SUBSTRACT
Our work of cycle end is of analytic retrospective transverse
nature. He/it is titled "epidemiological and therapeutic Profile of the
urogenital infections at the pregnancy women."
For his/her/its realization, we left on land with the
following specific questions:
1. What are the major age group and the age gestationnel of
the consulting gestantes for the low urogenital infections in the clinic
hospitable IMPUHWE?
2. What is the source current of the patients received for IUG
in the clinic hospitable IMPUHWE?
3. What is the frequency of the genital infections at the
gestantes as recorded at the clinic hospitable IMPUHWE?
4. what are the signs of orientation the more noticed in case
of urogenital infections at the gestantes taken in charge in the clinic
hospitable IMPUHWE?
5. What are the most frequent of the urogenital infections
diagnosed at the gestantes taken in charge in the clinic hospitable IMPUHWE?
6. What the determinants and the factors are encouraging the
intervening of the blazes of urogenital infections at the gestantes taken in
charge in the clinic hospitable IMPUHWE?
7. What are the descended of the urogenital infections at the
gestantes taken in charge in the clinic hospitable IMPUHWE?
8. What is the treatment adapted to the IUG victimisant the
gestantes received at the clinic hospitable IMPUHWE?
9. What is the evolution of the IUG after treatment at the
gestantes taken in therapeutic charge in the clinic hospitable IMPUHWE?
The temporary answers anticipated to these questions of
research constitute our hypotheses of research.
To verify our hypotheses of departure and better to succeed to
the discounted results, this work of end cycle suits on the objectives to want:
1. To determine the factors encouraging the intervening of the
blazes of uro-genital infections at the gestantes and to specify his/her/its
prévalence in the clinic hospitable IMPUHWE.
2. To unveil the signs of orientation the more noticed at the
clinic hospitable IMPUHWE in case of low urogenital infections at the pregnancy
women.
3. To discover the most frequent of the low urogenital
infections diagnosed at the pregnancy women taken in charge in the clinic
hospitable IMPUHWE while specifying their distribution in the city of Gisenyi.
4. To clear the descended of the infections urogenital bass at
the pregnancy women.
5. To propose prophylactic means facing the urogenital
infections at the pregnancy women and their descended in general.
The waited results are to confirm the causal relation of the
IUG at the pregnancy women received for treatment to the HP. I., to determine
the descended that ensue some of it and to propose the tracks of the
prophylactic solutions.
To the descended of the analyses of the data built
échantillonnales to the number of 335 chiefs of the households collected
on basis of the pursued objectives and goals to reach, techniques and
statistical methods, we got the following results:
The pregnancy women received for the urogenital infections in
the IMPUHWE clinics under period in survey that comes mainly from the BUGOYI
cells (23.3%), RWAZA (19, 2%), BYAHI (16.4%) and MBUGANGARI (13.7%) that BONEZA
(1.4%) have a middle age of 30 years dominating to 32 years and therefore aged
mainly between 23 and 39 years (72,6%).
They are for most primigestes - primipares (52,1%) and
primigestes - nullipares (31.5%), newly integrated women in the matter of
reproduction and anxious of their good health and the one of their first
births. A lot of between them have each a pregnancy aged of first three months
(Quarter 1: 52,1%).
The urogenital infections are frequent to 46.6% at the
pregnancy women that consulted to the so-called clinque in relation to the
other pathologies that represent 53.4%.
The signs as leucorrhées, pruritus, vulvo-vaginitis,
redness of the vaginal mucous membrane, dysurie and burns mictionnelles are
diagnosed to 100% at the pregnancy women received for the IUG to the HP. I. but
as hypogastric pains (87.7%) and vaginitis in cabbages flower (57.5%).
The complementary exams (DRUNK, ECBU, vaginal Smear and NFS)
put factorisent in most cases the biologic agents as the entérocoques
(23.3%), candida albicans (17.8%), treponema palludum (16.4%),... The often
noticed organic and biologic complications are the BA and cystitis gravidique
(100%), Vaginitis (74%), cervicite (49.3%) and threat of abortion (42.5%)) that
the other complications mentioned in this same picture. The used medicines are
in most Silly-Lactams cases, Amoxycilline - acidic clavunique,
métronidazole and cefixime (100%), ceftriaxone (90.4%) and ciprofloxacin
(78.1%) that the other molecules although to positive effect. The
post-treatment evolution is good (93.2%) and the deadly cases are hopeless.
The encouraging factors the intervening of the IUG at the
pregnancy women received in the clinical IMPUHWE is the non protected sexual
intercourse by a critical partner (100%) and the immune deterioration by the
VIH/SIDA (34.2%) that the intimate Bath with the contaminated water room (9.6%)
and/or TV without asepsis (2.7%).
The determinants of the IUG at the pregnancy women in IMPUHWE
are Compression of the urethra by the gravid uterus preventing the emptying of
urines, sexual Activities and frequency of the BA, microbiological Agents and
belated Miction (all that to 100%), multiparité (64.4) and stasis
uréthrale of urines (42.5) that the catheterization uréthral
(28.8).
Knowing that the treatment is adequate and the evolution is
good, the consequences of the IUG on the foetus are nearly hopeless in spite of
the report of weak weight to the birth (12.3%). However, they influence the
serious consequences at the pregnancy women (Cfr. Picture n°5 titles
4).
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