-medication pose challenges for effective disease management.
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Article Synopsis
  • Malaria is a major health issue in sub-Saharan Africa, especially affecting children under five years old, with this study focusing on severe cases in Gabon to fill gaps in existing data.
  • In 2019, the study collected data from three health facilities, revealing that severe malaria represented 18.8% of cases, with severe anemia and convulsions being the most common clinical symptoms.
  • The findings indicate that while severe malaria is more common in urban areas, the overall characteristics of the disease are similar across rural, semi-rural, and urban settings in southeastern Gabon.
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Article Synopsis
  • Malaria is a significant health threat, causing over half a million deaths annually, primarily in children under five in sub-Saharan Africa; this study aims to analyze severe malaria cases at a hospital in Franceville.
  • An observational study was conducted over 10 months, focusing on patients of all ages with confirmed severe malaria, revealing that out of 1065 cases, 220 were classified as severe, with a high prevalence among young children.
  • The study identified key symptoms associated with severe malaria, such as neurological disorders and severe anemia, and highlighted risk factors for mortality; understanding these patterns is crucial for improving early intervention and treatment strategies.
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Diarrheal diseases are a major cause of morbidity and mortality in infants and young children, particularly in sub-Saharan countries. In Gabon, there are few data on the prevalence of diarrheal pathogens in children. The aim of this study was to assess the prevalence of diarrheal pathogens in children with diarrhea in southeastern Gabon.

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Plasmodium falciparum is a parasite that causes asymptomatic or symptomatic malaria infections in humans depending on various factors. These infections are also a major cause of anemia in intertropical countries such as Gabon. Past studies have clearly demonstrated that inflammatory markers such as cytokines play a key role in the pathogenesis of malaria disease.

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The COVID-19 disease presents a large range of clinical manifestations and includes asymptomatic, mild, and severe cases. The level of severity is related to parameters associated with immunity, genetics, and biochemistry. Africa shows one of the lowest COVID-19 fatality rates but very few data on the biochemical markers of COVID-19 in patients and the factors associated with disease severity are available for the continent.

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Background: In Gabon, a new national malaria control policy was implemented in 2003. It resulted in a decrease in the number of malaria cases in the country. In March 2020, the disruption of routine health services due to the COVID-19 pandemic has led to an increase in cases and deaths due to malaria.

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Article Synopsis
  • A study was conducted in Gabon to monitor the COVID-19 epidemic, focusing on the first 1161 suspected cases from March 2020.
  • Out of these cases, 83 were confirmed as positive for COVID-19, with 73% of those infected showing no symptoms.
  • The research found that viral loads were higher in nasopharyngeal samples compared to oropharyngeal samples, but no significant differences were observed in viral loads across different age groups or in relation to clinical symptoms.
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The geographic and evolutionary origins of the SARS-CoV-2 Omicron variant (BA.1), which was first detected mid-November 2021 in Southern Africa, remain unknown. We tested 13,097 COVID-19 patients sampled between mid-2021 to early 2022 from 22 African countries for BA.

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Background: Evaluating malaria control strategies for pregnant women is essential. The objective of this study was to determine the factors influencing antenatal care (ANC) visit attendance, complete intermittent preventive treatment with sulfadoxine-pyrimethamine (IPTp-SP) and its impact on the health of pregnant women and their newborn babies living in semi-urban and rural areas of southeastern Gabon.

Methods: This transversal study was performed at the Centre Hospitalier Régional Paul Moukambi de Koula-Moutou (CHRPMK).

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