[Dysmenorrhea in adolescents: epidemio-clinical study at the referral health center, Bamako District. Report of 300 cases]. / La dysmenorhee chez l'adolescente : etude epidemio-clinique au centre de santede reference de la commune II du District de Bamako a propos de 300 cas.

This clinical epidemiological study has been conducted at the district hospital of Commune II in Bamako area.Dysmenorrhea has become a very common feature during out patients consultation. It affects almost one adolescent out of 3 examined during this study which represent 42, 8% of the studied population ranged from 10 to 19 years, with a men age of 16 years. Most of them were household women (50%),never pregnant (60%) and never delivery (64%). Most of them have been mainly claiming about contraction pain (33%) and discomfort (17,3%). The pain has been followed by asthenia (86,7%), and irritability (87,7%).Dysmenorrhea was a major cause of absenteism (48,3%). The factors influencing this type of dysmenorhea was the age and psychological stress.

[Urinary tract infection and pregnancy at the referral health center of the Commune II (CSFEF C.II]. / Infection urinaire et grossesse dan le centre de sante de reference de la Commune II (CSREF C.II).

Prospective study has been conducted with regards to systematic cytological and bacteriological urine examination, including 505 pregnant women examined from April to May 2006. The results have shown that 50 persons have a positive urine cytology representing 9.9% of the population. The age range from 20-34 was mostly represented 66% of cause. Almost 90% of the patients has a history of urinary tract infection. Leukorrhea was present in 94% of examined women. The urine culture has concluded to E. coli infection was asymptomatic, against 50% of Staphylococcus aureus. We have noticed 16% complications related 3 premature deliveries, 4 abortions and 1 death in utero. Early diagnostic of urinary tract infection based on urine analysis on antibiotic selection by any pregnant women is the key of the prevention.

Infection urinaire et grossesse dans le centre de sante de reference de la commune II (CSREF C II)

Nous avons mene une etude prospective basee sur l'examen cytobacteriologique systematique des urines (ECBU) aupres de 505 femmes enceintes d'Avril a Mai 2006 dans le service de Gyneco obstetrique du centre de reference de la Commune II a Bamako (CSREFC II). L'objectif de ce travail etait d'etudier l'infection urinaire chez la femme enceinte dans le CSREFC II. L'etude a montre que : 50 de nos enquetees ont eu un ECBU (Examen Cytobacteriologique des urines) positif; soit une prevalence de 9;9; la tranche d'age de 20-34 ans etait la plus representee (66des cas) ; 90de nos patientes avaient eu des antecedents d'infection genitale ; 94de nos femmes enquetees ont presente la leucorrhee comme signe gynecologique ; les principaux germes rencontres etaient : E. Coli (66) ; suivi de Klebsiella (14) et de Staphylocoque aureus (8) ; 57;58des infections urinaires dues a E. coli etaient asymptomatiques contre 50pour Staphylocoque aureus ; nous avons note 16de complications (3 accouchements prematures; 4 avortements et 1 mort in utero. Le diagnostic precoce de l'infection urinaire base sur un ECBU systematique avec antibiogramme chez toute femme enceinte permettrait de prevenir les complications