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Salomon J, Sambado SB, Crews A, Sidhu S, Seredian E, Almarinez A, Grgich R, Swei A. Macro-parasites and micro-parasites co-exist in rodent communities but are associated with different community-level parameters. Int J Parasitol Parasites Wildl 2023; 22:51-59. [PMID: 37680651 PMCID: PMC10481151 DOI: 10.1016/j.ijppaw.2023.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2023] [Revised: 08/14/2023] [Accepted: 08/17/2023] [Indexed: 09/09/2023]
Abstract
Wildlife species are often heavily parasitized by multiple infections simultaneously. Yet research on sylvatic transmission cycles, tend to focus on host interactions with a single parasite and neglects the influence of co-infections by other pathogens and parasites. Co-infections between macro-parasites and micro-parasites can alter mechanisms that regulate pathogenesis and are important for understanding disease emergence and dynamics. Wildlife rodent hosts in the Lyme disease system are infected with macro-parasites (i.e., ticks and helminths) and micro-parasites (i.e., Borrelia spp.), however, there has not been a study that investigates the interaction of all three parasites (i.e., I. pacificus, Borrelia spp., and helminths) and how these co-infections impact prevalence of micro-parasites. We live-trapped rodents in ten sites in northern California to collect feces, blood, ear tissue, and attached ticks. These samples were used to test for infection status of Borrelia species (i.e., micro-parasite), and describe the burden of ticks and helminths (i.e., macro-parasites). We found that some rodent hosts were co-infected with all three parasites, however, the burden or presence of concurrent macro-parasites were not associated with Borrelia infections. For macro-parasites, we found that tick burdens were positively associated with rodent Shannon diversity while negatively associated with predator diversity, whereas helminth burdens were not significantly associated with any host community metric. Ticks and tick-borne pathogens are associated with rodent host diversity, predator diversity, and abiotic factors. However, it is still unknown what factors helminths are associated with on the community level. Understanding the mechanisms that influence co-infections of multiple types of parasites within and across hosts is an increasingly critical component of characterizing zoonotic disease transmission and maintenance.
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Affiliation(s)
- Jordan Salomon
- Ecology & Evolutionary Biology Program at Texas A&M University, College Station, TX, USA
| | - Samantha B. Sambado
- Ecology, Evolution, & Marine Biology Department at University of California Santa Barbara, CA, USA
| | - Arielle Crews
- San Mateo County Mosquito and Vector Control, Burlingame, CA, USA
| | - Sukhman Sidhu
- Biology Department at San Francisco State University, San Francisco, CA, USA
| | - Eric Seredian
- Biology Department at San Francisco State University, San Francisco, CA, USA
| | - Adrienne Almarinez
- Biology Department at San Francisco State University, San Francisco, CA, USA
| | - Rachel Grgich
- Biology Department at San Francisco State University, San Francisco, CA, USA
| | - Andrea Swei
- Biology Department at San Francisco State University, San Francisco, CA, USA
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Caruana E, Salomon J, Rodriguez L, Boutoille D. Descriptive management of suspected acute cystitis in adult patients by French general practitioners during remote consultation. Infect Dis Now 2023; 53:104707. [PMID: 37044246 DOI: 10.1016/j.idnow.2023.104707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 11/09/2022] [Revised: 03/15/2023] [Accepted: 04/01/2023] [Indexed: 04/14/2023]
Abstract
OBJECTIVES The main objective of this study was to analyze French general practitioners' (GP) online prescriptions for suspected acute cystitis using a single nationwide teleconsultation platform. PATIENTS AND METHODS First, a descriptive study of management for suspected cystitis was conducted from the 1st of January to the 31st of December 2020. After which, following pedagogical intervention, a pre/post descriptive analysis of the antibiotics prescribed was carried out. RESULTS Some 496,041 teleconsultations (TCs) were carried out in 2020 on the Qare platform. Among them, 15089 TCs for cystitis with ICD-10 encoding (N30) were analyzed. Fosfomycin trometamol was the most prescribed antibiotic (n=10297, 69%), while fluoroquinolones (n=1568, 10.6%) were the second. Urine test strip was prescribed in 3157 (20%) and urine culture in 7033 (47%) of the TCs. July-August 2020 and July-August 2021 were compared and while a significant drop in fluoroquinolone prescriptions and a major increase in Fosfomycin trometamol were observed, there was no change in the prescriptions of urine culture. An average antibiotic conformity rate of 61.5% was observed before the intervention, and 68.8% afterwards. CONCLUSIONS Cystitis is a recurrent reason for remote consultation. The study demonstrated sizable over-prescription of urine culture, ultrasound, and fluoroquinolones. Intervention should be improved and strengthened to guarantee continuous training and awareness of GP's on appropriate cystitis prescriptions in telemedicine.
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Affiliation(s)
- E Caruana
- Cabinet de médecine générale, 56 Rue Charles Rivière, 44400 Rezé 75008 Paris
| | - J Salomon
- Pédiatre MD, PhD, Directrice Médicale Adjointe Qare, Référente Médicale Formation et Qualité, 36, avenue Pierre 1er de Serbie 75008 Paris
| | - L Rodriguez
- Infirmier Support et Formation Qare. 36 Avenue Pierre 1er de Serbie
| | - D Boutoille
- Infectiologue CHU de Nantes, CHU de Nantes, 1 place Alexis Ricordeau 44093, Nantes
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Melot B, Amsilli M, Drouet F, Rodriguez L, Salomon J, Grosjean J, Duclos C. Appropriateness of Antibiotic Prescription During Teleconsultation. Stud Health Technol Inform 2022; 298:142-146. [PMID: 36073473 DOI: 10.3233/shti220924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Teleconsultation has become a new means of using care which has taken off significantly since the COVID crisis, The pooling of the technological environment within the TC makes it possible to set up practice reviews by reusing the data collected. Our aim was to evaluate the relevance of antibiotic therapy during teleconsultations carried out on the national teleconsultation platform "Qare" in 4 common infections. 143,428 TCs with structured prescriptions were analyzed, with an appropriate prescription in more than 82% of cases, higher than in the literature. The use of data makes it possible to quickly assess practices and inform doctors to improve their practices.
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Affiliation(s)
- B Melot
- Qare, Paris, France
- Université Sorbonne Paris Nord, Laboratoire d'Informatique Médicale et d'Ingénierie des connaissances en e-Santé, LIMICS, Sorbonne Université, INSERM, F-93000, Bobigny, France
| | | | | | | | | | - J Grosjean
- Université Sorbonne Paris Nord, Laboratoire d'Informatique Médicale et d'Ingénierie des connaissances en e-Santé, LIMICS, Sorbonne Université, INSERM, F-93000, Bobigny, France
- Department of Digital Health, Rouen University Hospital, Rouen France
| | - C Duclos
- Université Sorbonne Paris Nord, Laboratoire d'Informatique Médicale et d'Ingénierie des connaissances en e-Santé, LIMICS, Sorbonne Université, INSERM, F-93000, Bobigny, France
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Salomon J, Lawrence A, Crews A, Sambado S, Swei A. Host infection and community composition predict vector burden. Oecologia 2021; 196:305-316. [PMID: 33580399 DOI: 10.1007/s00442-021-04851-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 06/01/2019] [Accepted: 01/04/2021] [Indexed: 01/17/2023]
Abstract
Lyme disease is the most prevalent vector-borne disease in the United States, yet critical gaps remain in our understanding of tick and host interactions that shape disease dynamics. Rodents such as deer mice (Peromyscus spp.) and dusky-footed woodrats (Neotoma fuscipes) are key reservoirs for Borrelia burgdorferi, the etiological bacterium of Lyme disease, and can vary greatly in abundance between habitats. The aggregation of Ixodes pacificus, the western black-legged tick, on rodent hosts is often assumed to be constant across various habitats and not dependent on the rodent or predator communities; however, this is rarely tested. The factors that determine tick burdens on key reservoir hosts are important in estimating Lyme disease risk because larger tick burdens can amplify pathogen transmission. This study is the first to empirically measure I. pacificus larval burdens on competent reservoir hosts as a function of community factors such as rodent diversity, predator diversity, and questing tick abundance. Rodents were live trapped at oak woodland sites to collect tick burdens and tissue samples to test for infection with Borrelia burgdorferi sensu lato. We found that N. fuscipes tick burdens were negatively correlated with predator diversity, but positively correlated with questing I. pacificus larvae. In addition, rodent hosts that were infected with B. burgdorferi sensu lato tend to have higher burdens of larval ticks. These results demonstrate that tick burdens can be shaped by variability between individuals, species, and the broader host community with consequences for transmission and prevalence of tick-borne pathogens.
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Affiliation(s)
- Jordan Salomon
- Department of Veterinary Integrated Biosciences, Texas A&M University, College Station, TX, USA.
| | | | - Arielle Crews
- Department of Biology, San Francisco State University, San Francisco, CA, USA
| | - Samantha Sambado
- Department of Ecology, Evolution, and Marine Biology, University of California, Santa Barbara, CA, USA
| | - Andrea Swei
- Department of Biology, San Francisco State University, San Francisco, CA, USA
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Salomon J, Hamer SA, Swei A. A Beginner's Guide to Collecting Questing Hard Ticks (Acari: Ixodidae): A Standardized Tick Dragging Protocol. J Insect Sci 2020; 20:11. [PMID: 33135760 PMCID: PMC7604844 DOI: 10.1093/jisesa/ieaa073] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Indexed: 05/22/2023]
Abstract
Tick-borne diseases are emerging globally, necessitating increased research and coordination of tick surveillance practices. The most widely used technique for active collection of host-seeking, human-biting tick vectors is 'tick dragging', by which a cloth is dragged across the top of the vegetation or forest floor and regularly checked for the presence of ticks. Use of variable dragging protocols limits the ability of researchers to combine data sets for comparative analyses or determine patterns and trends across different spatial and temporal scales. Standardization of tick drag collection and reporting methodology will greatly benefit the field of tick-pathogen studies. Based on the recommendations of the Center for Disease Control and Prevention and other ecological considerations, we propose that tick dragging should be conducted to sample at least 750 m2 along linear transects when habitat allows in a manner that reduces bias in the sampled area, and report density of each tick species and life stage separately. A protocol for constructing a standard drag cloth, establishing linear transects, and drag sampling is presented, along with a downloadable datasheet that can be modified to suit the needs of different projects. Efforts to align tick surveillance according to these standard best practices will help generate robust data on tick population biology.
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Affiliation(s)
- Jordan Salomon
- Department of Veterinary Integrative Biosciences, Texas A&M University, College Station, TX
| | - Sarah A Hamer
- Department of Veterinary Integrative Biosciences, Texas A&M University, College Station, TX
| | - Andrea Swei
- Department of Biology, San Francisco State University, San Francisco, CA
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Affiliation(s)
- Samantha Sambado
- Biology Department San Francisco State University San Francisco California 94132 USA
- Department of Ecology, Evolution, and Marine Biology University of California Santa Barbara California 93106 USA
| | - Jordan Salomon
- Biology Department San Francisco State University San Francisco California 94132 USA
- Department of Veterinary Integrated Biosciences Texas A&M University College Station Texas 77843 USA
| | - Arielle Crews
- Biology Department San Francisco State University San Francisco California 94132 USA
- California Department of Public Health Sacramento California 95814 USA
| | - Andrea Swei
- Biology Department San Francisco State University San Francisco California 94132 USA
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Raffetin A, Saunier A, Bouiller K, Caraux-Paz P, Eldin C, Gallien S, Jouenne R, Belkacem A, Salomon J, Patey O, Talagrand-Reboul E, Jaulhac B, Grillon A. Unconventional diagnostic tests for Lyme borreliosis: a systematic review. Clin Microbiol Infect 2019; 26:51-59. [PMID: 31306793 DOI: 10.1016/j.cmi.2019.06.033] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [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: 03/11/2019] [Revised: 06/27/2019] [Accepted: 06/28/2019] [Indexed: 12/27/2022]
Abstract
BACKGROUND Lyme borreliosis (LB) diagnosis currently relies mainly on serological tests and sometimes PCR or culture. However, other biological assays are being developed to try to improve Borrelia-infection diagnosis and/or monitoring. OBJECTIVES To analyse available data on these unconventional LB diagnostic assays through a systematic literature review. METHODS We searched PubMed and Cochrane Library databases according to the PRISMA-DTA method and the Cochrane Handbook for Systematic Reviews of Interventions. We analysed controlled and uncontrolled studies (published 1983-2018) on biological tests for adults to diagnose LB according to the European Study Group for Lyme Borreliosis or the Infectious Diseases Society of America definitions, or identify strongly suspected LB. Two independent readers evaluated study eligibility and extracted data from relevant study reports; a third reader analysed full texts of papers to resolve disagreements. The quality of each included study was assessed with the QUADAS-2 evaluation scale. RESULTS Forty studies were included: two meta-analyses, 25 prospective controlled studies, five prospective uncontrolled studies, six retrospective controlled studies and two case reports. These biological tests assessed can be classified as: (i) proven to be effective at diagnosing LB and already in use (CXCL-13 for neuroborreliosis), but not enough to be standardized; (ii) not yet used routinely, requiring further clinical evaluation (CCL-19, OspA and interferon-α); (iii) uncertain LB diagnostic efficacy because of controversial results and/or poor methodological quality of studies evaluating them (lymphocyte transformation test, interferon-γ, ELISPOT); (iv) unacceptably low sensitivity and/or specificity (CD57+ natural killer cells and rapid diagnostic tests); and (v) possible only for research purposes (microscopy and xenodiagnoses). DISCUSSION QUADAS-2 quality assessment demonstrated high risk of bias in 25/40 studies and uncertainty regarding applicability for 32/40, showing that in addition to PCR and serology, several other LB diagnostic assays have been developed but their sensitivities and specificities are heterogeneous and/or under-evaluated or unassessed. More studies are warranted to evaluate their performance parameters. The development of active infection biomarkers would greatly advance LB diagnosis and monitoring.
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Affiliation(s)
- A Raffetin
- Department of Infectious Diseases, Centre Hospitalier Lucie-et-Raymond-Aubrac, Villeneuve-Saint-Georges, France; ESCMID Study Group for Lyme Borreliosis - ESGBOR, Switzerland
| | - A Saunier
- Department of Internal Medicine and Infectious Diseases, Centre Hospitalier Perigueux, Perigueux, France
| | - K Bouiller
- Department of Infectious Diseases, Centre Hospitalier Universitaire Besançon, Besançon, France; UMR CNRS 6249 Chrono-Environnement, Université de Bourgogne Franche-Comté, Besançon, France
| | - P Caraux-Paz
- Department of Infectious Diseases, Centre Hospitalier Lucie-et-Raymond-Aubrac, Villeneuve-Saint-Georges, France
| | - C Eldin
- Centre Hospitalier Universitaire Aix-Marseille, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection, Marseille, France
| | - S Gallien
- Department of Clinical Immunology, Centre Hospitalier Universitaire Henri-Mondor, Créteil, France
| | - R Jouenne
- Department of Internal Medicine, Centre Hospitalier Lucie-et-Raymond-Aubrac, Villeneuve-Saint-Georges, France
| | - A Belkacem
- Department of Infectious Diseases, Centre Hospitalier Lucie-et-Raymond-Aubrac, Villeneuve-Saint-Georges, France
| | - J Salomon
- Department of Infectious Diseases, Centre Hospitalier Universitaire Raymond-Poincaré, Garches, France
| | - O Patey
- Department of Infectious Diseases, Centre Hospitalier Lucie-et-Raymond-Aubrac, Villeneuve-Saint-Georges, France
| | - E Talagrand-Reboul
- EA 7290 Virulence Bactérienne Précoce, Université de Strasbourg, Centre Hospitalier Régional Universitaire de Strasbourg, Fédération de Médecine Translationnelle, Groupe Borréliose de Strasbourg, Strasbourg, France
| | - B Jaulhac
- ESCMID Study Group for Lyme Borreliosis - ESGBOR, Switzerland; EA 7290 Virulence Bactérienne Précoce, Université de Strasbourg, Centre Hospitalier Régional Universitaire de Strasbourg, Fédération de Médecine Translationnelle, Groupe Borréliose de Strasbourg, Strasbourg, France; Centre National de Référence des Borrelia, CHRU Strasbourg, Strasbourg, France
| | - A Grillon
- EA 7290 Virulence Bactérienne Précoce, Université de Strasbourg, Centre Hospitalier Régional Universitaire de Strasbourg, Fédération de Médecine Translationnelle, Groupe Borréliose de Strasbourg, Strasbourg, France.
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Yu Y, Stahl M, Hirtz S, Salomon J, Mairbäurl H, Sommerburg O. P257 Ivacaftor therapy on cystic fibrosis transmembrane conductance regulator function is evaluated in a patient with 3849 + 10kbC > T mutation. J Cyst Fibros 2019. [DOI: 10.1016/s1569-1993(19)30550-8] [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: 11/28/2022]
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Davido B, Batista R, Fessi H, Michelon H, Escaut L, Lawrence C, Denis M, Perronne C, Salomon J, Dinh A. Fecal microbiota transplantation to eradicate vancomycin-resistant enterococci colonization in case of an outbreak. Med Mal Infect 2019; 49:214-218. [DOI: 10.1016/j.medmal.2018.11.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Revised: 01/22/2018] [Accepted: 11/06/2018] [Indexed: 11/17/2022]
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Salomon J, Thomas P. Éditorial. Encephale 2019; 45 Suppl 1:S1-S2. [DOI: 10.1016/j.encep.2018.11.001] [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] [Received: 10/15/2018] [Accepted: 11/06/2018] [Indexed: 11/25/2022]
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Opatowski M, Tuppin P, Kosker K, Salomon J, Brun-Buisson C, Watier L. Burden of infections related to antibiotic resistant bacteria in France in 2015: Results from the French Hospital discharge database. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.05.427] [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: 10/28/2022] Open
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Falcou L, Davido B, Even A, Bouchand F, Salomon J, Sotto A, Denys P, Dinh A. [Original strategy for prevention of recurrent symptomatic urinary tract infections in patients with neurogenic bladder: Bacterial interference, state of the art]. Prog Urol 2018; 28:307-314. [PMID: 29699855 DOI: 10.1016/j.purol.2018.03.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [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: 09/12/2017] [Revised: 01/08/2018] [Accepted: 03/14/2018] [Indexed: 12/01/2022]
Abstract
PURPOSE Urinary tract infection (UTI) is the most common complication in patients with neurogenic bladder. The long-term use of antibiotic drugs induces an increase in antimicrobial resistance and adverse drug reactions. Bacterial interference is a new concept to prevent recurrent UTI which consists in a bladder colonization with low virulence bacteria. We performed a literature review on this emerging therapy. MATERIALS AND METHODS Literature review of bacterial interference to prevent symptomatic urinary tract infection in neurological population. RESULTS Seven prospectives study including 3 randomized, double-blind and placebo controlled trial were analyzed. The neurological population was spinal cord injured in most cases. The bladder colonization was performed with 2 non-pathogen strains of Escherichia coli: HU 2117 and 83972. At 1 month, 38 to 83% of patients were colonized. Mean duration of colonization was 48.5 days to 12.3 months. All studies showed that colonization might reduce the number of urinary tract infections and is safe with absence of serious side effects. CONCLUSION Bacterial interference is a promising alternative therapy for the prevention of recurrent symptomatic urinary tract infections in neurogenic patients. This therapy should have developments for a daily use practice and for a long-term efficacy.
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Affiliation(s)
- L Falcou
- Unité d'urodynamique, hôpital universitaire R.-Poincaré, UVSQ, AP-HP, 92380 Garches, France
| | - B Davido
- Unité de maladies infectieuses, hôpital universitaire R.-Poincaré, UVSQ, AP-HP, 104, boulevard R.-Poincaré, 92380 Garches, France
| | - A Even
- Unité d'urodynamique, hôpital universitaire R.-Poincaré, UVSQ, AP-HP, 92380 Garches, France
| | - F Bouchand
- Pharmacie, hôpital universitaire R.-Poincaré, UVSQ, AP-HP, 92380 Garches, France
| | - J Salomon
- Unité de maladies infectieuses, hôpital universitaire R.-Poincaré, UVSQ, AP-HP, 104, boulevard R.-Poincaré, 92380 Garches, France
| | - A Sotto
- Service de maladies infectieuses, CHU de Nîmes, 30189 Nîmes, France
| | - P Denys
- Unité d'urodynamique, hôpital universitaire R.-Poincaré, UVSQ, AP-HP, 92380 Garches, France
| | - A Dinh
- Unité d'urodynamique, hôpital universitaire R.-Poincaré, UVSQ, AP-HP, 92380 Garches, France; Unité de maladies infectieuses, hôpital universitaire R.-Poincaré, UVSQ, AP-HP, 104, boulevard R.-Poincaré, 92380 Garches, France.
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Shourick J, Dinh A, Matt M, Salomon J, Davido B. Severe neutropenia revealing a rare presentation of dengue fever: a case report. BMC Res Notes 2017; 10:415. [PMID: 28818105 PMCID: PMC5561569 DOI: 10.1186/s13104-017-2732-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2017] [Accepted: 08/06/2017] [Indexed: 11/10/2022] Open
Abstract
Background Arboviruses are a common cause of fever in the returned traveler often associated with leucopenia, especially lymphopenia and thrombocytopenia. Transient neutropenia has been described in a few cases of arboviruses. However, prolonged and severe neutropenia (<500/mm3) has rarely been reported in dengue fever, especially in the returned traveler in Europe. Case presentation A 26-year-old healthy female without any medical past history, flying back from Thailand, presented a transient fever with severe neutropenia (<500/mm3). Laboratory tests showed a mild hepatic cytolysis and thrombocytopenia, mimicking malaria or viral hepatitis. While she underwent protective isolation, NS1 antigen returned positive in favor of a dengue fever. Outcome was favorable without any antimicrobial therapy. Conclusion Physicians should be wary of possible unusual presentation of dengue fever with prolonged neutropenia. Although such biological sign is more often associated with malaria or severe bacterial infection, it may be a sign of arbovirus.
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Affiliation(s)
- J Shourick
- Maladies Infectieuses, Hôpital Universitaire Raymond-Poincaré, AP-HP, 104 Bld Raymond Poincaré, 92380, Garches, France
| | - A Dinh
- Maladies Infectieuses, Hôpital Universitaire Raymond-Poincaré, AP-HP, 104 Bld Raymond Poincaré, 92380, Garches, France
| | - M Matt
- Maladies Infectieuses, Hôpital Universitaire Raymond-Poincaré, AP-HP, 104 Bld Raymond Poincaré, 92380, Garches, France
| | - J Salomon
- Maladies Infectieuses, Hôpital Universitaire Raymond-Poincaré, AP-HP, 104 Bld Raymond Poincaré, 92380, Garches, France
| | - B Davido
- Maladies Infectieuses, Hôpital Universitaire Raymond-Poincaré, AP-HP, 104 Bld Raymond Poincaré, 92380, Garches, France.
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Davido B, Makhloufi S, Matt M, Calin R, Senard O, Perronne C, Dinh A, Salomon J. Changes in eosinophil count during bacterial infection: revisiting an old marker to assess the efficacy of antimicrobial therapy. Int J Infect Dis 2017. [DOI: 10.1016/j.ijid.2017.06.005] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
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Ueda P, Lung T, Lu Y, Salomon J, Rahimi K, Clarke P, Danaei G. P6038Treatment gaps and potential cardiovascular risk reduction from expanded statin use in the US and England. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p6038] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Davido B, Moussiegt A, Dinh A, Senard O, Deconinck L, Auzel O, Repesse X, Sirol M, Morgan M, Salomon J. Contribution of echocardiography in the diagnosis of definitive infective endocarditis: the infectious disease specialist’s point of view. Eur J Clin Microbiol Infect Dis 2017; 36:2329-2334. [DOI: 10.1007/s10096-017-3064-y] [Citation(s) in RCA: 2] [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] [Received: 05/18/2017] [Accepted: 07/04/2017] [Indexed: 01/22/2023]
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Dinh A, Duran C, Davido B, Bouchand F, Deconinck L, Matt M, Sénard O, Guyot C, Levasseur AS, Attal J, Razazi D, Tritz T, Beauchet A, Salomon J, Beaune S, Grenet J. Impact of an antimicrobial stewardship programme to optimize antimicrobial use for outpatients at an emergency department. J Hosp Infect 2017; 97:288-293. [PMID: 28698021 DOI: 10.1016/j.jhin.2017.07.005] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [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: 06/16/2017] [Accepted: 07/04/2017] [Indexed: 01/13/2023]
Abstract
BACKGROUND Antimicrobial stewardship programmes (ASPs) have been effective in optimizing antibiotic use for inpatients. However, an emergency department's fast-paced clinical setting can be challenging for a successful ASP. AIM In April 2015, an ASP was implemented in our emergency department and we aimed to determine its impact on antimicrobial use for outpatients. METHODS This was a single-centre study comparing the quality of antibiotic prescriptions between a one-year period before ASP implementation (November 2012 to October 2013) and a one-year period after its implementation (June 2015 to May 2016). For each period, antimicrobial prescriptions for all adult outpatients (hospitalized for <24h) were evaluated by an infectious disease specialist and an emergency department physician to assess compliance with local prescribing guidelines. Inappropriate prescriptions were then classified. FINDINGS Before and after ASP, 34,671 and 35,925 consultations were registered at our emergency department, of which 25,470 and 26,208 were outpatients. Antimicrobials were prescribed in 769 (3.0%) and 580 (2.2%) consultations, respectively (P < 0.0001). There were 484 (62.9%) and 271 (46.7%) (P < 0.0001) instances of non-compliance with guidelines before and after ASP implementation. Non-compliance included unnecessary antimicrobial prescriptions, 197 (25.6%) vs 101 (17.4%) (P<0.0005); inappropriate spectrum, 108 (14.0%) vs 54 (9.3%) (P=0.008); excessive treatment duration, 87 (11.3%) vs 53 (9.1%) (P>0.05); and inappropriate choices, 11 (1.4%) vs 15 (2.6%) (P>0.05). CONCLUSION The implementation of an ASP markedly decreased the number of unnecessary antimicrobial prescriptions, but had little impact on most other aspects of inappropriate prescribing.
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Affiliation(s)
- A Dinh
- Infectious Diseases Unit, Raymond Poincaré University Hospital, Versailles Saint Quentin University, Garches, France.
| | - C Duran
- Infectious Diseases Unit, Raymond Poincaré University Hospital, Versailles Saint Quentin University, Garches, France
| | - B Davido
- Infectious Diseases Unit, Raymond Poincaré University Hospital, Versailles Saint Quentin University, Garches, France
| | - F Bouchand
- Pharmacy Department, Raymond Poincaré University Hospital, Versailles Saint Quentin University, Garches, France
| | - L Deconinck
- Infectious Diseases Unit, Raymond Poincaré University Hospital, Versailles Saint Quentin University, Garches, France
| | - M Matt
- Infectious Diseases Unit, Raymond Poincaré University Hospital, Versailles Saint Quentin University, Garches, France
| | - O Sénard
- Infectious Diseases Unit, Raymond Poincaré University Hospital, Versailles Saint Quentin University, Garches, France
| | - C Guyot
- Emergency Department, Ambroise Paré University Hospital, Versailles Saint Quentin University, Boulogne-Billancourt, France
| | - A-So Levasseur
- Emergency Department, Ambroise Paré University Hospital, Versailles Saint Quentin University, Boulogne-Billancourt, France
| | - J Attal
- Emergency Department, Ambroise Paré University Hospital, Versailles Saint Quentin University, Boulogne-Billancourt, France
| | - D Razazi
- Emergency Department, Ambroise Paré University Hospital, Versailles Saint Quentin University, Boulogne-Billancourt, France
| | - T Tritz
- Pharmacy Department, Ambroise Paré University Hospital, Versailles Saint Quentin University, Garches, France
| | - A Beauchet
- Medical Informatic Department, Ambroise Paré University Hospital, Versailles Saint Quentin University, Garches, France
| | - J Salomon
- Infectious Diseases Unit, Raymond Poincaré University Hospital, Versailles Saint Quentin University, Garches, France
| | - S Beaune
- Emergency Department, Ambroise Paré University Hospital, Versailles Saint Quentin University, Boulogne-Billancourt, France
| | - J Grenet
- Emergency Department, Ambroise Paré University Hospital, Versailles Saint Quentin University, Boulogne-Billancourt, France
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Bouchand F, Leplay C, Davido B, Matt M, Villart M, Salomon J, Dinh A. Impact d’une alerte systématique de réévaluation des antibiothérapies de plus de 7 jours par un infectiologue dans un hôpital universitaire. Med Mal Infect 2017. [DOI: 10.1016/j.medmal.2017.03.095] [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: 11/26/2022]
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Matt M, Senard O, Deconinck L, Lawrence C, Dinh A, Godin E, Salomon J, Davido B. État des lieux de la perte de chance liée au cohorting des patients colonisés et/ou infectés à BHRe en secteur dédié de maladies infectieuses. Med Mal Infect 2017. [DOI: 10.1016/j.medmal.2017.03.077] [Citation(s) in RCA: 2] [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: 10/19/2022]
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Opatowski M, Cosker K, Brun-Buisson C, Tuppin P, Salomon J, Watier L. Résistance bactérienne aux antibiotiques, apport du PMSI. Rev Epidemiol Sante Publique 2017. [DOI: 10.1016/j.respe.2017.01.023] [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: 11/16/2022] Open
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Davido B, Dinh A, Rouveix E, Crenn P, Hanslik T, Salomon J. [Splenic abscesses: From diagnosis to therapy]. Rev Med Interne 2017; 38:614-618. [PMID: 28196700 DOI: 10.1016/j.revmed.2016.12.025] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [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: 03/18/2016] [Revised: 08/23/2016] [Accepted: 12/15/2016] [Indexed: 11/30/2022]
Abstract
Splenic abscess is septic collection which occurs after haematogenous spread or local dissemination. Splenic abscess is an uncommon and rare condition, more frequently affecting male and immunocompromised patients. There are no guidelines regarding its diagnosis and management. Computed tomography (CT) scan is highly sensitive and specific (95% and 92%, respectively) in the diagnosis of splenic abscess. Diagnosis is based on blood cultures which are positive in 24 to 80% of cases. Bacterial growth culture of abscess after drainage is more efficient (50-80%) and can be performed after surgery or percutaneous drainage under imaging, including CT scan. Microorganisms involved are frequently enterobacteriaceae, gram-positive cocci and anaerobes. This particular ecology leads to an empiric broad-spectrum antibiotic therapy, with a variable duration, from 10days to more than one month. Management remains very close to the one applied in case of liver abscesses. The role of splenectomy in the prevention of recurrence remains controversial. We reviewed the literature regarding splenic abscesses, from diagnosis to therapy.
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Affiliation(s)
- B Davido
- Service de médecine interne, hôpital Ambroise-Paré, hôpitaux universitaires Paris Île-de-France Ouest, 92200 Boulogne-Billancourt, France; Service de maladies infectieuses, hôpital Raymond-Poincaré, hôpitaux universitaires Paris Île-de-France Ouest, 104, boulevard Raymond-Poincaré, 92380 Garches, France.
| | - A Dinh
- Service de médecine interne, hôpital Ambroise-Paré, hôpitaux universitaires Paris Île-de-France Ouest, 92200 Boulogne-Billancourt, France; Service de maladies infectieuses, hôpital Raymond-Poincaré, hôpitaux universitaires Paris Île-de-France Ouest, 104, boulevard Raymond-Poincaré, 92380 Garches, France
| | - E Rouveix
- Service de médecine interne, hôpital Ambroise-Paré, hôpitaux universitaires Paris Île-de-France Ouest, 92200 Boulogne-Billancourt, France
| | - P Crenn
- Service de maladies infectieuses, hôpital Raymond-Poincaré, hôpitaux universitaires Paris Île-de-France Ouest, 104, boulevard Raymond-Poincaré, 92380 Garches, France; Service de gastro-entérologie, nutrition transversale, hôpital Ambroise-Paré, hôpitaux universitaires Paris Île-de-France Ouest, 92200 Boulogne-Billancourt, France
| | - T Hanslik
- Service de médecine interne, hôpital Ambroise-Paré, hôpitaux universitaires Paris Île-de-France Ouest, 92200 Boulogne-Billancourt, France
| | - J Salomon
- Service de maladies infectieuses, hôpital Raymond-Poincaré, hôpitaux universitaires Paris Île-de-France Ouest, 104, boulevard Raymond-Poincaré, 92380 Garches, France
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Davido B, Batista R, Michelon H, Lepainteur M, Bouchand F, Lepeule R, Salomon J, Vittecoq D, Duran C, Escaut L, Sobhani I, Paul M, Lawrence C, Perronne C, Chast F, Dinh A. Is faecal microbiota transplantation an option to eradicate highly drug-resistant enteric bacteria carriage? J Hosp Infect 2017; 95:433-437. [PMID: 28237504 DOI: 10.1016/j.jhin.2017.02.001] [Citation(s) in RCA: 63] [Impact Index Per Article: 9.0] [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: 01/13/2017] [Accepted: 02/01/2017] [Indexed: 12/15/2022]
Abstract
Carbapenem-resistant Enterobacteriaceae (CRE) or vancomycin-resistant enterococci (VRE) carriage present a major public health challenge. Decolonization strategies are lacking. We aimed to evaluate the impact of faecal microbiota transplantation (FMT) on a cohort of patients with digestive tract colonization by CRE or VRE. Eight patients were included: six carrying CRE and two colonized by VRE. One month after FMT, two patients were free from CRE carriage, and another patient was free from VRE after three months. In our experience, this strategy is safe.
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Affiliation(s)
- B Davido
- Infectious Diseases Unit, Raymond Poincaré Teaching Hospital, APHP, Versailles Saint-Quentin University, Garches, France
| | - R Batista
- Pharmacy Department, Cochin Teaching Hospital, APHP, Paris Descartes University, Paris, France
| | - H Michelon
- Pharmacy Department, Raymond Poincaré Teaching Hospital, APHP, Versailles Saint-Quentin University, Garches, France
| | - M Lepainteur
- Microbiology Laboratory, Raymond Poincaré Teaching Hospital, APHP, Versailles Saint-Quentin University, Garches, France
| | - F Bouchand
- Pharmacy Department, Raymond Poincaré Teaching Hospital, APHP, Versailles Saint-Quentin University, Garches, France
| | - R Lepeule
- Antimicrobial Stewardship Unit, Henri Mondor Teaching Hospital, APHP, Paris-Est Créteil-Est University, Créteil, France
| | - J Salomon
- Infectious Diseases Unit, Raymond Poincaré Teaching Hospital, APHP, Versailles Saint-Quentin University, Garches, France
| | - D Vittecoq
- Infectious Diseases Unit, Bicêtre Teaching Hospital, APHP, Paris-Sud University, Le Kremlin-Bicêtre, France
| | - C Duran
- Infectious Diseases Unit, Raymond Poincaré Teaching Hospital, APHP, Versailles Saint-Quentin University, Garches, France
| | - L Escaut
- Infectious Diseases Unit, Bicêtre Teaching Hospital, APHP, Paris-Sud University, Le Kremlin-Bicêtre, France
| | - I Sobhani
- Gastroenterology Department, Henri Mondor Teaching Hospital, APHP, Paris-Est Créteil-Est University, Créteil, France
| | - M Paul
- Pharmacy Department, Henri Mondor Teaching Hospital, APHP, Paris-Est Créteil-Est University, Créteil, France
| | - C Lawrence
- Microbiology Laboratory, Raymond Poincaré Teaching Hospital, APHP, Versailles Saint-Quentin University, Garches, France
| | - C Perronne
- Infectious Diseases Unit, Raymond Poincaré Teaching Hospital, APHP, Versailles Saint-Quentin University, Garches, France
| | - F Chast
- Pharmacy Department, Cochin Teaching Hospital, APHP, Paris Descartes University, Paris, France
| | - A Dinh
- Infectious Diseases Unit, Raymond Poincaré Teaching Hospital, APHP, Versailles Saint-Quentin University, Garches, France.
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Davido B, Dinh A, Nemo EM, Makhloufi S, Leplay C, Salomon J. Efficacy of the switch to oral antibiotics in the treatment of non- Staphylococcus aureus infective endocarditis in non-severely ill patients. Clin Microbiol Infect 2017; 23:124-125. [DOI: 10.1016/j.cmi.2016.10.021] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2016] [Revised: 09/22/2016] [Accepted: 10/03/2016] [Indexed: 11/26/2022]
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Bouchand F, Dinh A, Roux AL, Davido B, Michelon H, Lepainteur M, Legendre B, El Sayed F, Pierre I, Salomon J, Lawrence C, Perronne C, Villart M, Crémieux AC. Implementation of a simple innovative system for postprescription antibiotic review based on computerized tools with shared access. J Hosp Infect 2016; 95:312-317. [PMID: 28108091 DOI: 10.1016/j.jhin.2016.11.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 09/13/2016] [Accepted: 11/18/2016] [Indexed: 10/20/2022]
Abstract
BACKGROUND Controlling antibiotic use in healthcare establishments limits their consumption and the emergence of bacterial resistance. AIM To evaluate the efficiency of an innovative antibiotic stewardship strategy implemented over three years in a university hospital. METHODS An antimicrobial multi-disciplinary team (AMT) [pharmacist, microbiologist and infectious disease specialist (IDS)] conducted a postprescription review. Specific coding of targeted antibiotics (including broad-spectrum β-lactams, glycopeptides, lipopeptides, fluoroquinolones and carbapenems) in the computerized physician order entry allowed recording of all new prescriptions. The data [patient, antibiotic(s), prescription start date, etc.] were registered on an AMT spreadsheet with shared access, where the microbiologist's opinion on the drug choice, based on available microbiology results, was entered. When the microbiologist and pharmacist did not approve the antibiotic prescribed, a same-day alert was generated and sent to the IDS. That alert led the IDS to re-evaluate the treatment. FINDINGS From 2012 to 2014, 2106 targeted antibiotic prescriptions were reviewed. Among them, 389 (18.5%) generated an alert and 293 (13.9%) were re-evaluated by the IDS. Recommendations (mostly de-escalation or discontinuation) were necessary for 136 (46.4%) and the prescribers' acceptance rate was 97%. The estimated intervention time was <30 min/day for each AMT member. This system allowed correct use of targeted antibiotics for 91.8% of prescriptions, but had no significant impact on targeted antibiotic consumption. CONCLUSION This computerized, shared access, antibiotic stewardship strategy seems to be time saving, and effectively limited misuse of broad-spectrum antibiotics.
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Affiliation(s)
- F Bouchand
- Department of Pharmacy, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond-Poincaré, Garches, France.
| | - A Dinh
- Department of Infectious Diseases, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond-Poincaré, Garches, France
| | - A L Roux
- Microbiology Laboratory, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond-Poincaré, Garches, France
| | - B Davido
- Department of Infectious Diseases, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond-Poincaré, Garches, France
| | - H Michelon
- Department of Pharmacy, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond-Poincaré, Garches, France
| | - M Lepainteur
- Microbiology Laboratory, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond-Poincaré, Garches, France
| | - B Legendre
- Department of Pharmacy, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond-Poincaré, Garches, France
| | - F El Sayed
- Microbiology Laboratory, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond-Poincaré, Garches, France
| | - I Pierre
- Department of Infectious Diseases, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond-Poincaré, Garches, France
| | - J Salomon
- Department of Infectious Diseases, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond-Poincaré, Garches, France
| | - C Lawrence
- Microbiology Laboratory, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond-Poincaré, Garches, France
| | - C Perronne
- Department of Infectious Diseases, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond-Poincaré, Garches, France
| | - M Villart
- Department of Pharmacy, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond-Poincaré, Garches, France
| | - A-C Crémieux
- Department of Infectious Diseases, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond-Poincaré, Garches, France
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Poirier C, Dinh A, Salomon J, Grall N, Andremont A, Bernard L. Prevention of urinary tract infections by antibiotic cycling in spinal cord injury patients and low emergence of multidrug resistant bacteria. Med Mal Infect 2016; 46:294-9. [DOI: 10.1016/j.medmal.2016.02.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2015] [Revised: 12/15/2015] [Accepted: 02/25/2016] [Indexed: 10/21/2022]
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Hansmann Y, Chirouze C, Tattevin P, Alfandari S, Caumes E, Christmann D, Salomon J, Michelet C, Rabaud C, Roblot F. [Lyme disease: The French Infectious Diseases Society's statement]. Med Mal Infect 2016; 46:343-345. [PMID: 27592140 DOI: 10.1016/j.medmal.2016.08.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2016] [Accepted: 08/01/2016] [Indexed: 11/27/2022]
Affiliation(s)
- Y Hansmann
- Service des maladies infectieuses et tropicales NHC, CHU de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg, France
| | - C Chirouze
- Service des maladies infectieuses et tropicales, CHU de Besançon, hôpital Jean-Minjoz, 3, boulevard Fleming, 25030 Besançon cedex, France
| | - P Tattevin
- Service des maladies infectieuses et réanimation médicale, CHU de Rennes, hôpital Pontchaillou, 2, rue Henri-le-Guilloux, 35033 Rennes cedex 9, France
| | - S Alfandari
- Service de réanimation et maladies infectieuses, centre hospitalier de Tourcoing, BP 619, 155, rue du Président-Coty, 59208 Tourcoing cedex, France
| | - E Caumes
- Service d'infectiologie, CHU Pitié-Salpétrière, 47, boulevard de l'hôpital, 75013 Paris, France
| | - D Christmann
- Service des maladies infectieuses et tropicales NHC, CHU de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg, France
| | - J Salomon
- Hôpitaux universitaires Paris Île-de-France-Ouest, HUPIFO, AP-HP, 78000 Versailles, France
| | - C Michelet
- Service des maladies infectieuses et réanimation médicale, CHU de Rennes, hôpital Pontchaillou, 2, rue Henri-le-Guilloux, 35033 Rennes cedex 9, France
| | - C Rabaud
- Service des maladies infectieuses et tropicales, CHU de Nancy, 54500 Vandœuvre-lès-Nancy, France
| | - F Roblot
- Service de médecine interne, maladies infectieuses et tropicales, CHU de Poitiers, Inserm U1070, CHU la Miletrie, 2, rue de la Miletrie, 86021 Poitiers cedex, France.
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Davido B, Shourick J, Makhloufi S, Dinh A, Salomon J. True incidence of tigecycline-induced pancreatitis: how many cases are we missing? J Antimicrob Chemother 2016; 71:2994-5. [DOI: 10.1093/jac/dkw255] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
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Dinh A, Ghout I, Simo D, Davido B, Gras G, Salomon J, Ropers J, Bernard L. COL 6-05 - Étude des facteurs pronostiques des patients ayant une spondylodiscite infectieuse à staphylocoque. Med Mal Infect 2016. [DOI: 10.1016/s0399-077x(16)30285-2] [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: 10/21/2022]
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Weglinski L, Rouzaud C, Even A, Bouchand F, Davido B, Duran C, Salomon J, Perronne C, Denys P, Chartier-Kastler E, Dinh A. Prospective evaluation of antibiotic treatment for urological procedure in patients presenting with neurogenic bladder. Med Mal Infect 2016; 46:300-7. [PMID: 27241225 DOI: 10.1016/j.medmal.2016.04.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [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: 10/20/2015] [Revised: 12/30/2015] [Accepted: 04/06/2016] [Indexed: 01/08/2023]
Abstract
OBJECTIVES Patients presenting with neurogenic bladder often require urological procedures (urodynamic testing and botulinum toxin injections) and a preventive antibiotic therapy. We aimed to assess the efficacy of this little known strategy in a cohort of patients. PATIENTS AND METHODS All patients presenting with neurogenic bladder who underwent urological procedure were included in the study. They received an antibiotic therapy in accordance with the urine cytobacteriological examination results. The antibiotic therapy was initiated two days before the procedure and prolonged up until two days after the procedure if the culture was positive. Patients were treated with a single dose of fosfomycin-trometamol in case of a negative culture. The main study outcome was the occurrence of urinary tract infection (UTI), defined by a positive urine culture and symptoms, up until 14 days after the procedure. RESULTS A total of 80 urological procedures were performed. Mean patient age was 47±13.1 years (sex ratio 1.22); 59 (73.8%) presented with asymptomatic bacteriuria before the procedure. Nine (11.1%) UTIs were recorded on Day 14, of which one (1.2%) was febrile. Two patients required an additional curative antibiotic therapy. No patient was hospitalized. Overall, 77.8% of UTIs were cured without antibiotic therapy. CONCLUSION Screening and treating asymptomatic bacteriuria before urological procedures seems unnecessary and vainly exposes this population at high risk of infectious diseases to antibiotic therapies. This data should be confirmed by a randomized clinical trial.
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Affiliation(s)
- L Weglinski
- AP-HP, hôpital universitaire R.-Poincaré, université Versailles-Saint-Quentin, hôpitaux Paris Île-de-France Ouest, unité d'urodynamique, 104, boulevard R.-Poincaré, 92380 Garches, France
| | - C Rouzaud
- AP-HP, hôpital universitaire R.-Poincaré, université Versailles-Saint-Quentin, hôpitaux Paris Île-de-France Ouest, unité des maladies infectieuses, 104, boulevard R.-Poincaré, 92380 Garches, France
| | - A Even
- AP-HP, hôpital universitaire R.-Poincaré, université Versailles-Saint-Quentin, hôpitaux Paris Île-de-France Ouest, unité d'urodynamique, 104, boulevard R.-Poincaré, 92380 Garches, France
| | - F Bouchand
- AP-HP, hôpital universitaire R.-Poincaré, université Versailles-Saint-Quentin, hôpitaux Paris Île-de-France Ouest, département de pharmacie, 104, boulevard R.-Poincaré, 92380 Garches, France
| | - B Davido
- AP-HP, hôpital universitaire R.-Poincaré, université Versailles-Saint-Quentin, hôpitaux Paris Île-de-France Ouest, unité des maladies infectieuses, 104, boulevard R.-Poincaré, 92380 Garches, France
| | - C Duran
- AP-HP, hôpital universitaire R.-Poincaré, université Versailles-Saint-Quentin, hôpitaux Paris Île-de-France Ouest, unité des maladies infectieuses, 104, boulevard R.-Poincaré, 92380 Garches, France
| | - J Salomon
- AP-HP, hôpital universitaire R.-Poincaré, université Versailles-Saint-Quentin, hôpitaux Paris Île-de-France Ouest, unité des maladies infectieuses, 104, boulevard R.-Poincaré, 92380 Garches, France
| | - C Perronne
- AP-HP, hôpital universitaire R.-Poincaré, université Versailles-Saint-Quentin, hôpitaux Paris Île-de-France Ouest, unité des maladies infectieuses, 104, boulevard R.-Poincaré, 92380 Garches, France
| | - P Denys
- AP-HP, hôpital universitaire R.-Poincaré, université Versailles-Saint-Quentin, hôpitaux Paris Île-de-France Ouest, unité d'urodynamique, 104, boulevard R.-Poincaré, 92380 Garches, France
| | - E Chartier-Kastler
- AP-HP, université Pierre-et-Marie-Curie, hôpital universitaire Pitié Salpêtrière, service d'urologie, 47-83, boulevard de l'Hôpital, 75013 Paris, France
| | - A Dinh
- AP-HP, hôpital universitaire R.-Poincaré, université Versailles-Saint-Quentin, hôpitaux Paris Île-de-France Ouest, unité d'urodynamique, 104, boulevard R.-Poincaré, 92380 Garches, France; AP-HP, hôpital universitaire R.-Poincaré, université Versailles-Saint-Quentin, hôpitaux Paris Île-de-France Ouest, unité des maladies infectieuses, 104, boulevard R.-Poincaré, 92380 Garches, France.
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Davido B, Badr C, Lagrange A, Makhloufi S, De Truchis P, Perronne C, Salomon J, Dinh A. Serum protein electrophoresis: an interesting diagnosis tool to distinguish viral from bacterial community-acquired pneumonia. Eur J Clin Microbiol Infect Dis 2016; 35:899-902. [PMID: 26936614 DOI: 10.1007/s10096-016-2613-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2015] [Accepted: 02/16/2016] [Indexed: 11/26/2022]
Abstract
29-69 % of pneumonias are microbiologically documented because it can be considered as an invasive procedure with variable test sensitivity. However, it drastically impacts therapeutic strategy in particular the use of antibiotics. Serum protein electrophoresis (SPEP) is a routine and non-invasive test commonly used to identify serum protein disorders. As virus and bacteria may induce different globulins production, we hypothesize that SPEP can be used as an etiological diagnosis test. Retrospective study conducted from 1/1/13 until 5/1/15 among patient hospitalized for an acute community-acquired pneumonia based on fever, crackles and radiological abnormalities. α/β, α/γ, β/γ globulins and albumin/globulin (A/G) ratio were calculated from SPEP. Data were analyzed in 3 groups: documented viral (DVP) or bacterial pneumonia (DBP) and supposedly bacterial pneumonia (SBP). We used ANOVA statistic test with multiple comparisons using CI95 and ROC curve to compare them. 109 patients included divided into DBP (n = 16), DVP (n = 26) and SBP (n = 67). Mean age was 62 ± 18 year-old with a sex ratio M/F of 1.3. Underlying conditions (e.g. COPD, diabetes) were comparable between groups in multivariate analysis. Means of A/G ratio were 0.80 [0.76-0.84], 0.96 [0.91-1.01], 1.08 [0.99-1.16] respectively for DBP, SBP and DVP (p = 0.0002). A/G ratio cut-off value of 0.845 has a sensitivity of 87.5 % and a specificity of 73.1 %. A/G ratio seems to be an easy diagnostic tool to differentiate bacterial from viral pneumonia. A/G ratio cut-off value below 0.845 seems to be predictable of a bacterial origin and support the use of antibiotics.
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Affiliation(s)
- B Davido
- Maladies Infectieuses, Hôpital Universitaire Raymond-Poincaré, AP-HP, Garches, France.
- Infectious Diseases Department, Raymond Poincaré Teaching Hospital, Garches, 92380, France.
| | - C Badr
- Maladies Infectieuses, Hôpital Universitaire Raymond-Poincaré, AP-HP, Garches, France
| | - A Lagrange
- Maladies Infectieuses, Hôpital Universitaire Raymond-Poincaré, AP-HP, Garches, France
| | - S Makhloufi
- Maladies Infectieuses, Hôpital Universitaire Raymond-Poincaré, AP-HP, Garches, France
| | - P De Truchis
- Maladies Infectieuses, Hôpital Universitaire Raymond-Poincaré, AP-HP, Garches, France
| | - C Perronne
- Maladies Infectieuses, Hôpital Universitaire Raymond-Poincaré, AP-HP, Garches, France
| | - J Salomon
- Maladies Infectieuses, Hôpital Universitaire Raymond-Poincaré, AP-HP, Garches, France
| | - A Dinh
- Maladies Infectieuses, Hôpital Universitaire Raymond-Poincaré, AP-HP, Garches, France
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Hajifathalian K, Ezzati M, Salomon J, Lu Y, Woodward M, Danaei G. A Model for Estimating Future Risk of Fatal Coronary Heart Disease for Global Populations (USA). Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv097.048] [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: 11/13/2022] Open
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Dinh A, Salomon J, Denys P, Bernard L. [Antibioprophylaxy and multi drug resistant organism emergence]. Prog Urol 2015; 25:719-20. [PMID: 26304199 DOI: 10.1016/j.purol.2015.07.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2015] [Accepted: 07/24/2015] [Indexed: 12/01/2022]
Affiliation(s)
- A Dinh
- Unité des maladies infectieuses, hôpital universitaire Raymond-Poincaré Paris Île-de-France Ouest, université Versailles-Saint-Quentin en Yvelines, AP-HP, Garches, France.
| | - J Salomon
- Unité des maladies infectieuses, hôpital universitaire Raymond-Poincaré Paris Île-de-France Ouest, université Versailles-Saint-Quentin en Yvelines, AP-HP, Garches, France
| | - P Denys
- Unité d'urodynamique, hôpital universitaire Raymond-Poincaré Paris Île-de-France Ouest, université Versailles-Saint-Quentin en Yvelines, AP-HP, Garches, France
| | - L Bernard
- Service de maladies infectieuses, hôpital universitaire Bretonneau, université François-Rabelais, Tours, France
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Albrecht T, Salomon J, Stichnoth H, Baumann I, Mall MA. Regional differences in Cl- conductance in human nasal epithelial primary cells (hNEpC) of patients with chronic rhinosinusitis. Pneumologie 2015. [DOI: 10.1055/s-0035-1556598] [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]
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Papagiannitsis CC, Izdebski R, Baraniak A, Fiett J, Herda M, Hrabák J, Derde LPG, Bonten MJM, Carmeli Y, Goossens H, Hryniewicz W, Brun-Buisson C, Gniadkowski M, Grabowska A, Nikonorow E, Dautzenberg MJ, Adler A, Kazma M, Navon-Venezia S, Malhotra-Kumar S, Lammens C, Legrand P, Annane D, Chalfine A, Giamarellou H, Petrikkos GL, Nardi G, Balode A, Dumpis U, Stammet P, Arag I, Esteves F, Muzlovic I, Tomic V, Mart AT, Lawrence C, Salomon J, Paul M, Lerman Y, Rossini A, Salvia A, Samso JV, Fierro J. Survey of metallo-β-lactamase-producing Enterobacteriaceae colonizing patients in European ICUs and rehabilitation units, 2008–11. J Antimicrob Chemother 2015; 70:1981-8. [DOI: 10.1093/jac/dkv055] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2014] [Accepted: 02/07/2015] [Indexed: 11/13/2022] Open
Affiliation(s)
- C. C. Papagiannitsis
- National Medicines Institute, Warsaw, Poland
- Faculty of Medicine in Plzeň, Charles University in Prague, Plzeň, Czech Republic
| | - R. Izdebski
- National Medicines Institute, Warsaw, Poland
| | - A. Baraniak
- National Medicines Institute, Warsaw, Poland
| | - J. Fiett
- National Medicines Institute, Warsaw, Poland
| | - M. Herda
- National Medicines Institute, Warsaw, Poland
| | - J. Hrabák
- Faculty of Medicine in Plzeň, Charles University in Prague, Plzeň, Czech Republic
| | - L. P. G. Derde
- University Medical Center Utrecht, Utrecht, The Netherlands
| | | | - Y. Carmeli
- Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel
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Feigl A, Salomon J, Ding E, Calvo E. Can bans break bad habits? An interrupted time series analysis of the
impact of the 2005 high school smoking ban on teenage smoking behavior in
Chile. Ann Glob Health 2014. [DOI: 10.1016/j.aogh.2014.08.130] [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: 10/24/2022] Open
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Bilavsky E, Temkin E, Lerman Y, Rabinovich A, Salomon J, Lawrence C, Rossini A, Salvia A, Samso JV, Fierro J, Paul M, Hart J, Gniadkowski M, Hochman M, Kazma M, Klein A, Adler A, Schwaber MJ, Carmeli Y. Risk factors for colonization with extended-spectrum beta-lactamase-producing enterobacteriaceae on admission to rehabilitation centres. Clin Microbiol Infect 2014; 20:O804-10. [PMID: 24674024 DOI: 10.1111/1469-0691.12633] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [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: 11/21/2013] [Revised: 03/17/2014] [Accepted: 03/22/2014] [Indexed: 12/31/2022]
Abstract
Patients newly admitted to rehabilitation centres are at high risk of colonization with multidrug-resistant bacteria because many of them have experienced prolonged stays in other healthcare settings and have had high exposure to antibiotics. We conducted a prospective study to determine the prevalence of and risk factors for colonization with extended-spectrum beta-lactamase-producing Enterobacteriaceae (ESBL-PE) in this population. Subjects were screened by rectal swab for ESBL-PE within 2 days of admission. Swabs were plated on chromagar ESBL plates and the presence of ESBL was verified by a central laboratory. A multilevel mixed effects model was used to identify risk factors for ESBL-PE colonization. Of 2873 patients screened, 748 (26.0%) were positive for ESBL-PE. The variables identified as independently associated with ESBL-PE colonization were: recent stay in an acute-care hospital for over 2 weeks (OR=1.34; 95% CI, 1.12, 1.6), history of colonization with ESBL-PE (OR=2.97; 95% CI, 1.99, 4.43), unconsciousness on admission (OR=2.59; 95% CI, 1.55, 4.34), surgery or invasive procedure in the past year (OR=1.49; 95% CI, 1.2, 1.86) and antibiotic treatment in the past month (OR=1.80; 95% CI, 1.45, 2.22). The predictive accuracy of the model was low (area under the ROC curve 0.656). These results indicate that ESBL-PE colonization is common upon admission to rehabilitation centres. Some risk factors for ESBL-PE colonization are similar to those described previously; however, newly identified factors may be specific to rehabilitation populations. The high prevalence and low ability to stratify by risk factors may guide infection control and empirical treatment strategies in rehabilitation settings.
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Affiliation(s)
- E Bilavsky
- Division of Epidemiology and Preventive Medicine, Tel Aviv Sourasky Medical Centre, Tel Aviv, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Alvarez AS, Remy L, Allix-Béguec C, Ligier C, Dupont C, Leminor O, Lawrence C, Supply P, Guillemot D, Gaillard JL, Salomon J, Herrmann JL. Patient nostril microbial flora: individual-dependency and diversity precluding prediction of Staphylococcus aureus acquisition. Clin Microbiol Infect 2013; 20:70-8. [PMID: 23601162 DOI: 10.1111/1469-0691.12208] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [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: 12/19/2012] [Revised: 02/09/2013] [Accepted: 02/28/2013] [Indexed: 11/30/2022]
Abstract
The potential role of a patient's resident microbial flora in the risk of acquiring multiresistant bacteria (MRB) during hospitalization is unclear. We investigated this role by cross-sectional study of 103 patients at risk of acquisition of Staphylococcus aureus (SA), resistant (MRSA) or not (MSSA) to methicillin, recruited in four French hospitals. The flora was analysed by an exhaustive culture-based approach combined with molecular and/or mass-spectrometry-based identification, and SA strain typing. Forty-three of the 53 SA-negative patients at entry were followed for up to 52 weeks: 19 (44.2%) remained negative for SA and 24 (55.8%) became positive, including 19 (79%) who acquired an MSSA, four (17%) who acquired an MRSA and one who acquired both (4%). Fifty-one different species were identified among the 103 patients, of which two, Corynebacterium accolens and Staphylococcus haemolyticus (p = 0.02-0.01), were more prevalent in the absence of SA. However, the same number of patients carrying or not these two species acquired an MSSA/MRSA during follow-up, regardless of antibiotic treatment received. Clustering analysis showed that the microbial flora was highly specific to each patient, and not predictive for acquisition of MSSA/MRSA or not. Patient-specific microbial resident flora is not predictive of SA acquisition.
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Affiliation(s)
- A S Alvarez
- University of Versailles St Quentin in Yvelines and UFR des Sciences de la Santé, Montigny le Bretonneux, France; Assistance Publique - Hôpitaux de Paris, Raymond Poincaré Hospital, Microbiology Laboratory, Garches, France
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Morales PS, Escobar RG, Lizama M, Aglony M, Salomon J, Drenth JPH, Borzutzky A. Paediatric hypertension-associated erythromelalgia responds to corticosteroids and is not associated with SCN9A mutations. Rheumatology (Oxford) 2012; 51:2295-6. [DOI: 10.1093/rheumatology/kes098] [Citation(s) in RCA: 4] [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: 11/13/2022] Open
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39
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Bilavsky E, Lerman Y, Salomon J, Lawrence C, Rossini A, Salvia A, Samso J, Fierro J, Hochman M, Kazma M, Klein A, Schwaber M, Carmeli Y. Carriage of methicillin-resistant Staphylococcus aureus on admission to European rehabilitation centres-a prospective study. Clin Microbiol Infect 2012; 18:E164-9. [DOI: 10.1111/j.1469-0691.2012.03851.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Chisholm D, Baltussen R, Evans DB, Ginsberg G, Lauer JA, Lim S, Ortegon M, Salomon J, Stanciole A, Edejer TTT. What are the priorities for prevention and control of non-communicable diseases and injuries in sub-Saharan Africa and South East Asia? BMJ 2012; 344:e586. [PMID: 22389336 DOI: 10.1136/bmj.e586] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- D Chisholm
- Department of Health Systems Financing, World Health Organization, Geneva, Switzerland.
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41
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Lee A, Carmeli Y, Chalfine A, Derde L, Malhotra-Kumar S, Martínez JA, Salomon J, Torres A, Vidal J, Harbarth S. Prevalence and risk factors for methicillin-resistant Staphylococcus aureus (MRSA) carriage on admission to different hospital sectors in two European countries. BMC Proc 2011. [PMCID: PMC3239498 DOI: 10.1186/1753-6561-5-s6-o81] [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
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42
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Salomon J, Dinh A, Lawrence C, Ronco E, Herrmann JL, Bernard L. Pan-susceptible Proteus mirabilis septicemia in a patient multicolonized by pan-resistant bacteria. Med Mal Infect 2011; 41:262-3. [PMID: 21193275 DOI: 10.1016/j.medmal.2010.11.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2010] [Revised: 09/15/2010] [Accepted: 11/25/2010] [Indexed: 11/28/2022]
Affiliation(s)
- J Salomon
- Department of infectious diseases, Versailles University, Raymond-Poincaré Hospital, AP-HP, 104, boulevard Raymond-Poincaré, 92380 Garches, France.
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Gagnière B, Le Goff-Mevel D, Marquis M, Guillois-Bécel Y, Mari C, Le Goas A, Salomon J. [Epidemiology of tuberculosis in French Brittany: cases notified between 2000 and 2007]. Med Mal Infect 2010; 41:33-7. [PMID: 20537476 DOI: 10.1016/j.medmal.2010.04.007] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2009] [Revised: 03/01/2010] [Accepted: 04/21/2010] [Indexed: 11/16/2022]
Abstract
The authors studied the reported cases of tuberculosis diseases in Brittany between 2000 and 2007 via the mandatory notification scheme. One thousand nine hundred and seventy-five cases were notified during the study period. The incidence in French Brittany (eight cases per 100,000) was the third highest in France. A statistically significant negative trend was observed later, mainly attributable to a decrease between 2000 and 2001. The mean patient age at notification was 55 in Brittany versus 46 years of age for the rest of France (p<0.001). Eighty per cent of the patients were born in France versus 46% for the rest of the country. The rate of multiresistance to antibiotics was 1.3% versus 4.6% for the rest of France (p<0.001). The estimated completeness of notification was 80% compared to 70% for the whole country. Despite a decrease of tuberculosis incidence in Brittany, the withdrawal of mandatory vaccination suggests strengthening tuberculosis monitoring in the future.
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Affiliation(s)
- B Gagnière
- Cellule interrégionale d'épidémiologie (Cire) Ouest, institut de veille sanitaire, Drass de Bretagne, 20 rue d'Isly, Rennes, France.
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de Viguerie L, Beck L, Salomon J, Pichon L, Walter P. Composition of Renaissance Paint Layers: Simultaneous Particle Induced X-ray Emission and Backscattering Spectrometry. Anal Chem 2009; 81:7960-6. [DOI: 10.1021/ac901141v] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- L. de Viguerie
- Centre de Recherche et de Restauration des Musées de France (C2RMF, CNRS UMR 171), Palais du Louvre-Porte des Lions, 14 Quai François Mitterrand, 75001 Paris, France, and Institut National des Sciences et Techniques Nucléaires (INSTN), UESMS-CEA Saclay, 91191 Gif-sur-Yvette Cedex, France
| | - L. Beck
- Centre de Recherche et de Restauration des Musées de France (C2RMF, CNRS UMR 171), Palais du Louvre-Porte des Lions, 14 Quai François Mitterrand, 75001 Paris, France, and Institut National des Sciences et Techniques Nucléaires (INSTN), UESMS-CEA Saclay, 91191 Gif-sur-Yvette Cedex, France
| | - J. Salomon
- Centre de Recherche et de Restauration des Musées de France (C2RMF, CNRS UMR 171), Palais du Louvre-Porte des Lions, 14 Quai François Mitterrand, 75001 Paris, France, and Institut National des Sciences et Techniques Nucléaires (INSTN), UESMS-CEA Saclay, 91191 Gif-sur-Yvette Cedex, France
| | - L. Pichon
- Centre de Recherche et de Restauration des Musées de France (C2RMF, CNRS UMR 171), Palais du Louvre-Porte des Lions, 14 Quai François Mitterrand, 75001 Paris, France, and Institut National des Sciences et Techniques Nucléaires (INSTN), UESMS-CEA Saclay, 91191 Gif-sur-Yvette Cedex, France
| | - Ph. Walter
- Centre de Recherche et de Restauration des Musées de France (C2RMF, CNRS UMR 171), Palais du Louvre-Porte des Lions, 14 Quai François Mitterrand, 75001 Paris, France, and Institut National des Sciences et Techniques Nucléaires (INSTN), UESMS-CEA Saclay, 91191 Gif-sur-Yvette Cedex, France
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Toumi A, Dinh A, Daou S, Denys P, Salomon J, Bernard L. F-05 Prise en charge de 116 infections urinaires fébriles sur vessie neurologique. Med Mal Infect 2009. [DOI: 10.1016/s0399-077x(09)74368-9] [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: 11/28/2022]
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Clarissou J, Song A, Bernede C, Guillemot D, Dinh A, Ader F, Perronne C, Salomon J. Efficacy of a long-term antibiotic treatment in patients with a chronic Tick Associated Poly-organic Syndrome (TAPOS). Med Mal Infect 2009; 39:108-15. [PMID: 19124209 DOI: 10.1016/j.medmal.2008.11.012] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2007] [Revised: 03/25/2008] [Accepted: 11/12/2008] [Indexed: 11/30/2022]
Abstract
SETTINGS Despite a now codified antibiotic treatment for Lyme disease, a significant proportion of patients treated according to recommendations complain of persistent signs and symptoms. The pathophysiological mechanisms which underlie this syndrome of post-treatment chronic systemic illness remain unclear. For some physicians post-treatment symptoms indicate a persistent infection requiring prolonged antibiotic therapy. For others, there is no benefit from antimicrobial therapy. The difficulty of assessment encountered in studies is significant because many symptoms are subjective. We think that the term "chronic Lyme disease" is not appropriate and should be replaced by chronic "tick associated poly-organic syndrome" (TAPOS). OBJECTIVE This open-label prospective study was made on a group of 100 patients having followed a medical treatment for a chronic TAPOS and to evaluate their evolution under prolonged antibiotic treatment. RESULTS The medical management was found to be effective for symptoms, especially for patients with a high probability of chronic TAPOS (NEJM score). Patients with post tick-bite symptoms, which often worsens their quality of life, deserve particular attention. CONCLUSION This study had methodological limitations but could help in terms of feasibility, choice of inclusion criteria, and design of follow-up for a future randomized, double blind study to test for an optimal management of TAPOS.
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Affiliation(s)
- J Clarissou
- Unité des maladies infectieuses, CHU Raymond-Poincaré, AP-HP, 104, boulevard Raymond-Poincaré, 92380 Garches, France
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Roche Lanquetot MO, Ader F, Durand MC, Carlier R, Defferriere H, Dinh A, Herrmann JL, Guillemot D, Perronne C, Salomon J. [Results of a prospective standardized study of 30 patients with chronic neurological and cognitive disorders after tick bites]. Med Mal Infect 2008; 38:543-8. [PMID: 18722064 DOI: 10.1016/j.medmal.2008.06.007] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2007] [Revised: 01/18/2008] [Accepted: 06/10/2008] [Indexed: 10/21/2022]
Abstract
OBJECTIVE Patients with chronic neurological disorders and cognitive impairment after tick bites are difficult to manage despite standard antibiotic therapy for Lyme disease. We wanted to correctly assess the disorders. METHODS Thirty patients were hospitalized for a standardized evaluation of their disorders: clinical examination, biological and serological studies, cerebral MRI, CSF study, neurophysiological exams, and neuropsychological evaluation of cognitive functions. RESULTS Clinical and biological results were non informative. We observed significant CSF abnormalities (64%), MRI Flair pictures (41%), neurophysiological exams (47%), and cognitive evaluation (100%). CONCLUSIONS A large and standardized evaluation should be made for each patient to improve the management and probably the treatment of these complex chronic symptoms observed after tick bites.
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Affiliation(s)
- M O Roche Lanquetot
- Unité de Maladies Infectieuses, Inserm U657, CHU Raymond-Poincaré, Assistance publique-Hôpitaux de Paris, Université de Versailles Saint-Quentin-en-Yvelines, 104, boulevard Raymond-Poincaré, 92380 Garches, France
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Abstract
UNLABELLED The aim of this study was to determine the frequency of body dysmorphic disorder (BDD) identified by Polish dermatologists and to evaluate the treatment modalities applied by them. METHODS A specially designed questionnaire was distributed to 172 dermatologists. A total of 118 doctors responded (68.6%). The dermatologists were asked regarding demographic data, frequency of BDD in their everyday practice and methods of treatment they used in managing BDD patients. RESULTS During the whole working period, over the half of dermatologists (64%) had observed at least one BDD patient in their practice. One fifth (20%) of the respondents observed 1 or 2 BDD cases during the past 5 years, 14% observed 3 to 5 such patients, 7% observed 5 to 10 BDD cases, and 5% of the doctors reported seeing more than 10 BDD patients within this period. Almost 18% of dermatologists were currently treating a BDD patient. Our data show that 40.7% of the respondents always ask and 28.8% often ask for a psychiatric opinion. More experienced dermatologists statistically more frequently (P < 0.05) obtained a psychiatric opinion about their patients. Only a small group of dermatologists (15.3%) use their own pharmacological treatment. If they do so, they first use anxiety-relieving drugs and placebo. CONCLUSION BDD is a quite common disorder; however, not all dermatologists are sufficiently prepared to treat it. There is an urgent need for training of dermatologists on the effective approach to psychodermatoses.
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Affiliation(s)
- J C Szepietowski
- Department of Dermatology, Venereology and Allergology, University of Medicine, Wrocław, Poland.
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Lacaille F, Vass N, Sauvat F, Canioni D, Colomb V, Talbotec C, De Serre NPM, Salomon J, Hugot JP, Cézard JP, Révillon Y, Ruemmele FM, Goulet O. Long-term outcome, growth and digestive function in children 2 to 18 years after intestinal transplantation. Gut 2008; 57:455-61. [PMID: 18079282 DOI: 10.1136/gut.2007.133389] [Citation(s) in RCA: 83] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/08/2022]
Abstract
OBJECTIVE Small bowel (SB) transplantation (Tx), long considered a rescue therapy for patients with intestinal failure, is now a well recognised alternative treatment strategy to parental nutrition (PN). In this retrospective study, we analysed graft functions in 31 children after SBTx with a follow-up of 2-18 years (median 7 years). PATIENTS Twelve children had isolated SBTx, 19 had combined liver-SBTx and 17 received an additional colon graft. Growth, nutritional markers, stool balance studies, endoscopy and graft histology were recorded every 2-3 years post-Tx. RESULTS All children were weaned from PN after Tx and 26 children remained PN-free. Enteral nutrition was required for 14/31 (45%) patients at 2 years post-Tx. All children had high dietary energy intakes. The degree of steatorrhoea was fairly constant, with fat and energy absorption rates of 84-89%. Growth parameters revealed at transplantation a mean height Z-score of -1.17. After Tx, two-thirds of children had normal growth, whereas in one-third, Z-scores remained lower than -2, concomitant to a delayed puberty. Adult height was normal in 5/6. Endoscopy and histology analyses were normal in asymptomatic patients. Chronic rejection occurred only in non-compliant patients. Five intestinal grafts were removed 2.5-8 years post-Tx for acute or chronic rejection. CONCLUSIONS This series indicates that long-term intestinal autonomy for up to 18 years is possible in the majority of patients after SBTx. Subnormal energy absorption and moderate steatorrhoea were often compensated for by hyperphagia, allowing normal growth and attainment of adult height. Long-term compliance is an important pre-requisite for long-term graft function.
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Affiliation(s)
- F Lacaille
- Pediatric Gastroenterology-Hepatology-Nutrition Unit, Necker-Enfants malades Hospital, 149 rue de Sèvres, 75015 Paris, France.
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Abstract
BACKGROUND Atopic dermatitis (AD) is an inflammatory skin disease of a chronic course. The role of neuropeptides in pathogenesis of this disorder is probably not crucial; however, there is evidence that these substances influence the development and course of AD. OBJECTIVE The aim of this study was to evaluate the plasma level of substance P, neuropeptide Y (NPY) and calcitonin gene related peptide (CGRP) in AD patients during exacerbation and remission of the disease. MATERIAL AND METHODS Forty-nine patients with AD, aged 17 to 56 years, participated in the study. Among this group, there were 25 males (51%) and 24 females (49%). The disease lasted from 1 to 55 years. The severity of the disease was assessed with SCORAD index. The severity of pruritus was evaluated with Visual Analog Scale and a specially designed questionnaire. Neuropeptides plasma level was detected with radioimmunoassay. RESULTS Substance P plasma level in AD patients during exacerbation and remission was significantly higher than in the control group. There was a negative correlation between substance P plasma level and total IgE level. CGRP plasma level during exacerbation of AD was significantly lower than in healthy controls and increased in the remission. Significantly higher CGRP concentration was observed in patients suffering from severe pruritus; however, both in patients with more and less severe pruritus, CGRP plasma level was lower than in controls. Higher CGRP plasma level was also observed in patients with more severe disease. NPY plasma level in patients with AD was significantly increased both during exacerbation and remission. During remission of AD, NPY concentration was higher than during exacerbation.
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Affiliation(s)
- J Salomon
- Department of Dermatology, Venereology and Allergology, University of Medicine, Wroclaw, Poland.
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