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Petat H, Schuers M, Corbet S, Humbert X, Le Bas F, Marguet C, Pellerin L, Rabiaza A, Vabret A, Ar Gouilh M. The Design and Implementation of the ECOVIR Project: A Primary Health Care Surveillance System to Strengthen Co-Detection of Respiratory Viruses in Normandy. Methods Protoc 2022; 5:mps5060098. [PMID: 36548140 PMCID: PMC9787661 DOI: 10.3390/mps5060098] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Revised: 12/06/2022] [Accepted: 12/09/2022] [Indexed: 12/15/2022] Open
Abstract
Acute respiratory infections (ARIs) need to be better understood and treated, as they are critical to public health, especially during crises such as the SARS-CoV2 pandemic. These are the most abundant infections in the general population and are seen primarily in primary care by general practitioners (GPs). Many different viruses are involved, according to epidemic variations. Viral co-detections account for a significant proportion of ARIs in hospital cohorts. The objective of the ECOVIR cohort was to study viral co-detections by setting up a biobank of respiratory tract samples from patients consulting their general practitioner for ARI symptoms. We report here on the course of the study: the design, the conduct, and the difficulties encountered. ECOVIR (Etude des CO-detections VIrales dans les prélèvements Respiratoires) was a prospective, multicenter cohort conducted in France during two epidemic seasons (2018-2019 and 2019-2020). We recruited GPs. Each GP investigator (GPI) saw patients weekly for examination, clinical data collection, and nasopharyngeal swabbing. Each sample was sent to the virology unit for biobanking and molecular analysis. Clinical and sociodemographic data were collected 7 days after inclusion. ECOVIR involved 36 GPIs. Patients with symptoms of an ARI were included (n = 685). The median number of inclusions was 16 patients per GPI over both seasons (IC25-75% [4.75; 27]). Patients aged 18 to 64 years were the most numerous (57%), followed by children (30%), and the elderly (13% over 65 years). This age distribution emphasizes the young adult and middle-aged population. Residents participated in the project and called patients on day 7 to obtain clinical and sociodemographic data. Our study triggered the creation of an original network, which plans to establish a functional link between research and primary health care. Primary care is unfortunately poorly represented in research protocols, particularly in respiratory infections, even though it is a cornerstone of our French health care system, as demonstrated every day in this period of crisis.
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Affiliation(s)
- Hortense Petat
- INSERM, UMR1311-DYNAMICURE—Institut de Biologie Clinique, CHU, F-7600 Rouen, France
- Laboratoire de Virologie, Centre Hospitalo-Universitaire, F-14033 Caen, France
- Centre Hospitalier Universitaire de Rouen, Département de Pédiatrie Médicale, EA2656 Université de Normandie, UNIRouen, F-7600 Rouen, France
- Correspondence:
| | - Matthieu Schuers
- Département de Médecine Générale, Normandie Université, UFR Santé Rouen, F-7600 Rouen, France
- INSERM, U1142, Laboratoire d’Informatique Médicale et d’Ingénierie des Connaissances en e-Santé, LIMICS, Sorbonne Université, F-75006 Paris, France
| | - Sandrine Corbet
- Laboratoire de Virologie, Centre Hospitalo-Universitaire, F-14033 Caen, France
- Centre Hospitalier Universitaire de Rouen, Département de Pédiatrie Médicale, EA2656 Université de Normandie, UNIRouen, F-7600 Rouen, France
| | - Xavier Humbert
- Département de Médecine Générale, Normandie University, UNICAEN, UFR Santé, F-14000 Caen, France
| | - François Le Bas
- Département de Médecine Générale, Normandie University, UNICAEN, UFR Santé, F-14000 Caen, France
| | - Christophe Marguet
- INSERM, UMR1311-DYNAMICURE—Institut de Biologie Clinique, CHU, F-7600 Rouen, France
- Centre Hospitalier Universitaire de Rouen, Département de Pédiatrie Médicale, EA2656 Université de Normandie, UNIRouen, F-7600 Rouen, France
| | - Lucille Pellerin
- Département de Médecine Générale, Normandie Université, UFR Santé Rouen, F-7600 Rouen, France
| | - Andry Rabiaza
- Département de Médecine Générale, Normandie University, UNICAEN, UFR Santé, F-14000 Caen, France
| | - Astrid Vabret
- INSERM, UMR1311-DYNAMICURE—Institut de Biologie Clinique, CHU, F-7600 Rouen, France
- Laboratoire de Virologie, Centre Hospitalo-Universitaire, F-14033 Caen, France
| | - Meriadeg Ar Gouilh
- INSERM, UMR1311-DYNAMICURE—Institut de Biologie Clinique, CHU, F-7600 Rouen, France
- Laboratoire de Virologie, Centre Hospitalo-Universitaire, F-14033 Caen, France
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Petat H, Schuers M, Rabiaza A, Marguet C, Pellerin L, Le Bas F, Humbert X, Corbet S, Deseille B, Gosse L, Lambert PA, Poupon T, Vervisch E, Morello R, Chaillot F, Ecovir M, Vabret A, Le Gouil M. [ECOVIR: Study of a primary care cohort in of patients with Acute Respiratory Infections in Normandy, an example of pluri-professional hospital-primary care coordination]. Rev Mal Respir 2022; 39:334-343. [PMID: 35289288 PMCID: PMC8916614 DOI: 10.1016/j.rmr.2022.02.060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Accepted: 02/09/2022] [Indexed: 12/14/2022]
Abstract
Acute Respiratory Infections (ARI) need be better understood and more effectively treated, especially insofar as they are of pivotal importance in public health, particularly during a crisis such as the SARS-CoV2 pandemic. The prospective, multicentric cohort study of viral codetections in respiratory samples study known as ECOVIR was conducted in Normandy, France during two winters (2018-2019, 2019-2020). The objective of the project was to create a biobank of respiratory tract samples from patients consulting their general practitioner (GP) for ARI symptoms. ECOVIR involved 36 GP investigators (GPI), from 8 health care centers throughout Normandy. Six hundred and eighty-five patients with ARI symptoms were included; naso-pharyngeal samples were taken by the GPIs and subsequently analyzed in virology laboratories for the purposes of viral codetection. The median of inclusions was 16 patients for each of the 31 actively participating GPIs over the two winters (CI25-75% [4.75; 27]). By D7, 92% of the patients contacted had responded to our call for participation, enabling us to obtain clinical, environmental and socio-demographic data. Through this study, we created an original functional network, thereby establishing a viable link between research and primary care, which is generally underrepresented in research protocols, even though it constitutes the cornerstone of the French health care system, especially during this prolonged period of sanitary crisis.
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Affiliation(s)
- H. Petat
- Groupe de recherche sur l’adaptation microbienne (GRAM 2.0), Normandie université, UNICAEN, UNIROUEN, EA2656, 14033 Caen, France,Laboratoire de virologie, centre hospitalo-universitaire, 14033 Caen, France,Département de pédiatrie médicale, centre hospitalier universitaire de Rouen, EA2656 université de Normandie, UNIRouen, 76000 Rouen, France,Auteur correspondant
| | - M. Schuers
- Normandie université, UFR Santé Rouen, département de médecine générale, 76000 Rouen, France,Inserm, U1142, laboratoire d’informatique médicale et d’ingénierie des connaissances en e-Santé, LIMICS, Sorbonne université, Paris, France
| | - A. Rabiaza
- Normandie université, UNICAEN, UFR Santé, département de médecine générale, 14000 Caen, France
| | - C. Marguet
- Groupe de recherche sur l’adaptation microbienne (GRAM 2.0), Normandie université, UNICAEN, UNIROUEN, EA2656, 14033 Caen, France,Département de pédiatrie médicale, centre hospitalier universitaire de Rouen, EA2656 université de Normandie, UNIRouen, 76000 Rouen, France
| | - L. Pellerin
- Normandie université, UFR Santé Rouen, département de médecine générale, 76000 Rouen, France
| | - F. Le Bas
- Normandie université, UNICAEN, UFR Santé, département de médecine générale, 14000 Caen, France
| | - X. Humbert
- Normandie université, UNICAEN, UFR Santé, département de médecine générale, 14000 Caen, France
| | - S. Corbet
- Laboratoire de virologie, centre hospitalo-universitaire, 14033 Caen, France,Département de pédiatrie médicale, centre hospitalier universitaire de Rouen, EA2656 université de Normandie, UNIRouen, 76000 Rouen, France
| | - B. Deseille
- Normandie université, UFR Santé Rouen, département de médecine générale, 76000 Rouen, France
| | - L. Gosse
- Normandie université, UFR Santé Rouen, département de médecine générale, 76000 Rouen, France
| | - P.-A. Lambert
- Normandie université, UFR Santé Rouen, département de médecine générale, 76000 Rouen, France
| | - T. Poupon
- Normandie université, UFR Santé Rouen, département de médecine générale, 76000 Rouen, France
| | - E. Vervisch
- Normandie université, UFR Santé Rouen, département de médecine générale, 76000 Rouen, France
| | - R. Morello
- CHU de Caen Normandie, Normandie université, UNICAEN, unité de biostatistique et recherche clinique, 14000 Caen, France
| | - F. Chaillot
- CHU de Caen Normandie, unité de recherche clinique, 14000 Caen, France
| | - M. Ecovir
- Normandie université, UFR Santé Rouen, département de médecine générale, 76000 Rouen, France
| | - A. Vabret
- Groupe de recherche sur l’adaptation microbienne (GRAM 2.0), Normandie université, UNICAEN, UNIROUEN, EA2656, 14033 Caen, France,Laboratoire de virologie, centre hospitalo-universitaire, 14033 Caen, France
| | - M. Le Gouil
- Groupe de recherche sur l’adaptation microbienne (GRAM 2.0), Normandie université, UNICAEN, UNIROUEN, EA2656, 14033 Caen, France,Laboratoire de virologie, centre hospitalo-universitaire, 14033 Caen, France
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