1
|
Rouelle C, Arion A, Prevost V. [Management and prevention of cow's milk protein allergy: Contribution of community pharmacists]. Ann Pharm Fr 2017; 75:236-244. [PMID: 28187880 DOI: 10.1016/j.pharma.2017.01.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Revised: 01/09/2017] [Accepted: 01/10/2017] [Indexed: 10/20/2022]
Abstract
Cow's milk protein allergy (CMPA) is a public health issue in children whose quality of life is strongly affected. The objective of this article is to review the present state of knowledge on the CMPA, and highlight some emerging alternatives in its management and in its prevention. Good knowledge in the appropriate infant formula, exclusion diets, the handling of the emergency treatment thanks to the use of epinephrine auto-injector pens, the use of personalized care project and accessibility to allergic patients' association are factors that secure the management. Breastfeeding and appropriate dietary diversification are for their part major preventive measures. The use of probiotics and desensitization immunotherapy are interesting emerging tracks. The role of community pharmacists in all these steps is discussed. It is indeed a nearby health professional involved both in improving prevention and in the optimization of the management. Its educational posture is crucial in assisting patients to help them better understand the CMPA and its treatment; as part of its new tasks, he can be integrated into therapeutic education programs to help allergic children and their families in a multidisciplinary context to better manage their daily life.
Collapse
Affiliation(s)
- C Rouelle
- Pharmacie Clémenceau, 14000 Caen, France.
| | - A Arion
- Pédiatrie médicale, CHU de Caen, 14000 Caen, France
| | - V Prevost
- UFR des sciences pharmaceutiques, université de Caen Normandie, 14000 Caen, France; UMR 1086 Inserm « cancers et préventions », centre François-Baclesse, avenue du général-Harris, 14076 Caen cedex 05, France
| |
Collapse
|
2
|
Martins A, Berrebi D, De Lumley L, Petit B, Pellegrino B, Arion A, Jeanne-Pasquier C, Lequerre T, Pellier I, Guillot M, Faye A, Goullet O, Bader-Meunier B, Melki I. Mevalonate kinase deficiency: an early onset inflammatory bowel disease? Pediatr Rheumatol Online J 2015. [PMCID: PMC4597288 DOI: 10.1186/1546-0096-13-s1-o56] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
|
3
|
Coquerel A, Bourgine J, Arion A, Alexandre J, Letouzé N, Sassier M, Diependaele A, Gérard M, Jokic M, Fedrizzi S. Post-Anesthetic Apnea Predictive of The Terminal Phase of A Convulsive Encephloptahy With A Chromosome 1q21.1 Micro-Duplication. Clin Ther 2015. [DOI: 10.1016/j.clinthera.2015.05.409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
4
|
Abstract
Las infecciones infantiles afectan con frecuencia al aparato respiratorio inferior. Las clasificaciones convencionales, basadas en el tipo de afección anatómica, radiológica y etiopatogénica, permiten definir entidades clínicas (bronquitis, bronquiolitis, neumopatía); sin embargo, la evaluación de la gravedad del proceso es lo más útil para decidir el tipo y la rapidez del tratamiento. Aunque la etiología viral es la más frecuente, la estrategia fundamental para reducir la morbilidad e incluso la mortalidad de las infecciones respiratorias bajas se basa en el tratamiento adecuado de las neumonías bacterianas. Ante la ausencia de especificidad, es indispensable, cuando esté indicado, recurrir a una antibioticoterapia inicial probabilística que incluya el neumococo. En el niño, las muestras no suelen proceder del parénquima pulmonar y, además, la recogida de las secreciones bronquiales durante los primeros años de vida no es de buena calidad. Al contrario de lo que ocurre con los virus, el examen bacteriológico de las secreciones de las vías respiratorias altas es poco útil, porque los niños suelen ser portadores de gérmenes que pueden causar neumopatías. Los datos clínicos y radiológicos sólo pueden sugerir el diagnóstico. El desarrollo de técnicas que detectan antígenos microbianos o la búsqueda de material genético por biología molecular han permitido mejorar de manera significativa la identificación del patógeno responsable y la elección del tratamiento adecuado. Algunos grupos particulares de pacientes pueden padecer una afección respiratoria por agentes infecciosos inusuales o, incluso, oportunistas. Una proporción importante de la afectación respiratoria del adulto puede atribuirse a las agresiones pulmonares sufridas durante su infancia. La aplicación de vacunas, en especial, la antigripal y la antineumocócica, es fundamental para la prevención de estas afecciones respiratorias.
Collapse
Affiliation(s)
- J. Brouard
- Service de pédiatrie, Centre hospitalier universitaire de Caen, avenue Clemenceau, BP 95182, 14033 Caen cedex 5, France
| | - A. Vabret
- Laboratoire de virologie, Centre hospitalier universitaire de Caen, avenue Clemenceau, BP 95182, 14033 Caen cedex 5, France
| | - D. Nimal-Cuvillon
- Service de pédiatrie, Centre hospitalier universitaire de Caen, avenue Clemenceau, BP 95182, 14033 Caen cedex 5, France
| | - N. Bach
- Service de pédiatrie, Centre hospitalier universitaire de Caen, avenue Clemenceau, BP 95182, 14033 Caen cedex 5, France
| | - A. Bessière
- Service de pédiatrie, Centre hospitalier universitaire de Caen, avenue Clemenceau, BP 95182, 14033 Caen cedex 5, France
| | - A. Arion
- Service de pédiatrie, Centre hospitalier universitaire de Caen, avenue Clemenceau, BP 95182, 14033 Caen cedex 5, France
| | - F. Freymuth
- Laboratoire de virologie, Centre hospitalier universitaire de Caen, avenue Clemenceau, BP 95182, 14033 Caen cedex 5, France
| |
Collapse
|
5
|
Laurans M, Cuny C, Fines M, Arion A, Leclercq R, Brouard J, Duhamel J. 164 Pseudomonas aeruginosa in children with cystic fibrosis. J Cyst Fibros 2007. [DOI: 10.1016/s1569-1993(07)60150-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
6
|
Laurans M, Arion A, Fines-Guyon M, Regeasse A, Brouard J, Leclercq R, Duhamel JF. [Pseudomonas aeruginosa and cystic fibrosis: first colonization to chronic infection]. Arch Pediatr 2006; 13 Suppl 1:S22-9. [PMID: 17370393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
Pseudomonas aeruginosa (Pa) is the most common virulent respiratory pathogen in cystic fibrosis and is characterized by an important capacity of adaptation, adherence and communication. The factors of virulence of Pa play a major part in adherence with the respiratory epithelial cells and in occurrence of infectious episodes. The factors responsible for the transition of first Pa acquisition to the chronic infection are not elucidated yet. The system of secretion of type III and the quorum sensing (QS) play an important role. The QS would intervene in the maturation of the biofilm of Pa, responsible for the "mucoid" phenotype of Pa, associated to a degradation of the respiratory function. We made a retrospective study on the period 1984-2005 within the Center of Cystic fibrosis of Caen allow to determine the percentage of firstly-colonized and chronic infected patients with Pa according to age. At 6 months of life, 11% of the infants were colonized with Pa reaching 48% to 7 years and 85% at the 18 years age. The percentage of chronic children carrying Pa was 0% at 1 year, 11% at 4 years, 44% at 12 years and 74% at 18 years according to the method of Kaplan-Meier. Comparing the period 1984-1994 with that of 1995-2005, the firstly-colonization and the chronic carrying of Pa occurred earlier and significantly during the second period. The current objective, beside the respiratory care, comprises the maintenance of an optimal nutritional statute and, waiting for an effective vaccine, the development of new therapeutic targets in order to attenuate the virulence of the stocks of Pa and as much as possible to delay the age of firstly-colonization and the age of chronic colonization with mucoid Pa.
Collapse
Affiliation(s)
- M Laurans
- Service de pédiatrie, avenue Côte-de-Nacre, 14033 Caenx 05, France.
| | | | | | | | | | | | | |
Collapse
|
7
|
Brouard J, Nimal D, Vabret A, Arion A, Bach N, Duhamel JF, Freymuth F. [Infant asthma: sole role of respiratory syncytial virus?]. Arch Pediatr 2006; 13:801-3. [PMID: 16690281 PMCID: PMC7118867 DOI: 10.1016/j.arcped.2006.03.082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- J Brouard
- Service de pédiatrie, CHU de Caen, avenue Clémenceau, 14033 Caen cedex, France.
| | | | | | | | | | | | | |
Collapse
|
8
|
Brouard J, Laurans M, Arion A, Kauffmann D, Sevin I, Laroche D, Travert G, Duhamel JF. Le dépistage néonatal de la mucoviscidose : pour quels bénéfices ? Arch Pediatr 2005; 12:643-5. [PMID: 15904756 DOI: 10.1016/j.arcped.2005.04.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- J Brouard
- Service de pédiatrie A, CHU Clemenceau de Caen, avenue Clemenceau, 14033 Caen, cedex, France.
| | | | | | | | | | | | | | | |
Collapse
|
9
|
Birat JP, Arion A, Faral M, Baronnet F, Marquaire PM, Rambaud P. Abatement of organic emissions in eaf exhaust flue gas. ACTA ACUST UNITED AC 2002. [DOI: 10.1051/metal:2001132] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
|
10
|
|
11
|
Abstract
In order to characterize the compounds (type and quantities) emitted during melting of organic contaminated scrap and to investigate the mechanism of their formation, an experimental set-up has been designed and built to study precisely the influence of temperature and gas atmosphere in the conditions of an electric arc furnace. These experiments lead to the determination of mass balances (C, H, O, S) and to the quantification of unburnt compounds (tars, carbon monoxide, volatile organic compounds (VOCs), benzene, toluene, ethylbenzene and xylenes (BTEX), polyaromatic compounds (PAHs)). Degradation conditions (gas atmosphere and temperature) corresponding to different areas in the electric furnace have also been investigated. Such experiments lead to a better understanding of degradation mechanisms; this interpretation is not possible from investigations performed in an industrial furnace since there are many uncontrolled parameters (large dispersion of the results).
Collapse
Affiliation(s)
- A Arion
- IRSID Centre Procédés, USINOR, Voie Romaine, Maizières-lès-Metz, France
| | | | | | | |
Collapse
|
12
|
Arion A, Brouard J, Kauffmann D, Laurans M, Duhamel J. Quatre observations d'intoxication au mercure. Arch Pediatr 1999. [DOI: 10.1016/s0929-693x(99)81823-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
13
|
Bonnet-Boutier M, Bonnet R, Arion A. [Refraction in a case of correction by corneal lenses]. Bull Soc Ophtalmol Fr 1969; 69:810-2. [PMID: 5402829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
|
14
|
Voisin J, Bertrand JJ, Arion A, Rappenne C. [2 fire cataracts of blowtorch welders]. Bull Soc Ophtalmol Fr 1968; 68:168-9. [PMID: 5760202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
|
15
|
Voisin J, Auvert B, Moncade J, Arion A. [Unrecognized intra-orbital foreign body and retinal detachment]. Bull Soc Ophtalmol Fr 1965; 65:864-6. [PMID: 5862018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
|