Publications by authors named "Noeel Rouamba"

Globally, abuse of older people (AOP) affects one in six individuals aged 60 years and older every year. Despite the widespread prevalence of AOP, evidence-based interventions for preventing and responding to this issue are insufficient. To address this gap, WHO proposed an initiative to accelerate the development of effective interventions for AOP across all country income levels.

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Background: Two pre-erythrocytic vaccines (R21/Matrix-M and RTS,S/AS01) are now approved for Plasmodium falciparum malaria. However, neither induces blood-stage immunity against parasites that break through from the liver. RH5.

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Raw vegetables irrigated with polluted water that may contain enteric viruses can be associated with foodborne viral disease outbreaks. The objective of this study is to investigate the possible transmission of enteric viruses from irrigation water to lettuce. Therefore, we performed a commercial multiplex real-time PCR assay to monitor the occurrence of enteric viruses in irrigation water samples and in raw vegetables that were cultivated at market gardening sites in Ouagadougou, Burkina Faso.

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Article Synopsis
  • Asymptomatic carriers of Plasmodium falciparum play a crucial role in malaria transmission, prompting a study to assess malaria infection levels among household members of children receiving seasonal malaria chemoprevention (SMC).
  • The study, which involved 745 participants and used various diagnostic tests, found that 26.58% of participants carried asexual forms of the parasite, with the highest prevalence (35.76%) among children aged 5 to 15 years.
  • The ultrasensitive rapid diagnostic test (usRDT) showed greater sensitivity for detecting malaria compared to the standard rapid diagnostic test (rRDT), suggesting that usRDT is more effective for community-based screening and treatment strategies.
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Background: The hormonal shift occurring in pregnant women is crucial for the outcome of pregnancy. We conducted a study in pregnant women living in a malaria endemic area to determine the potential effect of gestational age on the modulation of the endocrine system by cortisol and prolactin production during pregnancy.

Methods: Primigravidae and multigravidae with a gestational age between 16-20 weeks were included in the study and followed up to delivery and 6-7 weeks thereafter.

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Seasonal Malaria Chemoprevention consisting of monthly administration of amodiaquine/sulfadoxine-pyrimethamine to children aged 3-59 months during the transmission season could promote SP-resistance. Mutations in dihydrofolate reductase (Pfdhfr) and dihydropteroate synthase (Pfdhps) genes were assessed before and after SMC adoption in Burkina Faso. A total of 769 dried blood spots were selected from studies conducted in Nanoro, Burkina Faso, between 2010 and 2020.

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Article Synopsis
  • * Out of 1330 individuals, 1200 consented to participate; the study found a T2DM prevalence of 10.74%, and identified significant risk factors including age, family history of diabetes, obesity, and hypertension.
  • * The findings highlight the need for a national program in Burkina Faso to control diabetes and promote early detection to manage and prevent complications effectively.
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Background: Seasonal malaria chemoprevention (SMC) is an effective malaria preventive intervention in sub-Sahara Africa. However, as with any other drug-based intervention, the large-scale deployment of this strategy could lead to Amodiaquine plus Sulfadoxine-Pyrimethamine (AQSP) drug pressure on the circulating parasites population with selection for specific alleles that could compromise the impact of the intervention in the near future. This study aimed to assess the distribution of the Pfmdr1 mutation involved in resistance to AQ before and after the annual campaign of SMC in the health district of Nanoro.

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In Burkina Faso, there is lack of awareness of antibiotic use at the community level. This study aims to generate information on the commonly used antibiotics along with the reasons for which they have been used in rural Burkina Faso. The drug bag method was employed to collect information from 423 households in the health district of Nanoro.

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The continued emergence of antimalarial drug resistance highlights the need to develop new antimalarial therapies. Unfortunately, new drug development is often hampered by poor drug-like properties of lead compounds. Prodrugging temporarily masks undesirable compound features, improving bioavailability and target penetration.

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Article Synopsis
  • The study aimed to evaluate the effectiveness of a new intervention for reducing antibiotic prescriptions and improving recovery rates in patients with non-severe acute febrile illnesses at primary health centers.
  • Patients were divided into two groups: one received the intervention, which included point-of-care tests and a diagnostic algorithm, while the other received standard care.
  • Results showed that the intervention significantly lowered antibiotic prescriptions (33.2% vs. 58.1%) and improved adherence to treatment, with all patients recovering by Day 7 regardless of the care received.
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Background: In malaria-endemic countries, asymptomatic carriers of plasmodium represent an important reservoir for malaria transmission. Estimating the burden at a fine scale and identifying areas at high risk of asymptomatic carriage are important to guide malaria control strategies. This study aimed to estimate the prevalence of asymptomatic carriage at the communal level in Burkina Faso, the smallest geographical entity from which a local development policy can be driven.

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Background: The emergence of the multidrug-resistant bacteria strain has become a global world crisis. This study was designed to evaluate the antibiofilm and synergistic effects of leaf extracts on the activity of cefotaxime against the methicillin-resistant ().

Methods: The synergistic effect of methanol and dichloromethane extracts on the bactericidal activity of cefotaxime was determined by using the antibiotic susceptibility test on agar medium.

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Background: To guide antibiotic stewardship interventions, understanding for what indications antibiotics are used is essential.

Methods: In rural Burkina Faso, we measured antibiotic dispensing across all healthcare providers. From October 2021 to February 2022, we surveyed patients in Nanoro district, Burkina Faso, following visits to health centres (3), pharmacies (2), informal medicine vendors (5) and inpatients in health centres.

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Background: Limited data exist on the effects of intrapartum azithromycin on the prevalence of carriage and antibiotic resistance of Enterobacterales.

Methods: We conducted a randomized trial in The Gambia and Burkina Faso where women received intrapartum azithromycin (2 g) or placebo. We determined the impact of treatment on the prevalence of carriage and antibiotic resistance of Escherichia coli and Klebsiella pneumoniae by analyzing rectal swabs (RS), nasopharyngeal swabs (NPS), breast milk, and rectovaginal swabs (RVS).

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Background: The R21/Matrix-M vaccine has demonstrated high efficacy against Plasmodium falciparum clinical malaria in children in sub-Saharan Africa. Using trial data, we aimed to estimate the public health impact and cost-effectiveness of vaccine introduction across sub-Saharan Africa.

Methods: We fitted a semi-mechanistic model of the relationship between anti-circumsporozoite protein antibody titres and vaccine efficacy to data from 3 years of follow-up in the phase 2b trial of R21/Matrix-M in Nanoro, Burkina Faso.

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Article Synopsis
  • There is a lack of data on antimicrobial resistance (AMR) in Africa, particularly regarding the prevalence of carbapenem-resistant bacteria due to insufficient microbiological analyses and surveillance efforts.
  • Between January 2020 and June 2022, researchers collected data from hospitals in Burkina Faso, identifying extended spectrum β-lactamase (ESBL)-producing Enterobacterales (ESBL-PE) and testing them against various antimicrobial agents.
  • Among the isolates studied, significant percentages were found to produce carbapenemases and AmpC-β-lactamases, indicating that carbapenem resistance is becoming widespread in the region, highlighting an urgent need for improved testing, surveillance, and infection control measures.
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Introduction: Seasonal malaria chemoprevention (SMC) by mass administration of sulfadoxine pyrimethamine + amodiaquine (SPAQ) reduces the burden of malaria in children aged 3–59 months. The occurrence of adverse drug reaction (ADR) may affect the success of this intervention. There are few studies of SMC adverse event surveillance in sub-Saharan Africa, particularly in Burkina Faso, a highly endemic country.

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Background: Malaria affects millions of Cameroonian children under 5 years of age living in the North and Far North regions. These regions bear the greatest burden, particularly for children under 5 years of age. To reduce the burden of disease in these regions, Cameroon adopted the Seasonal Malaria Chemoprevention (SMC) in 2016 and has implemented it each year since its adoption.

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  • In rural Burkina Faso, a study was conducted to assess the impact of combining Seasonal Malaria Chemoprevention (SMC) with nutrient supplementation among undernourished children under five years old, due to high levels of both malaria and malnutrition in the area.
  • The study involved 1059 children divided into three groups, each receiving different combinations of SMC and nutritional interventions, followed over a year to monitor malaria incidence and overall health through regular check-ups.
  • Results showed that adding lipid-based nutrient supplements (PlumpyDoz) significantly reduced both uncomplicated malaria (by 23%) and severe malaria (by 52%) compared to the control group, also lowering general illness rates by 24%, while no effect was found on
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The introduction of a foreign body into the urethra is an exceptionally rare occurrence. It is often secondary, either to erotic curiosity or to psychiatric disorders. The symptomatology is multiple and the diagnosis is aided by radiologic imaging.

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In this study, we investigated how different categories of prenatal malaria exposure (PME) influence levels of maternal antibodies in cord blood samples and the subsequent risk of malaria in early childhood in a birth cohort study ( = 661) nested within the COSMIC clinical trial (NCT01941264) in Burkina Faso. infections during pregnancy and infants' clinical malaria episodes detected during the first year of life were recorded. The levels of maternal IgG and IgG to 15 .

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Unlabelled: The global burden of undernutrition remains high, responsible for significant under-five mortality in resource-limited settings. Numerous sustainable development goals (SDGs) are linked to nutrition, and nationally representative nutrition surveillance is a key activity to track progress towards SDGs and guide efficient programmes.

Objectives: The aim of this study is to look at spatial and temporal trends in undernutrition in children under 5 years age in Burkina Faso.

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