Ulcère de Buruli : évaluation de la prise en charge médicochirurgicale dans le centre de dépistage et de traitement d'Allada, Bénin, de 2010 à 2014

Abstract

Introduction: The objective of our study wastoevaluatethemedico-surgicalmanagementof Buruli ulcer (BU) in the BU Screening and Treatment Center (CDTUB) of Allada in Benin. Methods: This retrospective and descriptive study retrospectively reviewed records of patients seen from 2010 to 2014 at the CDTUB of Allada. It included patients diagnosed with BU according to WHOepidemiologicalandclinicalcriteriaaswellas laboratory results and who were treated according to WHO medical and surgical recommendations. Results: In all, 274 patients were diagnosed and treated, 57.7% of them children younger than 15 years. Ulcerative lesions (189, 69%) and WHO category II lesions (144, 52.5%) predominated. All patients received dual antibiotic therapy and 43.4% (119) underwent surgery as well. Category III lesions and multifocal lesions required more surgery, whereas most category I lesions healed undermedicaltreatment.Theoverallrateofhealing was 92%: 53.3% for patients who received only antibiotictherapyand 38.7% forthose who also had surgery.Themedianhealingtimewas13weeksand ranged from 4 to 56 weeks. Conclusion: In the CDTUB of Allada, between 2010 and 2014, most patients were treated with antibiotic therapy alone, but a significant number still received surgery.