Lower Genital Infections: Clinical and Etiological Aspects in the Urban Commune of Kalaban-Coro in Bamako, Mali

The aim was to assess the prevalence of lower genital infections, describe clinical symptomatology and main etiologies. Materials and methods: This was a prospective, descriptive, analytical study extending over a period of 12 months from 01 February2015 to 31 January 2016 in gynecology and obstetrics of the reference health center of Kalaban-coro (Mali). Results: Out of 899 consultations, 90 patients presented with lower genital infections, a frequency of 10.01%. The most represented age group was 20 to 35 years old with 61.1%. Housewives predominated the socio-professional strata with a frequency of 44.4%. The Bambara ethnic group was the most represented with a frequency of 21.1%. The majority of women resided in Kalaban-coro; The proportion of married women was the highest at 93.4%. The percentage of women living on a monogamous diet was 72.6% and patients who had a secondary level of education were the most represented with a frequency of 23.3%. Pelvic pain, desire for pregnancy, leucorrhoea were the most frequently encountered reasons for consultation with respective frequencies of 24.4%, 21.1% and 17.8%. There were 45.6% of malodorous leucorrhoea and Candida albicans was the most common germ with a frequency of 16.7%. The combination of two germs was more common with 5.6%. Lower genital infections are the most frequent reason for consultation in gynaecological consultation, they are associated with risk factors that are related either to the woman or to the environment. Their management must be rigorous in order to avoid complications related to the experience and obstetrical prognosis of patients.