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Updated: Jun 3, 2026

Microbiological Rapid On-Site Evaluation for Pulmonary Infectious Diseases
Published on: March 1, 2024
[Epidemio-clinical aspects of bacterial acute infant Pneumopathies at Yalgado Ouédraogo University Health Center]
S M Ouédraogo1, Y Toloba, G Ouédraogo
1Service de medecine interne CHU Sanou Souro, Mali.
Insights
Bacterial infant pneumopathies are common in Africa, especially in children under two, often linked to malnutrition. Understanding local germ epidemiology is key to improving treatment outcomes and reducing mortality.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Context:
- Lower respiratory tract infections are a significant public health concern, particularly in African children, contributing to high morbidity and mortality rates.
- Antibiotic therapy for these infections is often empirical, highlighting the need for region-specific epidemiological data.
- Acute bacterial pneumopathies in infants represent a major cause of hospital admissions and mortality in developing regions.
Purpose:
- To evaluate the epidemiologic and clinical characteristics of bacterial acute infant pneumopathies.
- To identify the most common bacterial pathogens responsible for infant pneumopathies in the study region.
- To assess the antibiotic sensitivity patterns of prevalent bacteria.
Summary:
- A retrospective study of hospitalized pediatric patients from 2005-2006 identified 658 cases of acute bacterial pneumopathy (11.3%).
- Frequent co-morbidities included protein-energy malnutrition (59.7%) and anemia (36%).
- Key pathogens were Streptococcus pneumoniae, Klebsiella pneumoniae, and Staphylococcus aureus, with varying antibiotic sensitivities.
Impact:
- Pneumopathies disproportionately affect children under two years old, exacerbated by malnutrition and anemia.
- Improved awareness and regular updates of local bacterial ecology can significantly reduce the high morbidity and mortality associated with infant pneumopathies.
- Findings underscore the importance of localized epidemiological data for guiding effective antibiotic strategies in pediatric infectious diseases.
Introduction:
Infections of low respiratory tracks represent a public health issue and are a frequent reason for antibiotic prescription . For children in Africa, they are the main morbidity factor (50% of visits) and mortality (about 20% of infant mortality). Actually, the antibiotherapy, mainly probabilistic, rests on the awareness of the epidemiology of the germs which are responsible in a given region, at a given period. The purpose of this study was to evaluate the Epidemio-clinical aspects of bacterial acute infant Pneumopathies at Yalgado Ouédraogo Univercity Health Center.
Patients And Method:
This a descriptive retrospective study, base on the files of hospitalized patients in the Paediatric Unit of CHU YO from January 1, 2005 through December 31, 2006.
Results:
All in all, 5803 patients with 658 cases of acute bacterial pneumopathy (11.3%) were hospitalized in the paediatric unit. Besides, acute bacterial Pneumopathies, 254 patients had another associated affection. Proteino-calorific malnutrition were frequent (59.7%), coupled with anaemia (36%). The reported most frequent germs are respectively: Streptococcus pneumoniae (29.3%), Klebsiella pneumoniae (29.3%) et Staphylococcus aureus (25%). The streptococcus was sensitive to association amoxicilline + clavulanic in 66.7% of the cases, to ceftriaxone in 57.1 % of cases. It was 100% resistant to ampicilline and to amoxicilline. The clinical evolution of our patients was favorable in 90% of the cases with 5.5% deaths.
Conclusion:
Pneumopathies affect mostly children who are less than 2 years old favored by malnutrition and anaemia. The high morbid-morbidity related to this pathology could be improved through a better awareness and regular updating of local bacterial ecology.
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