Abstract

Because of the limited access to more powerful diagnostic tools, there is a paucity of data regarding the burden of fungal infections in Burkina Faso. The aim of this study was to estimate the incidence and prevalence of serious fungal infections in this sub-Saharan country. We primarily used the national demographic data and performed a PubMed search to retrieve all published papers on fungal infections from Burkina Faso and its surrounding West African countries. Considering the prevalence of HIV infection (0.8% of the population) and a 3.4% incidence of cryptococcosis in hospitals, it is estimated that 459 patients per year develop cryptococcosis. For pneumocystosis, it is suggested that 1013 new cases occur every year. Taking into account the local TB frequency (population prevalence at 0.052%), we estimate the prevalence of chronic pulmonary aspergillosis at 1120 cases. Severe forms of asthma with fungal sensitization and allergic bronchopulmonary aspergillosis are estimated to affect 7429 and 5628 cases, respectively. Vulvovaginal candidiasis may affect 179,000 women, and almost 1,000,000 children may suffer from tinea capitis. Globally, we estimate that roughly 1.4 million people in Burkina Faso (7.51% of the population) suffer from a serious fungal infection. These data should be used to drive future epidemiological studies, diagnostic approaches, and therapeutic strategies.

Highlights

  • Burkina Faso is a landlocked country of 274,200 km2 located in West Africa

  • Regarding the Invasive Fungal Infections (IFI) associated with hospital care, we only considered hematology malignancies, as no information was available for solid tumors or ICU and surgical patients

  • The proportion of adult asthmatics with ABPA in South Africa was 2.5% among those referred to a specialist [12], so we anticipate that 5628 people are affected in Burkina Faso

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Summary

Introduction

Burkina Faso is a landlocked country of 274,200 km located in West Africa. The country lies between latitudes 9◦ N and 16◦ N and longitudes 6◦ W and 3◦ E. Ouagadougou is the capital and largest city, and Bobo-Dioulasso, the second city of the country, is an important economic center. The hydrographic network is quite developed, with rivers connected to the Volta, Comoé, and Niger basins. The climate is of the sudano–sahelian type, characterized by a rainy season (June to September) and a dry season (the rest of the year). Temperatures may vary from 16 to 45 ◦ C.

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