Background and Objectives: The acute acute delirious puff named BDA in french, from French psychiatric nosology, is similar to schizophreniform disorder (CIM) and brief psychotic disorder (DSM). In Africa, its prevalence is between 11.34% and 32% [3-5]. The aim of our study was to determine the epidemiological and clinical and characteristics of BDA in hospitalization at the Psychiatric Center of Ziguinchor.

Methodology: It was a retrospective, descriptive study carried out at the Emile Badiane Psychiatric Center (CPEB) in Ziguinchor, which focused on the records of patients followed in this center from January 1, 2014 to December 31, 2019. All patients hospitalized for BDA during the study period were included.

Results: In total out of 1370 hospitalizations recorded, 400 were for BDA, i.e. a hospital prevalence of 29.1%. Men represented 67.9% of the workforce. The mean age was 32.09 ± 11.62 years. The age group [20 to 39] represented 68% of the workforce. Family psychiatric history was found in 33.8% of cases. Hospitalization in the first month following the onset of the disease occurred in 54.7% of cases. Cannabis consumption was found in 102 cases, polymorphic delirium in 55.6%, persecution in 92,6% and the hallucinatory mechanism in 51.7%.

Behavioral disorder was noted in 86.2% of our patients, including 28.3% physical and/or verbal aggression. The average duration of hospitalization was 19.75 ± 8.9 days with extremes of 2 and 62 days. Normal output was 89.7%. Persistence of delirium at discharge was noted in 30 patients (8.8%). Neuroleptics were used in 33.2% of cases.

Conclusion: Our study confirms the prevalence of BDA in Africa which remains high. It occurs in a young adult, male, single, educated, unemployed and with a family psychiatric history. It is characterized by a predominantly “persecutive” polymorphic delirium with a hallucinatory mechanism responding favorably to neuroleptics after a 19-day hospital stay.

It also shows the need to encourage the proliferation of psychiatric care centers such as that of Ziguinchor, which draws a good part of the patients from the south of the country.