Keywords
Prisons
Communicable Diseases
Antibacterial Agents
Burkina Faso
How to Cite
Abstract
Introduction :
Infectious diseases are common in correctional settings but remain poorly documented in Burkina Faso. This study aimed to describe the frequency, diagnosis and management of presumed infectious diseases among consulting detainees at the Ouagadougou Remand and Correctional Facility (MACO).
Material and methods :
exhaustive descriptive cross-sectional study conducted at the MACO infirmary from 26 December 2024 to 20 January 2025, covering the 400 detainees who presented a presumed infectious disease.
Results :
out of 567 recorded consultations, 400 concerned a presumed infectious disease, a proportion of 70.5%. Mean age was 30 ± 9 years; 89% were male. The entry medical examination had not been performed in 65.2% of detainees. Pulmonary diseases were the most frequent (37.3%), ahead of ear, nose, throat (ENT) and stomatological diseases (24.8%). A physical examination was performed in only 8% of consultations, and a paraclinical work-up in 6% of cases. Antibiotic therapy was prescribed in 73.3% of detainees, exclusively on a probabilistic basis.
Conclusion :
presumed infectious diseases are common among consulting detainees at the MACO, with a predominance of respiratory conditions. The entry medical examination, although mandatory, is not systematic, and most diagnoses rely on interview alone. Strengthening entry screening and the capacities of the MACO health service appears necessary.
References
1. Dolan K, Wirtz AL, Moazen B, Ndeffo-Mbah M, Galvani A, Kinner SA, et al. Global burden of HIV, viral hepatitis, and tuberculosis in prisoners and detainees. Lancet. 2016;388(10049):1089-1102.
2. Fazel S, Baillargeon J. The health of prisoners. Lancet. 2011;377(9769):956-965.
3. Todrys KW, Amon JJ. Criminal Justice Reform as HIV and TB Prevention in African Prisons. PLoS Med. 2012;9(5):e1001215.
4. Telisinghe L, Charalambous S, Topp SM, Herce ME, Hoffmann CJ, Barron P, et al. HIV and tuberculosis in prisons in sub-Saharan Africa. Lancet. 2016;388(10050):1215-1227.
5. Jaquet A, Wandeler G, Tine J, Dagnra CA, Attia A, Patassi A, et al. HIV infection, viral hepatitis and liver fibrosis among prison inmates in West Africa. BMC Infect Dis. 2016;16:249.
6. Burkina Faso, Bureau Statistique de la MACO. Bureau Greffe, décembre 2024.
7. Traoré K, Diendéré EA, Dao AK, Ouédraogo S, Bognounou R, Diallo I, et al. Prevalence of HIV, hepatitis B and C, syphilis and tuberculosis among prisoners in Burkina Faso: a cross-sectional study. Int J Prison Health. 2021;17(3):265-78.
8. Zida A, Barro-Traoré F, Dera M, Bazié Z, Niamba P, Guiguemdé TR. Aspects épidémiologiques et étiologiques des mycoses cutanéo-phanériennes chez les détenus de la MACO. J Mycol Med. 2015;25(2):73-79.
9. Diendéré EA, Traoré K, Bernatas JJ, Idogo O, Dao AK, Traoré GK, et al. Prison health priorities in Burkina Faso. Int J Prison Health. 2022;18(1):97-113.
10. Favril L, Rich JD, Hard J, Fazel S. Mental and physical health morbidity among people in prisons: an umbrella review. Lancet Public Health. 2024;9(4):e250-e260.
11. Burkina Faso, Assemblée nationale. Loi n°010-2017/AN portant régime pénitentiaire au Burkina Faso, du 10 avril 2017.
12. Institut National de la Statistique et de la Démographie (INSD). Monographie de la commune de Ouagadougou. Ouagadougou : INSD ; 2023.
13. Zida A, Sangaré I, Bamba S, Sombié I, Traoré LK, Coulibaly SO, et al. Prévalence du parasitisme intestinal en milieu carcéral à Ouagadougou. Med Sante Trop. 2014;24(4):383-387.
14. Epopa PS, Collins CM, North A, Millogo AA, Benedict MQ, Tripet F, Diabate A. Seasonal malaria vector and transmission dynamics in western Burkina Faso. Malaria J. 2019;18(1):113.
15. Severe Malaria Observatory. Le paludisme au Burkina Faso : statistiques [Internet]. Disponible sur: https://www.severemalaria.org/fr/pays/burkina-faso.
16. Ahmed Ahmed S, Ahmed R, Adam RZ, Coetzee R. Antimicrobial resistance, antibiotic prescribing practices and antimicrobial stewardship in South Africa: a scoping review. JAC Antimicrob Resist. 2025 Feb 4;7(1):dlaf014. doi: 10.1093/jacamr/dlaf014.
17. Sana B, Kaboré A, Hien H, Zoungrana BE, Meda N. Étude de l'utilisation des médicaments chez les enfants dans un contexte de gratuité des soins. Pan Afr Med J. 2019;34:194.
Metrics
Downloads
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2026 S Bagré, S Toe, D Ouedraogo, IR Kieno, L Kabore, A Sidibe, E Kaboré, Z Nikieme