We computed data from the records of the patients hospitalized in the Infectious diseases ward of University Hospital of Point G, from January First, 2005 to December 30, 2014.
Two thousand five hundred forty-six (2,546) patients were hospitalized in an increasingly growing manner. These patients were predominantly male (sex ratio = 1.12), young age (average = 37.03 ± 12.6 years) and leaving in Bamako and its surroundings. These admissions are most often (60.2%) on medical reference, but a significant proportion comes directly to hospital.
The human immunodeficiency virus (HIV) infection is the most prevalent disease with 74%, therefore influencing the profiles of other pathologies, such as: the importance of opportunistic infections (31.7%) and co-infections (Tuberculosis: 17.2%; Hepatitis B: 1.2%). Nevertheless, there are coexisting noninfectious diseases among patients hospitalized in the ward (1.5%). Among HIV patients: there is a relative feminization with a sex ratio equal to 0.96; a young age (average = 38.1 ± 10.6 years old); a longer hospital stay (average = 18.9 ± 23.8 days in HIV positive vs. 12.4 ± 14.1 days in HIV negative) and higher hospital mortality (46.6% in HIV positive vs 32.8% among HIV negative). In all patient admitted, Forty-one percent of deaths occurred during the first week of hospitalization.
This study gives an overview of infectious diseases seen in African teaching hospital and outlines the importance of HIV this ward over the past decade. That helps to have an idea of the trend of hospitalization and to plan resources for the coming years.