MTSI
type: channel
description: La Revue Médecine Tropicale et Santé Internationale (MTSI) fait suite au Bulletin de la Société de Pathologie Exotique. MTSI est une revue en accès libre. Son contenu est disponible gratuitement pour les utilisateurs/utilisatrices ou leurs institutions qui sont libres de lire, télécharger, copier, distribuer, imprimer, rechercher ou créer des liens vers le texte intégral des articles, ou de les utiliser à toute autre fin légitime, sans demander l'autorisation préalable de l'éditeur ou des auteurs/autrices, à condition de citer correctement la source. Voir plus...
publisher: Société Francophone de Médecine Tropicale et Santé Internationale
language: fr-FR
publication name: MTSI
issn: 2778-2034
items: L'épilepsie post-accident vasculaire cérébral : Premières données nigériennes
items: Effet du décubitus ventral vigile chez les patients non intubés atteints d’une pneumonie hypoxémiante
items: Périartérite noueuse : une étiologie de myélite à ne pas méconnaitre en Afrique subsaharienne
items: Place de l'histopathologie dans le diagnostic et la prise en charge des méningiomes intracrâniens. Expérience hospitalière à Kinshasa (République démocratique du Congo)
items: La polysérite tuberculeuse, une étiologie méconnue de thrombose portale : à propos d’un cas au Burkina Faso
items: Aspects cliniques de la dengue dans la région des Savanes au Togo en 2023
items: Enquête CAP (Connaissances, aptitudes, pratiques) auprès de la population et des professionnels de santé sur la santé bucco-dentaire et le noma en 2012 dans la région du Sahel, Burkina Faso
items: Risque transfusionnel en Afrique subsaharienne : état des lieux et défis spécifiques à la République démocratique du Congo
items: Les maladies transmises par les moustiques en République de Djibouti : une revue de la littérature
items: Connaissances, perceptions et attitudes des auxiliaires et assistants médicaux sur la télémédecine au Togo
items: Risque d’émergence de maladies arbovirales transmises par les moustiques au Maroc : revue bibliographique
items: Utilisation des antiparasitaires dans la prévention de la toxoplasmose congénitale : revue systématique et méta-analyse
items: Identification de cas de borréliose à tiques par qPCR à partir de tests rapides de diagnostic du paludisme lors du Grand Magal de Touba au Sénégal
items: Utilisation du matériel génétique extrait des tests de diagnostic rapide du paludisme en PCR lors du Grand Magal de Touba au Sénégal
items: La fièvre récurrente à tiques ouest africaine, une maladie négligée mais d’importance majeure en santé publique au Sénégal
items: Tumeur extra-durale rachidienne chez un enfant à l’hôpital universitaire de Constantine (Algérie) : quel est votre diagnostic ?
items: Perte de connaissance et épisodes d’épilepsie au Mali. Quel est votre diagnostic ?
items: Lésion verruqueuse nasale : un cas marocain de leishmaniose cutanée atypique
items: Un cas de syndrome de Guillain-Barré dû à une infection par Rickettsia conorii en Tunisie
items: L’aplasie tibiale. Traitement par tibialisation de la fibula et compensation du raccourcissement par maintien du pied en équinisme à Bangui, République centrafricaine
items: 34e Congrès national de la STPI - 1er Congrès de la région Middle East and North Africa de microbiologie clinique et de pathologie infectieuse 22-24 mai 2025, Hammamet, Tunisie
items: Hommage à Nicole Léger (1933-2024)
items: Le contrôle de la taille de la famille au Maroc : une étude exploratoire qualitative auprès de femmes rurales
items: Permanences d’accès aux soins de santé (PASS) : dispositifs de prise en charge des plus précaires. Exemple de la PASS de l’Hôtel-Dieu de Paris
items: Facteurs associés à l’acceptation de la vaccination contre la Covid-19 dans la zone de santé Kokolo à Kinshasa, République démocratique du Congo (RDC)

L'épilepsie post-accident vasculaire cérébral : Premières données nigériennes
type: item
description: Post-stroke epilepsy: First data from Niger Introduction. Post-stroke epilepsy is defined as unprovoked seizures occurring in a person with a history of stroke after all other causes have been excluded. Objective. This study aimed to determine the epidemiological, clinical, radiological, and evolutionary characteristics of post-stroke epilepsy in the neurology department of the general referral hospital in Niamey, Niger. The study was retrospective, descriptive, and analytical, and it was conducted over a period of 29 months. Results. A total of 4,765 patients were included in the study, 21 of whom were diagnosed with post-stroke epilepsy. This represents a hospital prevalence of 4.4‰. The sex ratio was 0.75. The average age was 64. Ischemic stroke (IS) was the most common type, accounting for 81% of cases, with lesions most often occurring in the superficial territory of the middle cerebral artery. Seizures were focal in 52.4% of cases and occurred late, within one to two years. Most patients were treated with monotherapy, primarily with carbamazepine. Conclusion. The outcome was favorable in 71.5% of cases with appropriate treatment. L’épilepsie post-accident vasculaire cérébral : Premières données nigériennes Introduction. L’épilepsie post-accident vasculaire cérébral (AVC) se définit par la survenue de crises non provoquées chez un sujet aux antécédents d’AVC, après exclusion de toute autre cause. Objectif. L’objectif de ce travail était de déterminer les caractéristiques épidémio-cliniques, radiologiques et évolutives des épilepsies post-AVC au service de neurologie de l’hôpital général de référence de Niamey (Niger). Il s’agissait d’une étude rétrospective, descriptive et analytique d’une durée de 29 mois. Résultat. Au total, 4 765 patients ont fait l’objet de cette étude parmi lesquels 21 ont été diagnostiqués épileptiques post-AVC, soit une prévalence hospitalière de 4,4 ‰. Le sex-ratio était de 0,75. La moyenne d’âge était de 64. L’AVC ischémique (AVCI) éta…
creator: Zakaria MAMADOU
creator: Fawzia ABDOULAYE DARA
creator: Moussa TOUDOU DAOUDA
creator: Inoussa DAOUDA BAKO
creator: Amadou ABDOU BACHAROU
creator: Fataoulaye SOUMANA HASSANE
creator: Éric ADEHOSSI
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-06
publication date: 2025-07-06
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.654

Effet du décubitus ventral vigile chez les patients non intubés atteints d’une pneumonie hypoxémiante
type: item
description: Effect of awake prone positioning in non-intubated patients with community-acquired pneumonia complicated by hypoxemia Introduction. Several studies have suggested that the early use of awake prone positioning (PP) in patients with acute respiratory failure due to severe community-acquired pneumonia, hemodynamically stable and alert, may improve oxygenation and avoid the need for invasive mechanical ventilation. PP may also help reduce case fatality rate (CFR). The benefits of PP for oxygen-dependent patients hospitalized with non-intubated acute respiratory failure due to SARS-CoV-2 infection have been evaluated. We reviewed the literature to determine if PP could improve hypoxemia and signs of acute respiratory failure in patients with community-acquired or non-community-acquired pneumonia, reduce the need for invasive mechanical ventilation, and reduce CFRin patients with Covid-19. Materials and methods. We searched with Medline for articles published in French or English containing the keywords "acute respiratory failure" or "acute respiratory distress" and "prone position." Results/Conclusion. Turning into prone position is a simple, inexpensive, and effective technique that improves the prognosis of patients with respiratory distress due to severe community-acquired pneumonia, regardless of the cause. This technique can be easily implemented in low- and middle-income countries, particularly in North Africa, sub-Saharan Africa, Asia, and South America. Effet du décubitus ventral vigile chez les patients non intubés atteints d’une pneumonie hypoxémiante Introduction. Plusieurs études ont suggéré que l'utilisation précoce du décubitus ventral vigile (DV) dans la prise en charge de l'insuffisance respiratoire aiguë due à une pneumopathie communautaire grave, stable sur le plan hémodynamique avec une vigilance normale, peut améliorer l'oxygénation et éviter le recours à une ventilation mécanique invasive. Cela peut également contribuer à réduire la létalité. Son bé…
creator: Karama BOUCHAALA
creator: Mabrouk BAHLOUL
creator: Sabrine BRADAI
creator: Rania AMMAR
creator: Chokri BEN HAMIDA
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-27
publication date: 2025-10-27
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.772

Périartérite noueuse : une étiologie de myélite à ne pas méconnaitre en Afrique subsaharienne
type: item
description: Polyarteritis nodosa: an etiology of myelitis that should not be ignored in subsaharansub-Saharan Africa Introduction. Polyarteritis nodosa (PAN) is a systemic necrotizing segmental vasculitis that affects medium- and small-caliber arteries. It is characterized by infiltration of the different layers of the arterial wall (adventitia, media, and intima) by neutrophils, lymphocytes, and eosinophils, resulting in a variety of clinical signs. This infiltration is responsible for reducing arterial caliber, which can range from minimal to severe and cause neurological and digestive manifestations. These manifestations are complicated by a deterioration in the patient's general condition, leading to diagnostic uncertainty in sub-Saharan Africa, where certain infectious diseases (e.g., HIV/AIDS, tuberculosis, and viral hepatitis) are endemic. We present two cases of PAN with initial peripheral neurological involvement (paraplegia and quadriplegia) secondary to transverse myelitis in patients with a history of fetal loss. Through these two case studies, we aim to clarify the characteristics of this rarely described association between PAN and antiphospholipid antibodies. Case reports. The patients, aged 25 and 45, presented with chronic migraines, miscarriages, and a major peripheral neurological deficit that occurred during the dry season (the low-temperature season in Gabon). Magnetic resonance imaging revealed transverse myelitis. An exhaustive autoimmune assessment yielded only a positive result for circulating lupus anticoagulant. Discussion. Although we diagnosed polyarteritis nodosa in these two patients, the role of the lupus anticoagulants remains debatable. These antiphospholipid antibodies are likely to create the conditions for vasculitis due to its persistence in the serum even in the absence of disease activity. Conclusion. The combination of corticosteroid therapy, immunosuppressants, and intensive physical therapy resulted in satisfactory neurological recover…
creator: Josaphat IBA BA
creator: Annick MFOUMOU
creator: Arthur KANGANGA EKOMY
creator: Aurélie BADERHWA
creator: Armel TCHIBENET RAPONTCHOMBO
creator: Michel Arnaud SAPHOU DAMON
creator: Léonie Esther LEDAGA LENTOMBO
creator: Marielle IGALA
creator: Jean Bruno BOGUIKOUMA
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-19
publication date: 2025-12-19
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.789

Place de l'histopathologie dans le diagnostic et la prise en charge des méningiomes intracrâniens. Expérience hospitalière à Kinshasa (République démocratique du Congo)
type: item
description: The role of histopathology in the diagnosis and management of intracranial meningiomas. Hospital experience in Kinshasa (Democratic Republic of Congo) Introduction. Meningiomas are the most common type of intracranial brain tumor and are usually benign. While histopathology is still considered the gold standard for diagnosing and classifying meningiomas, treatment in developing countries heavily relies on computed tomography (CT) and magnetic resonance imaging (MRI). Therefore, it is important to have imaging results that are as accurate as possible. The aim of this study was to determine the contribution of histopathology to the diagnosis of intracranial meningiomas in tertiary healthcare facilities (THFs) in Kinshasa, Democratic Republic of Congo. Materials and methods. We conducted a descriptive, cross-sectional study in THFs with pathology and neurosurgery departments in the city-province of Kinshasa, over a period of ten years. We analyzed 102 patient files of individuals admitted and operated on for a brain tumor. Results. The main complaints were neurological and cephalic deficits and optic nerve damage in 49 (48%) and 23 (22.5%) patients, respectively. The most common diagnostic hypotheses were meningioma (43.1%), brain tumor (27.5%), and expansive intracranial process (13.7%). Eighty-four patients (92.2%) underwent CT scans, and seven (6.9%) underwent MRIs. The most common diagnoses were meningioma in 40 patients (39.2%), brain tumor in 34 patients (33.3%), and glioma in 15 patients (14.7%). Of the 36 patients who underwent histopathological examination, 20 (56%) had meningiomas, and five (14%) had oligodendrogliomas. Of the 20 cases of meningioma diagnosed by histopathology, seven (35%) were fibroblastic meningiomas, and four (20%) were mixed meningiomas. Medical imaging allowed for a meningioma diagnosis in only five cases (25%). Most meningiomas were grade 1 (85%), followed by grade 3 (10%). Conclusion. Despite the importance of histopathology in evaluat…
creator: Elie NKAMBA KAPIAMBA
creator: Olive KISILE MIKUO
creator: Glennie NTSAMBI EBA
creator: Jean-Marie KABONGO MPOLESHA
creator: Bienvenu LEBWAZE MASSAMBA
creator: Raphaël CHIRIMWAMI BULAKALI
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-22
publication date: 2025-10-22
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.647

La polysérite tuberculeuse, une étiologie méconnue de thrombose portale : à propos d’un cas au Burkina Faso
type: item
description: Tuberculous polyseritis, a little-known cause of portal vein thrombosis: a case report from Burkina Faso Introduction. Due to its rarity and severity, tuberculous polyseritis is a diagnostic challenge that can lead to serious complications. Portal vein thrombosis is an uncommon complication that is often overlooked. This case report illustrates this association in an immunocompetent patient. Observation. A 31-year-old male gold miner with a history of tuberculosis infection was admitted with dyspnea, chest pain, a productive cough, and signs of tuberculosis impregnation that had developed over the course of two months. Physical examination revealed massive left pleurisy, moderate ascites, and pericardial effusion in the pre-tamponade stage. An abdominal ultrasound revealed partial thrombosis of the portal vein. Laboratory tests showed inflammatory anemia, leukopenia, and exudative effusions. Mycobacterium tuberculosis DNA was detected in pleural and peritoneal samples by GeneXpert®. A diagnosis of tuberculous polyseritis complicated by portal vein thrombosis was made. The patient received four-drug antituberculosis therapy, as well as pleural and pericardial drainage and acetylsalicylic acid to treat his portal vein thrombosis. The outcome was favorable, with clinical resolution occurring in two months and full recovery occurring in six months. Conclusion. This case highlights the importance of considering tuberculosis as a possible cause of venous thrombosis, even in immunocompetent individuals. Early diagnosis and appropriate management improve the prognosis. La polysérite tuberculeuse, une étiologie méconnue de thrombose portale : à propos d’un cas au Burkina Faso Introduction. La polysérite tuberculeuse constitue un défi diagnostique en raison de sa rareté et de sa gravité : elle peut entraîner des complications graves. La thrombose veineuse portale est une complication inhabituelle, souvent méconnue. Nous rapportons un cas clinique illustrant cette association …
creator: Wendlassida Martin NACANABO
creator: T. André Arthur SEGHDA
creator: Anna TALL/THIAM
creator: Yannick Laurent Tchenadoyo BAYALA
creator: André K SAMADOULOUGOU
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-01
publication date: 2025-12-01
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.648

Aspects cliniques de la dengue dans la région des Savanes au Togo en 2023
type: item
description: Clinical aspects of dengue fever in the Savanna region of Togo in 2023 Introduction. In 2023, the Savanes region of Togo experienced the country's first major dengue epidemic. This study aims to describe the epidemiological, clinical and evolutionary characteristics of confirmed dengue cases during this epidemic. Patients and methods. This retrospective study examined confirmed dengue cases in the Savanes health region from 15 September 2023 to 29 February 2024. Results. During the epidemic, 57 suspected cases of dengue were reported, of which 27 were confirmed. The average patient age was 32 years (range 10–65 years). The main clinical signs were a pain syndrome (n = 19), fever (n = 19), asthenia (n = 17), anorexia (n = 12) and vomiting (n = 11). The distribution of dengue clinical forms included seven cases of classic dengue without warning signs, 15 cases of dengue with warning signs, and five cases of severe dengue. Haematological parameters showed an increase in white blood cell count, particularly in severe dengue cases. Biochemically, renal and hepatic parameters increased in cases of dengue with warning signs and severe dengue. Two deaths from severe dengue were recorded, representing a case fatality rate of just over 7%. Conclusion. This study reports the first major dengue epidemic in northern Togo. A significant proportion of cases were found to be intermediate (warning signs) or severe. Aspects cliniques de la dengue dans la région des Savanes au Togo en 2023 Introduction. La région des Savanes au Togo a connu en 2023 la première grande épidémie de dengue du pays. L’objectif de cette étude est de décrire les caractéristiques épidémiologique, clinique et évolutive des cas confirmés de dengue au cours de cette épidémie. Patients et méthode. Il s’est agi d’une étude rétrospective sur les cas de dengue confirmés lors de l’épidémie dans la région sanitaire des Savanes, du 15 septembre 2023 au 29 février 2024. Résultats. Durant l’épidémie, 57 cas suspects de d…
creator: Lidaw Déassoua BAWE
creator: Awèréou KOTOSSO
creator: Komivi Atsu KPEGBA
creator: Mawaba HILIM
creator: Dondah KOZON
creator: Bawoubadi ABALTOU
creator: Akouda Akessiwe PATASSI
creator: Majesté Ihou WATÉBA
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-16
publication date: 2025-12-16
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.788

Enquête CAP (Connaissances, aptitudes, pratiques) auprès de la population et des professionnels de santé sur la santé bucco-dentaire et le noma en 2012 dans la région du Sahel, Burkina Faso
type: item
description: KAP’ (Knowledge Attitude Practices) survey of the population and health professionals regarding oral health and noma in 2012 in the Sahel region, Burkina Faso Introduction. Noma is a significant public health concern in the Sahel region of Burkina Faso. To combat this issue, stakeholders have come together to develop a project based on the actual knowledge of local populations and medical professionals about the disease. Purpose of the study. This descriptive study examines knowledge, attitudes, and practices related to noma and oral health in the Sahel region in 2012. Results. Although the population is unfamiliar with the term "noma", they generally know the symptoms. However, knowledge of the causes of poor oral health is more confused. While the population is aware of the need for dental hygiene and the possible role of diet, more awareness-raising efforts are needed. There is a gap in the health system's capacity. Health workers are insufficiently trained. Traditional practitioners and the media remain uninvolved in the issue, despite their potential to play a key role. Conclusion. This study impacted the implementation and development of the noma control program, particularly with regard to three major strategies: social mobilization, community strategy, and capacity building for health workers. Enquête CAP (Connaissances, aptitudes, pratiques) auprès de la population et des professionnels de santé sur la santé bucco-dentaire et le noma en 2012 dans la région du Sahel, Burkina Faso Introduction. Le noma est un enjeu majeur de santé publique dans la région du Sahel au Burkina Faso. Pour lutter contre ce fléau, des acteurs se sont mobilisés pour construire un projet en s’appuyant sur l’état des connaissances de la population et des professionnels sur cette pathologie. But de l’étude. Étude descriptive sur les connaissances, attitudes et pratiques relatives au noma et à la santé bucco-dentaire dans la région du Sahel en 2012. Résultat. Bien que la population ne c…
creator: Hadissa TAPSOBA
creator: Jocelyne Valérie GARÉ
creator: Aissata Sané CONGO
creator: Lamoussa Robert ZOMA
creator: Ernest Robert TOÉ
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-17
publication date: 2025-10-17
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.640

Risque transfusionnel en Afrique subsaharienne : état des lieux et défis spécifiques à la République démocratique du Congo
type: item
description: Transfusion risk in sub-Saharan Africa: current situation and challenges specific to the Democratic Republic of Congo Introduction. Ensuring the safety of blood transfusions remains a significant health challenge in sub-Saharan Africa (SSA), especially in the Democratic Republic of Congo (DRC). Political instability, inadequate infrastructure, and the absence of comprehensive hemovigilance systems exacerbate the risks. This situation exposes blood transfusion recipients to post-transfusion complications, especially infectious ones, that could be avoided. Additionally, sociocultural mistrust of blood donation contributes to the shortage of safe blood products. This narrative review aims to address the current issues related to transfusion safety in SSA, particularly in the DRC. Method. An integrative narrative review was conducted from January to April 2025 using the following English and French keywords: "transfusion safety," "sub-Saharan Africa," "blood transfusion risks," "post-transfusion surveillance," "transfusion-transmitted infections," "hemovigilance," and "Democratic Republic of the Congo," either alone or in combination using Boolean operators. Original articles, systematic reviews, institutional reports, and recommendations from public health organizations published between 2000 and 2025 were included. The selection focused on sources relevant to transfusion safety systems, clinical practices in settings with limited resources, and surveillance models in low- and middle-income countries. Results The DRC still lacks an operational national hemovigilance system. Transfusion management remains decentralized, fragmented, and insufficiently standardized, which compromises the quality and safety of care. The lack of traceability and incomplete screening sometimes expose recipients to avoidable risks. However, several local initiatives supported by non-governmental organizations (NGOs), academic institutions, or international programs are emerging. Identified le…
creator: Lambert Morisho MULAKWA
creator: Archippe Muhandule BIRINDWA
creator: Chérone Nancy Mbani MPEGA NTIGUI
creator: Patrick Ntagereka BISIMWA
creator: Sandrine Lydie OYEGUE LIABAGUI
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-25
publication date: 2025-09-25
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.693

Les maladies transmises par les moustiques en République de Djibouti : une revue de la littérature
type: item
description: Mosquito-borne diseases in the Republic of Djibouti: a review of the literature Introduction - Justification. This article is part of a doctoral project that aims to describe the ecology of the mosquitoes present in Djibouti and how they interact with epidemiological dynamics. This study traces the historical evolution of mosquito-borne diseases in Djibouti based on a systematic review of the available scientific literature. Materials and Methods The study was conducted in accordance with PRISMA standards. An exhaustive bibliographic search was conducted on vector-borne diseases (arboviruses and parasitic diseases) transmitted by mosquitoes in the geographical context of the Republic of Djibouti. PubMed, ScienceDirect, Springer Nature, and Google Scholar were searched to cover both indexed publications and gray literature. The query syntax combined Boolean operators (AND/OR) and MeSH/relevant entry terms structured around two axes: “French Territory of the Afars and the Issas” and “Djibouti,” as well as “Dengue Djibouti,” “Malaria Djibouti,” etc. Results. In Djibouti, the risk of arbovirus infection is primarily linked to environmental and behavioral risk factors, with a higher risk in urban areas than in rural regions. The scientific literature lists at least six vector-borne diseases transmitted by female mosquito bites. Four of these diseases have been documented in Djibouti: malaria, chikungunya, dengue, and West Nile fever. Rift Valley fever and Zika virus are also mentioned, though there have been no official reports of Zika virus cases in the country to date. Discussion - Conclusion. Mosquito-borne diseases are dominated by malaria and dengue fever. This explains the abundance of data on these two diseases and their vectors. To better understand the health challenges, studies on the characterization of pathogens and other mosquito-borne diseases in Djibouti, as well as on the reporting of clinical signs, are strongly recommended. Les maladies transmises par l…
creator: Abdoulgabar ABDOURAHMAN OMAR
creator: Oumnia HIMMI
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-10
publication date: 2025-11-10
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.778

Connaissances, perceptions et attitudes des auxiliaires et assistants médicaux sur la télémédecine au Togo
type: item
description: Knowledge, perceptions and attitudes of medical auxiliaries and assistants on telemedicine in Togo Objective. This study aims to evaluate the knowledge, perceptions, and attitudes of medical auxiliaries and assistants regarding telemedicine in Togo. Methodology. This descriptive cross-sectional study was conducted from March 27 to June 26, 2021, and included medical auxiliaries and assistants working in Togo. Participants completed the questionnaires electronically via Google Forms or in printed format. Results. Of the 315 medical auxiliaries and assistants surveyed, 76.2% were auxiliaries (including 81.7% nurses and midwives), and 23.8% were assistants. Seventy-six point eight percent had heard of telemedicine at least once. They were familiar with teleconsultation (53%), telemonitoring (18.1%), and telehealth assistance (15.2%). The main barriers to developing telemedicine that were cited were economic difficulties (64.8%) and organizational barriers (54.3%). They knew that patient consent is required for telemedicine procedures in 48.6% of cases. Eighty-two percent of them considered telemedicine useful for everyday medical practice, and nearly all (90.5%) wanted training in telemedicine. They practiced telemonitoring (27.4%) and telehealth assistance (24.2%). Seventy-five percent used WhatsApp to prescribe remotely, and 49.8% used it to monitor patients remotely. Conclusion. Despite their limited knowledge, medical auxiliaries and assistants in Togo had a positive perception of telemedicine; however, they did not always adopt good attitudes. Connaissances, perceptions et attitudes des auxiliaires et assistants médicaux sur la télémédecine au Togo Objectif. L’objectif de cette étude est d’évaluer les connaissances, perceptions et attitudes des auxiliaires et assistants médicaux sur la télémédecine au Togo. Méthodologie. Il s’agit d’une étude transversale descriptive effectuée du 27 mars au 26 juin 2021 incluant les auxiliaires et assistants médicaux exerçant au T…
creator: Kokou ADAMBOUNOU
creator: Rarba Baniki MOROUMA-TISSOGA
creator: Akoété Beleave KOUEVIDJIN
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-03
publication date: 2025-09-03
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.744

Risque d’émergence de maladies arbovirales transmises par les moustiques au Maroc : revue bibliographique
type: item
description: Risk of emergence of mosquito-borne arboviral diseases in Morocco: literature review Introduction. The emergence of arboviruses, or viruses transmitted by arthropods, is now one of the world's biggest health problems. The globalization of trade and travel, coupled with uncontrolled urbanization in many cities, has created ideal conditions for mosquito vectors to establish themselves and introduced opportunities for arboviruses to spread. Method. In this review, we summarize historical and recent data on arthropod-borne diseases and their vectors in Morocco. Results. According to seroepidemiological studies there is a risk of emergence and epidemics in Morocco due to the recent circulation of West Nile virus among equids and birds as well as in populations of Culex mosquitoes. The introduction of new invasive mosquito species, such as Aedes albopictus (a vector of dengue, Zika, and chikungunya), further exacerbates this risk. Fourteen mosquito species as vectors for transmitting pathogens to humans and animals have been reported in Morocco. Conclusion. In order to understand arbovirus epidemics and virus transmission, it is necessary to study mosquito vectors first, in order to gain a comprehensive understanding of the current risk facing our country and to be well prepared for future threats. Risque d’émergence de maladies arbovirales transmises par les moustiques au Maroc : revue bibliographique Introduction. L'émergence des arbovirus (virus transmis par les arthropodes) figure aujourd'hui parmi les plus grands problèmes de santé au monde. La mondialisation des échanges et des voyages ainsi que l'urbanisation sauvage de nombreuses villes ont créé des conditions propices à l'établissement de moustiques vecteurs offrant des possibilités d'introduction d'arbovirus. Méthode. Dans cette revue, nous résumons les données historiques et récentes sur la situation des maladies transmises par les arthropodes et leurs vecteurs au Maroc. Résultats. Il existe un risque d'émergen…
creator: Samya JDIAA
creator: Hanan HAZYOUN
creator: Moulay Anass LOUAH
creator: Oumnia HIMMI
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-08-21
publication date: 2025-08-21
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.671

Utilisation des antiparasitaires dans la prévention de la toxoplasmose congénitale : revue systématique et méta-analyse
type: item
description: Use of antiparasitic drugs in the prevention of congenital toxoplasmosis: systematic review and meta-analysis Introduction. In the context of preventing congenital Toxoplasma gondii infection, optimizing the use of antiparasitic molecules, such as spiramycin, pyrimethamine-sulfadiazine combinations, cotrimoxazole, and pyrimethamine-sulfadoxine, during the prenatal period is a significant challenge in limiting maternal-fetal transmission and reducing associated effects. Materials and methods. A systematic review of cohort studies published between 2000 and 2023 was conducted to determine the overall risk of mother-to-fetus transmission in pregnant women with primary Toxoplasma gondii infection, whether they are treated or not. The risk of maternal-fetal transmission in women undergoing treatment corresponds to the treatment failure rate. Results. The average overall risk of maternal-fetal transmission was estimated at 49% (95% CI, 36%-63%) among pregnant women infected during pregnancy who did not receive anti-toxoplasma treatment. This risk was assessed by categorizing the women according to their region of residence or whether their healthcare system had a prenatal care strategy. Among groups of pregnant women treated with spiramycin or pyrimethamine-sulfadiazine, the average overall treatment failure rates were 16% (95% CI, 7%-26%) and 11% (95% CI, 3%-22%), respectively, when the women were stratified according to region of residence or whether the healthcare system had a routine prénatal screening strategy. Congenital infection can cause several disorders, and the frequency of these disorders can be reduced by treating the maternal infection. There is insufficient data for a meta-analysis of treatment regimens such as pyrimethamine-sulfadoxine or sulfamethoxazole-trimethoprim combinations. Conclusion. The failure rate of standard anti-toxoplasma treatments can be reduced by addressing several recognized risk factors early on. Each healthcare system must strengthe…
creator: Richard AMAGBÉGNON
creator: Aretas Babatoundé Nounnagnon TONOUHÉWA
creator: Magalie DAMBRUN
creator: Célia DECHAVANNE
creator: Aurore OGOUYEMI-HOUNTO
creator: Florence MIGOT-NABIAS
creator: Marie-Laure DARDÉ
creator: Aurélien MERCIER
creator: Dorothée K KINDÉ-GAZARD
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-15
publication date: 2025-09-15
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.753

Identification de cas de borréliose à tiques par qPCR à partir de tests rapides de diagnostic du paludisme lors du Grand Magal de Touba au Sénégal
type: item
description: Identification of tick-borne borreliosis cases by qPCR from rapid malaria diagnostic tests during the Grand Magal of Touba in Senegal Introduction. Antigen rapid diagnostic tests (RDTs) have been developed to facilitate malaria diagnosis in endemic areas. The blood samples collected for these tests can also be used to diagnose other infections. Methods. We performed nucleic acid extraction followed by PCR identification of dengue virus (DENV), Borrelia spp., Bartonella spp., and Coxiella burnetti on RDTs collected from different health facilities in Touba during the Grand Magal of Touba (GMT), a mass gathering known for its infectious disease risks. Results. A total of 2,381 RDTs were collected from eight healthcare facilities in the Mbacké department in 2022 and 2023 during the GMT. Thirteen cases (0.5%) of tick-borne relapsing fever borreliosis were identified by quantitative PCR (qPCR), including two cases of malaria-borreliosis co-infection. None of the samples tested positive for DENV, Bartonella spp., or C. burnetti. Conclusion. Our results confirm that RDT antigens can diagnose non-malaria fevers, such as borreliosis, in some GMT participants with fever. Malaria RDTs used in the field are an easily accessible source of clinical samples for studying the epidemiology of fevers of unknown origin in GMT contexts. Identification de cas de borréliose à tiques par qPCR à partir de tests rapides de diagnostic du paludisme lors du Grand Magal de Touba au Sénégal Introduction. Les tests de diagnostic rapide (TDR) antigéniques ont été développés pour faciliter le diagnostic du paludisme dans les zones d’endémie palustre. Le matériel sanguin collecté pour ces tests peut être utilisé pour le diagnostic d’autres infections. Méthode. Une extraction d’acides nucléiques suivie d’une identification par PCR du virus de la dengue (DENV), Borrelia spp, Bartonella spp et Coxiella burnetti a été effectuée sur des TDR collectés dans différents structures sanitaires de Touba lors du …
creator: Coumba DIOUF
creator: Ihssane OUADDANE
creator: Georges DIATTA
creator: Mamadou Lamine Bara GOUMBALA
creator: Abdourahmane SOW
creator: Déguène FAM
creator: Mbayang FAYE
creator: Philippe GAUTRET
creator: Cheikh SOKHNA
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-08-16
publication date: 2025-08-16
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.732

Utilisation du matériel génétique extrait des tests de diagnostic rapide du paludisme en PCR lors du Grand Magal de Touba au Sénégal
type: item
description: Use of genetic material extracted from rapid malaria diagnostic tests using PCR during the Grand Magal of Touba in Senegal Introduction. The Grand Magal of Touba (GMT), a religious event, attracts between four and five million pilgrims and poses a significant risk of infectious disease transmission, including malaria. Rapid diagnostic tests (RDTs) are commonly used during the event. This study aimed to validate the use of genetic material extracted from RDTs for retrospective diagnostic testing by PCR. Methods. Two types of RDTs were collected from eight health facilities in the Mbacké department in 2022 and 2023 during the GMT: Bioline™ Malaria Ag P.f/Pan (Abbott, USA) and ParaHIT® (Arkray, India) which detects Plasmodium falciparum. Real-time PCR (qPCR) was performed after opening the RDTs and extracting DNA/RNA to confirm the visual reading of the antigen tests. The performance of the collected RDTs was calculated relative to the PCR results, which were considered the reference standard. Results. A total of 2,381 RDTs were collected, 213 of which (8.9%) were positive according to the test readings (135 according to Bioline™ tests, and 78 according to ParaHIT®). According to qPCR, 194 samples (8.1%) were positive for P. falciparum. There were false positives in 39 (2.5%) Bioline™ tests and 57 (7.2%) ParaHIT® tests, as well as false negatives in 68 (4.3%) Bioline™ tests and 9 (1.1%) ParaHIT® tests. The Bioline™ and ParaHIT® tests were 97.3% and 92.5% specific, respectively. Their positive predictive values were 71.1% and 26.9%, respectively, and their negative predictive values were 95.3% and 98.7%, respectively. Conclusion. Genetic material extracted from RDT cassettes can be used for subsequent PCR diagnosis with increased specificity and sensitivity. Utilisation du matériel génétique extrait des tests de diagnostic rapide du paludisme en PCR lors du Grand Magal de Touba au Sénégal Introduction. Le Grand Magal de Touba (GMT) est un événement religieux qui attire …
creator: Coumba DIOUF
creator: Ihssane OUADDANE
creator: Georges DIATTA
creator: Mamadou Lamine Bara GOUMBALA
creator: Abdourahmane SOW
creator: Déguène FAM
creator: Mbayang FAYE
creator: Philippe GAUTRET
creator: Cheikh SOKHNA
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-08-16
publication date: 2025-08-16
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.733

La fièvre récurrente à tiques ouest africaine, une maladie négligée mais d’importance majeure en santé publique au Sénégal
type: item
description: West African tick-borne relapsing fever, a neglected disease of major public health importance in Senegal Introduction. Tick-borne relapsing fever (TBRF) is a zoonotic disease caused by various species of Borrelia that are transmitted to humans worldwide through the bite of soft ticks belonging to the genus Ornithodoros. In Senegal, as in other endemic regions of West Africa, cases of TBRF caused by B. crocidurae and transmitted by Ornithodoros sonrai ticks are underdiagnosed. The disease is not well known among doctors, nurses, or the general population. In some regions, TBRF is the leading cause of vector-borne fever, surpassing malaria. Materials and methods. This narrative and systematic review reports on the entomological, mammalogical, epidemiological, and clinical aspects of TBRF in Senegal. Small wild mammals, the main reservoir hosts of B. crocidurae, have been identified and mapped, along with the known distribution of the tick vectors. Conventional diagnostic methods, such as visualization of spirochetes on thick blood smears and/or blood smears, as well as modern molecular biology methods and antibiotic treatment, are described. Conclusion. The strategy for preventing and controlling TBRF in Senegal involves improving living conditions, filling in burrows, and trapping small mammals in human dwellings. Health authorities in endemic regions need to better disseminate these methods through awareness campaigns. La fièvre récurrente à tiques ouest africaine, une maladie négligée mais d’importance majeure en santé publique au Sénégal Introduction. La fièvre récurrente à tiques (FRT), est une zoonose causée par diverses espèces de Borrelia transmises aux humains à travers le monde, par la piqûre des tiques molles du genre Ornithodoros. Au Sénégal, comme dans les autres régions endémiques d’Afrique de l’Ouest, les cas de FRT, causés par Borrelia crocidurae et transmis par les tiques Ornithodoros sonrai, sont sous-diagnostiqués. La maladie reste peu connue des m…
creator: El Hadji ibrahima NDIAYE
creator: Georges DIATTA
creator: Cheikh SOKHNA
creator: Philippe PAROLA
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-24
publication date: 2025-09-24
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.573

Tumeur extra-durale rachidienne chez un enfant à l’hôpital universitaire de Constantine (Algérie) : quel est votre diagnostic ?
type: item
description: Extradural spinal tumor in a child at Constantine University Hospital (Algeria): what is your diagnosis? eight-year-old child from the Constantine region with no significant medical history was admitted due to progressive weakness in the lower limbs over a period of approximately 20 days, accompanied by difficulty walking. What is your diagnosis? Tumeur extra-durale rachidienne chez un enfant à l’hôpital universitaire de Constantine (Algérie) : quel est votre diagnostic ? Un enfant de 8 ans, originaire de la région de Constantine, sans antécédents pathologiques particuliers a été admis pour une faiblesse progressive des membres inférieurs évoluant depuis une vingtaine de jours, associée à des troubles de la marche. Quel est votre diagnostic ?
creator: Mohamdi NABIL
creator: Badreddine ALLOUACHE
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-02
publication date: 2025-12-02
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.710

Perte de connaissance et épisodes d’épilepsie au Mali. Quel est votre diagnostic ?
type: item
description: Loss of consciousness and epileptic episodes in Mali. What is your diagnosis? A 15-year-old girl presented to the neuropediatric department with sudden loss of consciousness and a history of vomiting, intermittent headaches, dizziness, visual disturbances, and epileptic seizures. What is your diagnosis? Perte de connaissance et épisodes d’épilepsie au Mali. Quel est votre diagnostic ? Une jeune fille de 15 ans s’est présentée au service de neuropédiatrie pour une perte brutale de connaissance avec des antécédents de vomissements, de céphalées intermittentes, de vertiges, de troubles de la vue et de crises d’épilepsie. Quel est votre diagnostic ?
creator: Mahamane MARIKO
creator: Mamoudou CAMARA
creator: Kimba B. Abdoul NASSER
creator: Abdoulaye Mody CAMARA
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-10
publication date: 2025-10-10
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.765

Lésion verruqueuse nasale : un cas marocain de leishmaniose cutanée atypique
type: item
description: Nasal wart lesion: a Moroccan case of atypical cutaneous leishmaniasis Introduction/Justification. Cutaneous leishmaniasis (CL) is an endemic parasitic disease in Morocco. It is of particular concern due to the diversity of species involved and their varied clinical manifestations. Leishmania infantum, which is often associated with visceral leishmaniasis, can also cause localized cutaneous forms of the disease in certain epidemiological contexts. We present a case of atypical nasal CL caused by L. infantum. Observation. A 60-year-old female patient residing in Salé with no significant medical history presented with a verrucous inflammatory lesion on the left side of her nose. The lesion appeared six months after she stayed in the city of Taza. Clinical examination and parasitological analysis led to a diagnosis of cutaneous leishmaniasis. PCR-RFLP identified the species as L. infantum. The lesion partially healed after treatment with meglumine antimoniate. Discussion/Conclusion. This case reports an atypical presentation of CL in the form of a rare verrucous nasal lesion caused by L. infantum. This species is classically associated with visceral leishmaniasis, but it is increasingly being reported in localized cutaneous manifestations. This case demonstrates the clinical diversity of CL. The delay in diagnosis resulted in only partial healing, which highlights the importance of early recognition of unusual forms. This case also underscores the need to strengthen epidemiological surveillance and raise awareness among healthcare professionals and exposed populations as part of an integrated strategy to combat CL. Lésion verruqueuse nasale : un cas marocain de leishmaniose cutanée atypique Introduction/Justification. La leishmaniose cutanée (LC) est une parasitose endémique au Maroc. Elle est particulièrement préoccupante en raison de la diversité des espèces responsables et de leurs manifestations cliniques variées. Leishmania infantum, souvent associé à la leishmani…
creator: Khalil ZIMI
creator: Imane ZOUAOUI
creator: Hanaa NEJJARI
creator: Sarra AOUFI
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-09
publication date: 2025-10-09
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.681

Un cas de syndrome de Guillain-Barré dû à une infection par Rickettsia conorii en Tunisie
type: item
description: A case of Guillain-Barré syndrome due to infection with Rickettsia conorii in Tunisia Introduction. Mediterranean spotted fever is an infection caused by Rickettsia conorii that is endemic to the Mediterranean basin. It is mainly transmitted by ticks. The association between this infection and Guillain-Barré syndrome (GBS) is uncommon. Observation. We present the case of a 29-year-old Tunisian patient with no prior medical conditions who presented with flaccid quadriplegia that progressed to respiratory distress. This was accompanied by persistent fever and hepatosplenomegaly. Acute motor axonal GBS was diagnosed through electroneuromyography, and R. conorii infection was diagnosed through serology. Treatment with immunoglobulins and doxycycline led to gradual clinical improvement. Conclusion. This case underscores the importance of considering R. conorii infection in patients with GBS presenting with systemic symptoms, especially in endemic regions like Tunisia. Un cas de syndrome de Guillain-Barré dû à une infection par Rickettsia conorii en Tunisie Introduction. La fièvre boutonneuse méditerranéenne, causée par Rickettsia conorii, est une infection endémique dans le bassin méditerranéen, transmise principalement par les tiques. L'association entre cette infection et le syndrome de Guillain-Barré (SGB) est rare. Observation. Nous rapportons le cas d’un patient tunisien de 29 ans, sans antécédents médicaux, présentant une quadriplégie flasque évoluant vers une détresse respiratoire, associée à une fièvre persistante et une hépatosplénomégalie. Le diagnostic de SGB sous sa forme axonale motrice aiguë, a été confirmé par électroneuromyogramme et l'infection à R. conorii par la sérologie. Le traitement par immunoglobulines et doxycycline a conduit à une amélioration clinique progressive. Conclusion. Ce cas souligne l’importance de penser à l’infection à R. conorii, devant un SGB associé à des signes systémiques en particulier dans un pays endémique comme la Tunisie.
creator: Yosr BEN TAHER
creator: Rania AMMAR
creator: Mabrouk BAHLOUL
creator: Chokri BEN HAMIDA
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-22
publication date: 2025-10-22
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.768

L’aplasie tibiale. Traitement par tibialisation de la fibula et compensation du raccourcissement par maintien du pied en équinisme à Bangui, République centrafricaine
type: item
description: Tibial aplasia. Treatment by tibialization of the fibula and compensation for shortening by holding the foot in equinus position in Bangui, Central African Republic Objective. Congenital absence of the tibia (congenital tibial aplasia) causes significant disability when walking. The usual treatment, which involves lengthening the lower leg or early amputation followed by prosthetic fitting, requires technical resources that are often lacking in developing countries. The proposed alternative consists of tibialization of the fibula with limb lengthening and by preservation of the foot equinismus. Patients and method. The records of 25 children with congenital tibial aplasia were reviewed. Ten of these children underwent tibialization of the fibula (operated between one and three years of age) and amputation (at six and eight years of age) in two cases. Results. With a mean follow-up period of two years and seven months, correct alignment of the lower leg and foot below the knee was achieved in all cases of tibialization of the fibula. Two children achieved independent walking. Three children were lost for follow-up. Discussion. The management of congenital tibial aplasia must consider the local socioeconomic context. Although the follow-up period in this study is short, the protocol is simple and well-accepted by families. Conclusion. Conservative treatment of tibial aplasia through tibialization of the fibula with equinus preservation to compensate the shortening is simple and takes local socioeconomic constraints into account, while avoiding the limitations and costs of modern protocols. Furthermore, it is always well accepted by families. L’aplasie tibiale. Traitement par tibialisation de la fibula et compensation du raccourcissement par maintien du pied en équinisme à Bangui, République centrafricaine Objectif. L’absence congénitale du tibia (aplasie tibiale congénitale) entraine un handicap important pour la marche. Son traitement habituel (allongement du segment…
creator: Michel ONIMUS
creator: Anselme YAFONDO
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-08-07
publication date: 2025-08-07
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.655

34e Congrès national de la STPI - 1er Congrès de la région Middle East and North Africa de microbiologie clinique et de pathologie infectieuse 22-24 mai 2025, Hammamet, Tunisie
type: item
description: Éditorial La Société Tunisienne de Pathologie Infectieuse (STPI) est une société savante scientifique créée en 1988. Elle est active dans les domaines des maladies infectieuses, de la microbiologie et de la parasitologie-mycologie. Elle est engagée dans la santé publique et la recherche dans le domaine de l’infectiologie au sens large. Elle organise chaque année plusieurs manifestations scientifiques, notamment son congrès national annuel dont la 34e édition s’est tenue en 2025. La STPI a pour principaux objectifs et missions : le développement de la qualité de la prise en charge et de la prévention des maladies infectieuses en Tunisie, la formation des résidents en collaboration avec les collèges et sociétés savantes partenaires, la participation à l’élaboration de consensus et à la réalisation d’études multicentriques, ainsi que la collaboration avec d’autres sociétés savantes, à l’échelle nationale et internationale, notamment par l’organisation de cours de formation et d’évènements conjoints. Le 34e Congrès national annuel de la STPI, couplé au 1er Congrès de la Région Middle East and North Africa en microbiologie clinique et en pathologie infectieuse, s’est tenu du 22 au 24 mai 2025 à Hammamet, en Tunisie. Cet événement scientifique majeur a été co-organisé en partenariat avec l’Organisation mondiale de la Santé, avec la participation active de plusieurs experts nationaux et internationaux, et le soutien de plusieurs sociétés savantes : la Société de Pathologie Infectieuse de Langue Française (SPILF), la Société Francophone de Médecine Tropicale et Santé Internationale (SFMTSI), la Société Française de Microbiologie (SFM), la Société Algérienne d’Infectiologie (SAI), la Société Marocaine de Microbiologie Médicale (SMMM), la Lebanese Society of Infectious Diseases (LSIDSM) et l’Infection Control Africa Network (ICAN). La manifestation a abordé plusieurs thématiques allant de l’infectiologie clinique à la bactériologie, la virologie, la parasitologie et la mycolo…
creator: STPI (Société Tunisienne de Pathologie Infectieuse)
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-09
publication date: 2025-11-09
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.777

Hommage à Nicole Léger (1933-2024)
type: item
description: .
creator: Jérôme DEPAQUIT
creator: Marie-Claude DURETTE-DESSET
creator: Jean-Charles GANTIER
creator: Frédérick GAY
creator: Marc GENTILINI
creator: Nabil HADDAD
creator: René HOUIN
creator: Mireille KILLICK-KENDRICK
creator: Irène LANDAU
creator: Bernard PESSON
creator: François RODHAIN
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-29
publication date: 2025-07-29
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.728

Le contrôle de la taille de la famille au Maroc : une étude exploratoire qualitative auprès de femmes rurales
type: item
description: Family size control in Morocco: a qualitative exploratory study among rural women Objective. Although women play a central role in family planning, their ability to control their fertility is often influenced by social and relational factors. This study explores the knowledge, attitudes and practices of married women of childbearing age living in rural areas of Morocco regarding family planning and the contraceptive methods currently available. Method. In-depth face-to-face interviews were conducted with 49 married Moroccan women in a rural maternity ward during their postpartum period. Using open-ended questions, we examined their contraceptive practices, decision-making autonomy and the social influences determining their reproductive choices. Results. Most participants reported using oral contraceptives, although many had experienced at least one unintended pregnancy due to contraceptive misuse. The women expressed a preference for smaller families in order to ensure financial stability and a better quality of life. However, they often encountered resistance from their husbands and extended families when attempting to use contraception or limit their family size. There were widespread misconceptions about intrauterine devices (IUDs), with many women requiring their spouse's consent due to concerns about sexual health. Conclusion. Our findings highlight the important role of social and relational factors in women's reproductive choices. Addressing misconceptions and improving access to reproductive health education is essential. Involving husbands in counselling sessions can strengthen family planning efforts and support women's autonomy in fertility-related decisions. Le contrôle de la taille de la famille au Maroc?: une étude exploratoire qualitative auprès de femmes rurales Objectif. Les femmes jouent un rôle central dans la planification familiale, mais leur capacité à exercer un contrôle sur leur fertilité est souvent influencée par des facteurs sociaux et re…
creator: MOUJAHID Chaimae
creator: Soufiane YASSARA
creator: Jack E. TURMAN Jr.
creator: Loubna AMAHDAR
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-17
publication date: 2025-11-17
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.667

Permanences d’accès aux soins de santé (PASS) : dispositifs de prise en charge des plus précaires. Exemple de la PASS de l’Hôtel-Dieu de Paris
type: item
description: PASS units: mechanisms for delivering healthcare to underserved populations. The example of the Hôtel-Dieu PASS, Paris The 1998 French law on combating exclusion established PASS units (Permanences d’Accès aux Soins de Santé, or Healthcare Access Points) to guarantee access to healthcare for all, including people in precarious situations. PASS centers aim to address the social, economic, administrative, and linguistic barriers that prevent vulnerable populations from accessing the healthcare system. This article provides an overview of how PASS operate in France and describes the PASS at Hôtel-Dieu in Paris (Public Hospitals of Paris). This PASS offers patients a holistic approach that includes medical care, psychiatric follow-up, social support, interpretation services, and specialized consultations. As of 2023, there were 451 PASS centers in France. The Hôtel-Dieu PASS, with its multidisciplinary team, carried out over 10,500 medical consultations for 4,144 patients. Most users are young male migrants without health insurance (69%) or stable housing (nearly 90%). The most common conditions are chronic diseases (e.g., hypertension and diabetes), infectious diseases (e.g., hepatitis B/C, HIV, and tuberculosis), and mental health issues (e.g., post-traumatic stress disorder and anxiety). The Hôtel-Dieu example illustrates the specific features of PASS centers: accessibility without appointments, single locations and time slots, and adaptability to precarious schedules. These services enable vulnerable populations to reconnect with the healthcare system. However, their effectiveness depends on long-term funding, enhanced medical and social coordination, and institutional recognition of their role. PASS units respond to an ethical and public health imperative: caring for those furthest from the healthcare system. Their sustainability requires adequate human and financial resources. They must remain places of innovation, welcome, and inclusion that constantly adapt to s…
creator: Alexandra REHBINDER
creator: Hélène de CHAMPS-LÉGER
creator: Louis CROZIER
creator: Guillaume RIEUTORD
creator: Hélène LELONG
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-08-06
publication date: 2025-08-06
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.729

Facteurs associés à l’acceptation de la vaccination contre la Covid-19 dans la zone de santé Kokolo à Kinshasa, République démocratique du Congo (RDC)
type: item
description: Factors associated with acceptance of COVID-19 vaccination in the Kokolo health zone in Kinshasa, Democratic Republic of Congo (DRC) Context. Vaccination is a key preventive strategy in the response to the SARS-CoV-2 pandemic. However, ensuring vaccination adherence remains challenging, particularly in the Kokolo health zone (HZ) in Kinshasa, Democratic Republic of the Congo (DRC), where vaccination coverage remains below 40%. This study aims to identify the factors influencing acceptance of the vaccine among heads of households or their spouses. Methodology. From January 2021 to December 2024, a cross-sectional analytical study was conducted among 399 heads of households (or spouses) selected by three-stage probability sampling. Data were collected through interviews using a structured questionnaire on the KoboCollect application and analyzed using Epi Info 7.2.6.0. Results. Overall, the HZ population reported having heard of both the COVID-19 and its vaccination. Among those surveyed, 79.9% (319 out of 399) considered the vaccine to be effective. The main reasons for not accepting vaccination were never having seen a death or reported case of the disease in the HZ. In a multivariate analysis, acceptance of the vaccine was associated with military service and knowledge of the disease and existing vaccines. Conclusion. When developing strategies to promote Covid-19 vaccination acceptance, knowledge about the disease and existing vaccination, the involvement of political and administrative authorities, military authorities, and community leaders, awareness-raising, and the organization of nearby vaccination sites must be taken into account. Media is the main channel for information and awareness-raising in this HZ. Facteurs associés à l’acceptation de la vaccination contre la Covid-19 dans la zone de santé Kokolo à Kinshasa, République démocratique du Congo (RDC) Contexte. La vaccination est l’une des stratégies préventives majeures dans la conduite de la riposte con…
creator: Levis AMISI KENGEA
creator: Winnie MASAMBA BIKOKI
creator: Jean-Claude NSINGA BUNGIENA
creator: Jean-Jacques KAPE KALUME
rights: © MTSI 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-22
publication date: 2025-12-22
volume: 5
number: 4
doi: 10.48327/mtsi.v5i4.2025.704