1
|
Robert L, Rousselière C, Beuscart JB, Gautier S, Delporte L, Lafci G, Gerard E, Négrier L, Mary A, Johns E, Payen A, Ducommun R, Ferret L, Voirol P, Skalafouris C, Ade M, Potier A, Dufay E, Beney J, Frery P, Drouot S, Feutry F, Corny J, Odou P, Décaudin B. [First French-speaking days of users of decision support system in clinical pharmacy: Feedback and perspectives]. Ann Pharm Fr 2023; 81:1018-1030. [PMID: 37391030 DOI: 10.1016/j.pharma.2023.06.005] [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: 01/18/2023] [Revised: 06/16/2023] [Accepted: 06/26/2023] [Indexed: 07/02/2023]
Abstract
Clinical decision support systems (CDSS) are tools that have been used for several years by clinical pharmacy teams to support pharmaceutical analysis, with a perspective of contributing to the quality of care in collaboration with the other health care team members. These tools require both technical, logistical and human resources. The growing use of these systems in different establishments in France and in Europe gave birth to the idea of meeting to share our experiences. The days organized in Lille in September 2021 aimed at proposing a time of exchange and reflection on the use of these CDSS in clinical pharmacy. A first session was devoted to feedback from each establishment. These tools are essentially used to optimize pharmaceutical analysis and to secure patient medication management. This session outlined the clear advantages and common limitations of these CDSS. Two research projects were also presented to put the use of these tools into perspective. The second session of these days, in the form of workshops, addressed 4 themes that surround the implementation of CDSS: their usability, the legal aspect, the creation of rules and their possible valorization. Common problems were raised, the resolution of which requires close collaboration. This is a first step proposing a beginning of harmonization and sharing that should be deepened in order not to lose the dynamics created between the different centers. This event ended with the proposal to set up two working groups around these systems: the creation and structuring of rules for the detection of risk situations and the common valorization of the work.
Collapse
Affiliation(s)
- L Robert
- Institut de pharmacie, CHU de Lille, 59000 Lille, France.
| | - C Rousselière
- Institut de pharmacie, CHU de Lille, 59000 Lille, France
| | - J-B Beuscart
- CHU de Lille, université Lille, ULR 2694-METRICS : évaluation des technologies de santé et des pratiques médicales, 59000 Lille, France
| | - S Gautier
- Centre régional de pharmacovigilance, CHU de Lille, université Lille, Inserm U1171, 59000 Lille, France
| | - L Delporte
- Institut de pharmacie, CHU de Lille, 59000 Lille, France
| | - G Lafci
- Institut de pharmacie, CHU de Lille, 59000 Lille, France
| | - E Gerard
- Institut de pharmacie, CHU de Lille, 59000 Lille, France
| | - L Négrier
- Institut de pharmacie, CHU de Lille, 59000 Lille, France
| | - A Mary
- Département de pharmacie, CHU d'Amiens-Picardie, 80000 Amiens, France
| | - E Johns
- Qualité, de la performance et de l'innovation, agence régionale de santé Grand-Est, 67000 Strasbourg, France
| | - A Payen
- CHU de Lille, université Lille, ULR 2694-METRICS : évaluation des technologies de santé et des pratiques médicales, 59000 Lille, France
| | - R Ducommun
- Service de pharmacie, réseau hospitalier neuchâtelois (RHNe), 2300 La Chaux-de-Fonds, Suisse
| | - L Ferret
- Département de pharmacie, hôpital de Valenciennes, 59300 Valenciennes, France
| | - P Voirol
- Service de pharmacie, hôpital universitaire de Lausanne, université de Lausanne, 1011 Lausanne, Suisse
| | - C Skalafouris
- Service de pharmacie, hôpitaux universitaires de Genève, 1205 Genève, Suisse
| | - M Ade
- Service de pharmacie, centre psychothérapique de Nancy, 54520 Laxou, France
| | - A Potier
- Service de pharmacie, CH de Lunéville, 54300 Lunéville, France
| | - E Dufay
- Service de pharmacie, CH de Lunéville, 54300 Lunéville, France
| | - J Beney
- Service de pharmacie, hôpital du Valais, institut central des hôpitaux (ICH), 1951 Sion, Suisse
| | - Pauline Frery
- Département de pharmacie, hôpital Bel Air, centre hospitalier régional Metz-Thionville, 57100 Metz-Thionville, France
| | - Sylvain Drouot
- Service pharmacie, hôpital Bicêtre, GH Paris Saclay, AP-HP, 94270 Le Kremlin-Bicêtre, France
| | - F Feutry
- Département de pharmacie, centre Oscar-Lambret, 59000 Lille, France
| | - J Corny
- Service pharmacie, groupe hospitalier Paris Saint-Joseph, 75014 Paris, France
| | - P Odou
- CHU de Lille, université Lille, ULR 7365-GRITA : Groupe de recherche sur les formes injectables et les technologies associées, 59000 Lille, France
| | - B Décaudin
- CHU de Lille, université Lille, ULR 7365-GRITA : Groupe de recherche sur les formes injectables et les technologies associées, 59000 Lille, France
| |
Collapse
|
2
|
Valentin B, Laueriere C, Rousseliere C, Bruandet A, Odou P, Theis D, Decaudin B. [Standardized computer recording of clinical pharmacy procedures in health care institution: Feedback and evaluation of potential economic value]. Ann Pharm Fr 2023; 81:115-122. [PMID: 35952848 DOI: 10.1016/j.pharma.2022.08.002] [Citation(s) in RCA: 1] [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: 02/21/2022] [Revised: 06/17/2022] [Accepted: 08/01/2022] [Indexed: 01/07/2023]
Abstract
Clinical pharmacy procedures are clearly defined by the French society of clinical pharmacy. However, clinical pharmacists do not have efficient tools for their traceability. This need has increased following the publication of the instruction on the day hospital management of patients. Indeed, the action of the clinical pharmacist is included in it. In order to improve our traceability of clinical pharmacy acts and to take advantage of the implementation of the instruction, we worked with the medical information department to integrate our activity into their business software and to model the pathways valued by the intervention of the clinical pharmacist in outpatient care and in day hospital.
Collapse
Affiliation(s)
- B Valentin
- Institut de Pharmacie, CHU de Lille, 59000 Lille, France.
| | - C Laueriere
- Département d'Information Médicale, CHU de Lille, 59000 Lille, France
| | - C Rousseliere
- Institut de Pharmacie, CHU de Lille, 59000 Lille, France
| | - A Bruandet
- Département d'Information Médicale, CHU de Lille, 59000 Lille, France
| | - P Odou
- Institut de Pharmacie, CHU de Lille, 59000 Lille, France; University Lille, CHU Lille, ULR 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, 59000 Lille, France
| | - D Theis
- Département d'Information Médicale, CHU de Lille, 59000 Lille, France
| | - B Decaudin
- Institut de Pharmacie, CHU de Lille, 59000 Lille, France; University Lille, CHU Lille, ULR 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, 59000 Lille, France
| |
Collapse
|
3
|
Al-Shatti E, Ohana M, Odou P, Zaitouni M. Impression Management on Instagram and Unethical Behavior: The Role of Gender and Social Media Fatigue. Int J Environ Res Public Health 2022; 19:9808. [PMID: 36011435 PMCID: PMC9408035 DOI: 10.3390/ijerph19169808] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/16/2022] [Revised: 08/05/2022] [Accepted: 08/06/2022] [Indexed: 06/15/2023]
Abstract
Impression management (IM) concerns can lead to significant psychological consequences, potentially engendering unethical behavior. Therefore, adopting the stressor-strain-outcome framework, this study explores the effects of IM concerns on unethical behavior through wellbeing, and whether IM on social media (i.e., Instagram) triggers fatigue and results in unethical behavior at work. The findings of two empirical studies (n = 480 and n = 299) in different settings (Kuwait and the UK) suggest that women experience higher effects from IM concerns compared with men in Kuwait, while no gender differences are found in the UK. The results also confirm that impression management on social media platforms triggers fatigue, in turn increasing unethical behavior at work. This study contributes to the IM literature by capturing the effect of Instagram activities on workplace behavior.
Collapse
Affiliation(s)
- Esraa Al-Shatti
- College of Business Administration, Gulf University for Science & Technology, West Mishref, Hawally 32093, Kuwait
| | - Marc Ohana
- Sustainability Centre of Excellence, Kedge Business School Bordeaux, 33405 Talence, France
| | - Philippe Odou
- UFR Sciences économiques et Gestion, University De Champagne Ardenne, 51571 Reims, France
| | - Michel Zaitouni
- College of Business Administration, Gulf University for Science & Technology, West Mishref, Hawally 32093, Kuwait
| |
Collapse
|
4
|
Cuvelier E, Robert L, Musy E, Rousselière C, Marcilly R, Gautier S, Odou P, Beuscart JB, Décaudin B. The clinical pharmacist's role in enhancing the relevance of a clinical decision support system. Int J Med Inform 2021; 155:104568. [PMID: 34537687 DOI: 10.1016/j.ijmedinf.2021.104568] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [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: 02/22/2021] [Revised: 08/18/2021] [Accepted: 08/31/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Clinical decision support systems (CDSSs) can improve the quality of patient care by helping physicians to review their prescriptions and thus to optimize drug treatments. Nevertheless, the "alert fatigue" brought on by a large number of irrelevant alerts can decrease a CDSS's effectiveness and thus clinical value. Involving a clinical pharmacist in the development and management of a CDSS can reduce the number of irrelevant alerts presented to physicians. Clinical pharmacists screen alerts and suggest PIs for physicians, corresponding to any proposed therapeutic change about health products, only for relevant alerts could improve the relevance and the acceptance of the information given to physicians about the risks faced by their patients. OBJECTIVE To assess the value of involving clinical pharmacists in the development and maintenance of decision support rules for generating alerts and pharmaceutical interventions (PIs) and to describe the level of acceptance of these PIs by the physicians. METHOD In a retrospective, single-centre study, we evaluated the number of PIs accepted from alerts generated by the CDSS when a clinical pharmacist had developed and managed this tool. During the first 7 months of development of the CDSS, a clinical pharmacist analyzed alerts triggered by the CDSS according to its technical validity and pharmaceutical relevance. Lastly, for alerts that led to a PI, the level of acceptance by physicians was documented. RESULTS During the study, 1430 alerts were analysed: 186 (13%) were considered to be technically invalid - mainly due to the characteristics of the interface. Of the 1244 (87.0%) technically valid alerts, 353 (24.6%) were pharmaceutically relevant and led to a PI. The three main causes of pharmaceutical irrelevance were a lack of specificity in the CDSS (70.8%), lack of relevance with regard to the ward's habits (15.6%), and the pharmacist's decision to recommend monitoring for the patient rather than sending a PI immediately (10.8%). 64.6% of the submitted PIs were accepted by the physicians. CONCLUSION The standardized analysis of alerts by a clinical pharmacist appears to be a good way of improving the development of CDSS by limiting the generation of irrelevant alerts and the latter's transmission to physicians. The involvement of a clinical pharmacist in the development and implementation of a CDSS appears to be novel and may help to optimize drug treatment.
Collapse
Affiliation(s)
- E Cuvelier
- Univ. Lille, CHU Lille, ULR 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France.
| | - L Robert
- CHU Lille, Institut de Pharmacie, F-59000 Lille, France.
| | - E Musy
- CHU Lille, Institut de Pharmacie, F-59000 Lille, France.
| | - C Rousselière
- CHU Lille, Institut de Pharmacie, F-59000 Lille, France.
| | - R Marcilly
- Univ. Lille, CHU Lille, ULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, F-59000 Lille, France; INSERM, CIC-IT 1403, F-59000 Lille, France.
| | - S Gautier
- Univ. Lille, CHU Lille, INSERM U1171 - Centre Régional de Pharmacovigilance, F-59000 Lille, France.
| | - P Odou
- Univ. Lille, CHU Lille, ULR 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France.
| | - J-B Beuscart
- Univ. Lille, CHU Lille, ULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, F-59000 Lille, France.
| | - B Décaudin
- Univ. Lille, CHU Lille, ULR 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France.
| |
Collapse
|
5
|
Masse M, Douzé L, Perez M, Cuvelier E, Henry H, Odou P, Pelayo S, Décaudin B. [Evaluation of the training of clinical pharmacy residents in prescription analysis using an ergonomic approach]. Ann Pharm Fr 2021; 80:187-199. [PMID: 33992642 DOI: 10.1016/j.pharma.2021.05.001] [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: 12/10/2020] [Revised: 04/26/2021] [Accepted: 05/06/2021] [Indexed: 10/21/2022]
Abstract
OBJECTIVES To perform an ergonomic intervention using the methodology of the analysis of the activity of the training process of clinical pharmacy residents in the analysis of prescriptions. METHODS The evaluation was carried out over two semesters: from May to October 2016 (first study) and from November 2016 to April 2017 (second study). The interviews and observations were conducted by an ergonomist who is an expert in this type of evaluation. The first study was based on observations of the training process and interviews at different time. The second study allowed to support pharmacists and evaluate the changes following the recommendations of the previous study. RESULTS A total of 6 and 9 residents participated in the first and second study, respectively. During the first study, 6 difficulties were raised which allowed implementation decisions. Feedback from residents on the training process was generally positive for the first part of the training but negative for the last part. The average number of fears expressed by the residents was higher at the beginning (2.9 fears) than at the end (1 fear). CONCLUSIONS The training process has been adapted to the expectations and feelings of the residents. Follow-up at the beginning and throughout the internship was essential. The next stage of this work will be to evaluate the contribution of the dashboards for monitoring clinical pharmacy skills in the new degree for hospital pharmacy.
Collapse
Affiliation(s)
- M Masse
- ULR 7365 - GRITA - groupe de Recherche sur les formes injectables et les technologies associées, université de Lille, CHU de Lille, 59000 Lille, France.
| | - L Douzé
- Inserm, CIC-IT/Evalab 1403 - centre d'investigation clinique, EA 2694, université de Lille, CHU de Lille, 59000 Lille, France
| | - M Perez
- CHU de Lille, institut de pharmacie, 59000 Lille, France
| | - E Cuvelier
- ULR 7365 - GRITA - groupe de Recherche sur les formes injectables et les technologies associées, université de Lille, CHU de Lille, 59000 Lille, France
| | - H Henry
- ULR 7365 - GRITA - groupe de Recherche sur les formes injectables et les technologies associées, université de Lille, CHU de Lille, 59000 Lille, France
| | - P Odou
- ULR 7365 - GRITA - groupe de Recherche sur les formes injectables et les technologies associées, université de Lille, CHU de Lille, 59000 Lille, France
| | - S Pelayo
- Inserm, CIC-IT/Evalab 1403 - centre d'investigation clinique, EA 2694, université de Lille, CHU de Lille, 59000 Lille, France
| | - B Décaudin
- ULR 7365 - GRITA - groupe de Recherche sur les formes injectables et les technologies associées, université de Lille, CHU de Lille, 59000 Lille, France
| |
Collapse
|
6
|
Gilliot S, Ducloy-Bouthors AS, Hennart B, Loingeville F, Jeanne M, Lebuffe G, Odou P. Traces pilot pharmacokinetic study dataset. Data Brief 2020; 33:106474. [PMID: 33251299 PMCID: PMC7677109 DOI: 10.1016/j.dib.2020.106474] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Revised: 10/25/2020] [Accepted: 10/27/2020] [Indexed: 11/28/2022] Open
Abstract
The dataset displays the pharmacokinetics data obtained from the TRACES pilot study. The nine patients included were undergoing haemorrhagic caesarean section (blood loss > 800 mL) and receiving a single i.v dose of tranexamic acid (0.5, 1 or 2 g over 1 min). The dataset gathers the tranexamic acid blood and urinary concentrations. With these first elements, a pharmacokinetic compartment model was built as described in Gilliot et al. and the individual pharmacokinetic parameters were estimated. In parallel, the patients anthropometric, biological, and clinical characteristics were collected. The correlation between the patient data and the estimated individual pharmacokinetic parameters were tested. The correlation tests revealed that the dose, the height, the body weight, and the ideal bodyweight had and impact on the volume of distribution of tranexamic acid. According to these results, these latter covariates were explored using a multi-regression analysis in Gilliot et al.
Collapse
Affiliation(s)
- S Gilliot
- Univ. Lille, ULR 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France
| | - A S Ducloy-Bouthors
- Univ. Lille, ULR 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France.,CHU Lille, Pôle anesthésie-réanimation, maternité Jeanne de Flandre, F-59000 Lille, France
| | - B Hennart
- CHU Lille, Unité fonctionnelle de toxicologie, centre biologie pathologie, F-59000 Lille, France
| | - F Loingeville
- Univ. Lille, CHU Lille, EA 2694 - Santé publique: épidémiologie et qualité des soins, F-59000 Lille, France
| | - M Jeanne
- Univ. Lille, ULR 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France.,CHU Lille, Centre des Brûlés, F-59000 Lille, France
| | - G Lebuffe
- Univ. Lille, ULR 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France.,CHU Lille, Pôle anesthésie-réanimation, hôpital Huriez, F-59000 Lille, France
| | - P Odou
- Univ. Lille, ULR 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France
| |
Collapse
|
7
|
Ferrand É, Odou P, Lebel D, Bussières JF. [Evaluation of knowledge and perceptions of pharmacists and residents pharmacists about bibliometric indicators applied to the scientific literature in pharmacy]. Ann Pharm Fr 2019; 77:250-263. [PMID: 30665679 DOI: 10.1016/j.pharma.2018.11.005] [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: 05/07/2018] [Revised: 11/14/2018] [Accepted: 11/17/2018] [Indexed: 10/27/2022]
Abstract
OBJECTIVES Evaluate the level of knowledge and perceptions of French and Quebec hospital's pharmacists/residents about bibliometrics indicators applied in pharmacy. Identify the determinants associated with this knowledge. METHODS This is a descriptive cross-sectional study. An anonymous questionnaire of 17 questions answers was developed. The questionnaire was published on the SurveyMonkey site (www.SurveyMonkey.com, SurveyMonkey, Portland, OR, USA) and released from March 19 to April 9, 2018. We calculated and compared the proportion of respondents in Quebec and France by using a Chi2 test. A value less than 0.05 is considered statistically significant. RESULTS A total of 899 pharmacists (646 in Quebec and 253 in France) and 147 residents (70 in Quebec and 77 in France) were contacted by email. The survey was completed by 401 respondents, e.g., 301 in Quebec (participation rate: 42%) and 100 in France (30%). Overall 26% (106/401) of respondents (67/301 in Quebec vs. 39/100 in France) reported having knowledge or good knowledge of those indicators. These data are corroborated by many other results. CONCLUSIONS Small proportions are aware of those indicators. A good knowledge is associated with being a French pharmacist, working in a teaching hospital or university, having a professional experience of 10 years or more, be involved in a research project, having a scientific watch or having an online profile on database. It appears necessary to inform pharmacists and residents on notoriety indicators.
Collapse
Affiliation(s)
- É Ferrand
- Unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, Montréal, Québec, Canada
| | - P Odou
- Institut de pharmacie, faculté de pharmacie, université de Lille, CHU de Lille, GRITA (EA 7365), 59006 Lille, France
| | - D Lebel
- Unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, Montréal, Québec, Canada
| | - J-F Bussières
- Unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, Montréal, Québec, Canada; Faculté de pharmacie, université de Montréal, Montréal, Québec, Canada.
| |
Collapse
|
8
|
Béhague P, Deldicque A, Le Rouzic O, Briand J, Paris N, Bautin N, Perez T, Bervar J, Perez M, Décaudin B, Odou P. Intérêt d’une coopération pneumologue/pharmacien dans l’optimisation des traitements inhalés chez les patients BPCO. Rev Mal Respir 2019. [DOI: 10.1016/j.rmr.2018.10.208] [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: 10/27/2022]
|
9
|
Denis Prevot M, Waton K, Flamein F, Pognon L, Neuville S, Odou P. P243 L’expérience Numetah G E 13 % en réanimation néonatale. NUTR CLIN METAB 2018. [DOI: 10.1016/j.nupar.2018.09.185] [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]
|
10
|
Morschhauser F, Dekyndt B, Baillet C, Barthélémy C, Malek E, Fulcrand J, Bigot P, Huglo D, Décaudin B, Simon N, Odou P. A new pharmacokinetic model for 90Y-ibritumomab tiuxetan based on 3-dimensional dosimetry. Sci Rep 2018; 8:14860. [PMID: 30291297 PMCID: PMC6173718 DOI: 10.1038/s41598-018-33160-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Accepted: 09/07/2018] [Indexed: 02/01/2023] Open
Abstract
Monoclonal antibodies (mAbs) are key components in several therapies for cancer and inflammatory diseases but current knowledge of their clinical pharmacokinetics and distribution in human tissues remains incomplete. Consequently, optimal dosing and scheduling in clinics are affected. With sequential radiolabeled mAb-based imaging, radiation dosing in tissues/organs can be calculated to provide a better assessment of mAb concentrations in tissues. This is the first pharmacokinetic model of 90Y-Ibritumomab tiuxetan (90Y-IT) in humans to be described, based on three-dimensional (3D) dosimetry using single-photon emission computed-tomography coupled with computed-tomography. 19 patients with follicular lymphoma were treated initially with 90Y-IT in the FIZZ trial. Based on a compartmental approach individualising the vascular compartment within studied organs, this study proposes a reliable pharmacokinetic (PK) five-compartment model replacing the currently used two-compartment model and constitutes a new direction for further research. This model provides exchange constants between the different tissues, Area Under the Curve of 111In-IT in blood (AUC) and Mean Residence Time (MRT) that have not been reported so far for IT. Finally, the elimination process appears to occur in a compartment other than the liver or the spleen and suggests the metabolism of mAbs may take place mainly on the vascular compartment level.
Collapse
Affiliation(s)
- F Morschhauser
- Univ. Lille, CHU Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associees, Lille, France. .,Haematology Department, Hôpital Claude Huriez, CHU Lille, F-59000, Lille, France.
| | - B Dekyndt
- Univ. Lille, CHU Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associees, Lille, France.,Pharmacy Institute, CHU Lille, F-59000, Lille, France
| | - C Baillet
- Univ. Lille, CHU Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associees, Lille, France.,Nuclear Medicine department, Hôpital Claude Huriez, CHU Lille, F-59000, Lille, France
| | - C Barthélémy
- Univ. Lille, CHU Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associees, Lille, France
| | - E Malek
- Univ. Lille, CHU Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associees, Lille, France
| | - J Fulcrand
- Univ. Lille, CHU Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associees, Lille, France
| | - P Bigot
- Univ. Lille, CHU Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associees, Lille, France
| | - D Huglo
- Nuclear Medicine department, Hôpital Claude Huriez, CHU Lille, F-59000, Lille, France
| | - B Décaudin
- Univ. Lille, CHU Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associees, Lille, France.,Pharmacy Institute, CHU Lille, F-59000, Lille, France
| | - N Simon
- Univ. Lille, CHU Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associees, Lille, France.,Pharmacy Institute, CHU Lille, F-59000, Lille, France
| | - P Odou
- Univ. Lille, CHU Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associees, Lille, France.,Pharmacy Institute, CHU Lille, F-59000, Lille, France
| |
Collapse
|
11
|
Painchart L, Odou P, Bussières JF. Présence de particules associées à la préparation de médicaments provenant d’ampoules de verre : revue de littérature. Annales Pharmaceutiques Françaises 2018; 76:3-15. [DOI: 10.1016/j.pharma.2017.07.002] [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: 12/28/2016] [Revised: 07/03/2017] [Accepted: 07/05/2017] [Indexed: 10/19/2022]
|
12
|
Delvoye J, Simon N, Scalbert C, Lannoy D, Vasseur M, Décaudin B, Odou P, Mortier L. Mise en place d’une consultation pharmaceutique de primo-prescription d’un anticancéreux oral pour les patients atteints de mélanome. Ann Dermatol Venereol 2017. [DOI: 10.1016/j.annder.2017.09.543] [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: 10/18/2022]
|
13
|
Billon L, Décaudin B, Pasquier G, Lons A, Deken-Delannoy V, Germe AF, Odou P, Migaud H. Prospective assessment of patients' knowledge and informational needs and of surgeon-to-patient information transfer before and after knee or hip arthroplasty. Orthop Traumatol Surg Res 2017; 103:1161-1167. [PMID: 28964919 DOI: 10.1016/j.otsr.2017.08.012] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2017] [Revised: 06/27/2017] [Accepted: 08/22/2017] [Indexed: 02/02/2023]
Abstract
BACKGROUND Patients are playing an increasingly large role in their own management and must therefore receive clear, complete, and comprehensible information. In the field of hip and knee arthroplasty, little is known about the level of patient knowledge and effectiveness of surgeon-to-patient information transfer. We therefore designed a prospective observational study with the objective of assessing four factors: patient knowledge during management, quality of information transfer, informational needs, and factors associated with the level of knowledge. HYPOTHESIS The level of patient knowledge changes during the management process. PATIENTS AND METHODS A prospective single-centre study was conducted between January 2014 and March 2015 during the outpatient visits and inpatient stays of 63 patients who underwent arthroplasty of the hip (n=36) or knee (n=27). A single observer attended all patient visits and recorded the information provided by the surgeon. Each patient completed a self-questionnaire after the outpatient visit (T1), at admission (T2), and at discharge after surgery (T3). Semi-quantitative scores were used to assess knowledge and informational needs. The effectiveness of information transfer was evaluated by comparing the information provided by the surgeon to the replies made by the patients. RESULTS The mean overall knowledge score (on a 0-42 scale) increased from 17.22±6.33 at T1 to 19.44±6.89 at T3 (P=0.0028). In contrast, knowledge about complications was better at T1 than at T3 (2.67±1.98 vs. 2.19±1.91; P<0.05). Agreement between information given by the surgeon and replies made by patients varied across items from 23% to 100%. The mean informational needs score (on a scale from 0 to 21) ranged from 3.67 to 4.83 and was higher at T3 than at T2 (4.83±3.77 vs. 3.67±4.86; P=0.03). The proportion of patients who wanted written information was higher at T3. Most patients sought information before the outpatient visit. At each step of the management process, the main areas about which the patients wanted information were the surgical procedure, the rehabilitation programme, and the prosthesis. Several socio-demographic or management-related factors influenced the level of knowledge. Thus, older age and lower educational attainment were associated with lower knowledge scores, whereas previous lower-limb orthopaedic surgery and amount of information provided by the surgeon were associated with higher knowledge scores. Knowledge scores were not associated with being employed vs. retired, gender, replacement of a hip vs. a knee, the surgeon, or being accompanied by another person. DISCUSSION Our study is original in that we assessed changes in patient knowledge during the management process for hip or knee arthroplasty. The level of patient knowledge was fairly low and varied considerably across individuals and time points in the management process. These data highlight the importance of providing patients with information throughout their management and particularly at discharge, when the desire for information seems greatest. LEVEL OF EVIDENCE IV, prospective observational study with no control group.
Collapse
Affiliation(s)
- L Billon
- Institut de pharmacie, CHRU de Lille, rue Philippe-Marache, 59037 Lille, France.
| | - B Décaudin
- Institut de pharmacie, CHRU de Lille, rue Philippe-Marache, 59037 Lille, France; EA 7365, GRITA, groupe de recherche sur les formes injectables et les technologies associées, université de Lille, CHRU de Lille, 3, rue du Professeur-Laguesse, 59000 Lille, France
| | - G Pasquier
- Service d'orthopédie, hôpital Roger-Salengro, centre hospitalier régional universitaire de Lille (CHRU de Lille), rue Emile-Laine, 59037 Lille, France; Université de Lille Nord de France, 59000 Lille, France
| | - A Lons
- Service d'orthopédie, hôpital Roger-Salengro, centre hospitalier régional universitaire de Lille (CHRU de Lille), rue Emile-Laine, 59037 Lille, France
| | - V Deken-Delannoy
- EA 2694, santé publique : épidémiologie et qualité des soins, université de Lille, CHRU de Lille, 154, rue du Dr-Yersin, 59037 Lille cedex, France
| | - A-F Germe
- Institut de pharmacie, CHRU de Lille, rue Philippe-Marache, 59037 Lille, France
| | - P Odou
- Institut de pharmacie, CHRU de Lille, rue Philippe-Marache, 59037 Lille, France; EA 7365, GRITA, groupe de recherche sur les formes injectables et les technologies associées, université de Lille, CHRU de Lille, 3, rue du Professeur-Laguesse, 59000 Lille, France
| | - H Migaud
- Service d'orthopédie, hôpital Roger-Salengro, centre hospitalier régional universitaire de Lille (CHRU de Lille), rue Emile-Laine, 59037 Lille, France; Université de Lille Nord de France, 59000 Lille, France
| |
Collapse
|
14
|
Painchart L, Odou P, Bussières JF. [Comparative profile of the use of filter needles in Quebec and France in healthcare facility]. Ann Pharm Fr 2017; 76:71-77. [PMID: 29145996 DOI: 10.1016/j.pharma.2017.09.005] [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: 04/25/2017] [Revised: 08/11/2017] [Accepted: 09/20/2017] [Indexed: 10/18/2022]
Abstract
OBJECTIVES The manipulation of drugs from glass ampules can generate particles when the ampule is broken. Several authors recommend the use of filter needle to withdraw the drug content. The main objective is to establish an inventory of the use of filter needles and the perception of pharmacists in Quebec and in France. METHODS This is a cross-sectional descriptive study. A questionnaire was sent to all health facilities in Quebec (n=30) and a selection of hospitals in France (n=100). Respondents were asked to answer a questionnaire that included policies and procedures on the use of these medical devices and the conditions of their use at the pharmacy and in healthcare services. RESULTS In total, 27 respondents from Quebec (response rate: 90%) and 41 respondents from France (response rate: 41%) participated in our survey. In Quebec, all exploitable questionnaires except one (42/43) used five micron filter needles at the pharmacy against 28% of utilisation in healthcare services. In France, this practice is nearly ignored. CONCLUSIONS Action should be taken to decide on the use of filter needles including studies to confirm the consequences of the presence of these particles on an animal model, discussions with regulatory authorities to clarify the situation, incentives for manufacturers to use vials.
Collapse
Affiliation(s)
- L Painchart
- Unité de recherche en pratique pharmaceutique, département de pharmacie, CHU Sainte-Justine, 3175, chemin de la Côte-Sainte-Catherine, H3T1C5 Montréal, Québec, Canada
| | - P Odou
- EA 7365, groupe de recherche sur les formes injectables et les technologies associées (GRITA), université de Lille, CHU de Lille, 59000 Lille, France
| | - J-F Bussières
- Unité de recherche en pratique pharmaceutique, département de pharmacie, CHU Sainte-Justine, 3175, chemin de la Côte-Sainte-Catherine, H3T1C5 Montréal, Québec, Canada; Faculté de pharmacie, université de Montréal, Montréal, QC, Canada.
| |
Collapse
|
15
|
Haybrard J, Simon N, Danel C, Pinçon C, Barthélémy C, Tessier FJ, Décaudin B, Boulanger E, Odou P. Factors Generating Glucose Degradation Products In Sterile Glucose Solutions For Infusion: Statistical Relevance Determination Of Their Impacts. Sci Rep 2017; 7:11932. [PMID: 28931894 PMCID: PMC5607278 DOI: 10.1038/s41598-017-12296-5] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Accepted: 09/06/2017] [Indexed: 11/17/2022] Open
Abstract
Sterilising glucose solutions by heat promotes the generation of a large number of glucose degradation products (GDPs). It has been shown that high levels of GDPs may result in Advanced Glycation End products that have an impact on cellular homeostasis and health in general. If data is available for peritoneal dialysis solutions, little has been published for glucose infusion fluids. It is essential to identify the parameters causing the formation of GDPs and so limit the risk of exposing patients to them. After quantifying both 5-hydroxymethyl-2-furfural, considered as an important indicator of degradation, and 2-furaldehyde, an ultimate GDP of one degradation pathway, in marketed solutions, the aim of this work is to build a model integrating all the parameters involved in the formation rates of these two GDPs: supplier, glucose amount, container material, oxygen permeability coefficient and time-lapse since manufacture. Our results show a good logarithmic relationship between GDP formation rates and time-lapse since manufacture for both GDPs. The amount of GDPs in the glucose solutions for infusion depends on the initial glucose amount, the polymer of the container, the time elapsed since manufacturing and the supplier.
Collapse
Affiliation(s)
- J Haybrard
- CHU Lille, Institut de Pharmacie, F-59000, Lille, France.,Univ. Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000, Lille, France
| | - N Simon
- CHU Lille, Institut de Pharmacie, F-59000, Lille, France. .,Univ. Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000, Lille, France.
| | - C Danel
- Univ. Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000, Lille, France
| | - C Pinçon
- Univ. Lille, EA 2694, 59000, Lille, Cedex, France
| | - C Barthélémy
- Univ. Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000, Lille, France
| | - F J Tessier
- Univ. Lille, Inserm, CHU Lille, U995 - LIRIC - Lille Inflammation Research International Center, F-59000, Lille, France
| | - B Décaudin
- CHU Lille, Institut de Pharmacie, F-59000, Lille, France.,Univ. Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000, Lille, France
| | - E Boulanger
- Univ. Lille, Inserm, CHU Lille, U995 - LIRIC - Lille Inflammation Research International Center, F-59000, Lille, France
| | - P Odou
- CHU Lille, Institut de Pharmacie, F-59000, Lille, France.,Univ. Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000, Lille, France
| |
Collapse
|
16
|
Niot C, Waton K, Moreau F, Odou P. Analyse pharmacologique en RCP hépatite C : est-ce suffisant ? Med Mal Infect 2017. [DOI: 10.1016/j.medmal.2017.03.177] [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: 11/24/2022]
|
17
|
Bourdon F, Lecoeur M, Leconte L, Ultré V, Kouach M, Odou P, Vaccher C, Foulon C. Evaluation of Pentravan ® , Pentravan ® Plus, Phytobase ® , Lipovan ® and Pluronic Lecithin Organogel for the transdermal administration of antiemetic drugs to treat chemotherapy-induced nausea and vomiting at the hospital. Int J Pharm 2016; 515:774-787. [DOI: 10.1016/j.ijpharm.2016.11.014] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2016] [Revised: 10/28/2016] [Accepted: 11/03/2016] [Indexed: 12/11/2022]
|
18
|
Bernard L, Bourdeaux D, Pereira B, Azaroual N, Barthélémy C, Breysse C, Chennell P, Cueff R, Dine T, Eljezi T, Feutry F, Genay S, Kambia N, Lecoeur M, Masse M, Odou P, Radaniel T, Simon N, Vaccher C, Verlhac C, Yessad M, Décaudin B, Sautou V. Analysis of plasticizers in PVC medical devices: Performance comparison of eight analytical methods. Talanta 2016; 162:604-611. [PMID: 27837878 DOI: 10.1016/j.talanta.2016.10.033] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [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: 06/09/2016] [Revised: 09/30/2016] [Accepted: 10/05/2016] [Indexed: 10/20/2022]
Abstract
A wide variety of medical devices (MDs) used in hospitals are made of flexible plasticized polyvinylchloride (PVC). Different plasticizers are present in variable amounts in the PVC matrix of the devices and can leach out into the infused solutions and may enter into contact with the patients. The ARMED1 project aims to assess the migration of these plasticizers from medical devices and therefore the level of exposure in patients. For the first task of the project, eight methods were developed to directly detect and quantify the plasticizers in the PVC matrix of the MDs. We compared the overall performances of the analytical methods using standardized and validated criteria in order to provide the scientific community with the guidance and the technical specifications of each method for the intended application. We have shown that routine rapid screening could be performed directly on the MDs using the FTIR technique, with cost-effective analyses. LC techniques may also be used, but with limits and only with individual quantification of the main plasticizers expected in the PVC matrix. GC techniques, especially GC-MS, are both more specific and more sensitive than other techniques. NMR is a robust and specific technique to precisely discriminate all plasticizers in a MD but is limited by its cost and its low ability to detect and quantify plasticizer contamination, e.g. by DEHP. All these results have been confirmed by a real test, called the " blind test " carried out on 10 MD samples.
Collapse
Affiliation(s)
- L Bernard
- CHU Clermont-Ferrand, Pôle Pharmacie, rue Montalembert, 63003 Clermont-Ferrand, France; Clermont Université, Université d'Auvergne, EA 4676 C-BIOSENSS, BP 10448, F-63000 Clermont-Ferrand, France.
| | - D Bourdeaux
- CHU Clermont-Ferrand, Pôle Pharmacie, rue Montalembert, 63003 Clermont-Ferrand, France; Clermont Université, Université d'Auvergne, EA 4676 C-BIOSENSS, BP 10448, F-63000 Clermont-Ferrand, France
| | - B Pereira
- CHU Clermont-Ferrand, Unité de Biostatistiques, Délégation Recherche Clinique & Innovation, F-63000 Clermont-Ferrand, France
| | - N Azaroual
- University Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France
| | - C Barthélémy
- University Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France
| | - C Breysse
- Centre de Ressources Technologiques 3s'Inpack, 63173 Aubière cedex, France
| | - P Chennell
- CHU Clermont-Ferrand, Pôle Pharmacie, rue Montalembert, 63003 Clermont-Ferrand, France; Clermont Université, Université d'Auvergne, EA 4676 C-BIOSENSS, BP 10448, F-63000 Clermont-Ferrand, France
| | - R Cueff
- Clermont Université, Université d'Auvergne, EA 4676 C-BIOSENSS, BP 10448, F-63000 Clermont-Ferrand, France
| | - T Dine
- University Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France
| | - T Eljezi
- Clermont Université, Université d'Auvergne, EA 4676 C-BIOSENSS, BP 10448, F-63000 Clermont-Ferrand, France
| | - F Feutry
- University Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France
| | - S Genay
- University Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France
| | - N Kambia
- University Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France
| | - M Lecoeur
- University Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France
| | - M Masse
- University Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France; CHU Lille, Institut de Pharmacie, F-59000 Lille, France
| | - P Odou
- University Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France; CHU Lille, Institut de Pharmacie, F-59000 Lille, France
| | - T Radaniel
- University Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France
| | - N Simon
- University Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France; CHU Lille, Institut de Pharmacie, F-59000 Lille, France
| | - C Vaccher
- University Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France
| | - C Verlhac
- Clermont Université, Université d'Auvergne, EA 4676 C-BIOSENSS, BP 10448, F-63000 Clermont-Ferrand, France
| | - M Yessad
- Clermont Université, Université d'Auvergne, EA 4676 C-BIOSENSS, BP 10448, F-63000 Clermont-Ferrand, France
| | - B Décaudin
- University Lille, EA 7365 - GRITA - Groupe de Recherche sur les formes Injectables et les Technologies Associées, F-59000 Lille, France; CHU Lille, Institut de Pharmacie, F-59000 Lille, France
| | - V Sautou
- CHU Clermont-Ferrand, Pôle Pharmacie, rue Montalembert, 63003 Clermont-Ferrand, France; Clermont Université, Université d'Auvergne, EA 4676 C-BIOSENSS, BP 10448, F-63000 Clermont-Ferrand, France
| |
Collapse
|
19
|
Abstract
L'article montre l'existence d'un autre mode de traitement de l'information fondé sur une heuristique d'ancrage et d'ajustement catégoriel. En s'appuyant sur les schémas catégoriels associés à la marque, le consommateur peut parvenir à une évaluation rapide d'un produit nouveau, et éviter ainsi un traitement approfondi des caractéristiques de l'offre. En fonction du degré de typicalité du produit vis-à-vis des produits de la catégorie activée, la phase d'ancrage peut toutefois être remise en question, le consommateur procédera alors à un ajustement de sa première impression.
Collapse
Affiliation(s)
- Philippe Odou
- Maître de conférences ESA, IMD Université de Lille 2 Laboratoire Germe (ESA, Lille 2)
| |
Collapse
|
20
|
Foinard A, Perez M, Barthélémy C, Lannoy D, Flamein F, Storme L, Tournoys A, Décaudin B, Odou P. Assessment of anti-factor Xa activity of heparin in binary parenteral nutrition admixtures for premature neonates. Ann Pharm Fr 2015; 73:277-80. [PMID: 25863599 DOI: 10.1016/j.pharma.2015.03.004] [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] [Received: 12/30/2014] [Revised: 03/09/2015] [Accepted: 03/11/2015] [Indexed: 11/30/2022]
Abstract
An in vitro study was carried out to determine the anti-Xa activity of heparin in binary parenteral nutrition (BPN) admixtures for premature neonates in our neonatal intensive care unit (NICU) after a 24-hour infusion, as well as to assess drug interaction with a 50% glucose solution. Two types of bags were prepared: (1) BPN admixtures (composition defined in the NICU) including sodium heparin at 77 UI/mL and (2) bags containing only G50% with sodium heparin at 193 UI/mL. The anti-Xa activity of heparin was measured in bags at T0, after the 24-hour infusion and in eluates at the outlet of the infusion line after 24hours, using a validated chromogenic anti-Xa method. Comparisons of the mean concentration observed with the theoretical value for anti-Xa activity were performed with the Student t-test. Mean values of anti-Xa activity do not differ significantly from the values expected for all conditions. We found a slight variation in anti-Xa activity when infused over 24hours for both types of bags, with and without in-line filtration, showing that heparin remains stable during this infusion period in both BPN admixtures and G50%.
Collapse
Affiliation(s)
- A Foinard
- EA GRITA, laboratoire de biopharmacie, pharmacie galénique et hospitalière, université Lille Nord de France, 3, rue du Professeur-Laguesse, BP 83, 59006 Lille cedex, France; Institut de pharmacie, CHRU de Lille, rue Philippe-Marache, 59037 Lille cedex, France
| | - M Perez
- EA GRITA, laboratoire de biopharmacie, pharmacie galénique et hospitalière, université Lille Nord de France, 3, rue du Professeur-Laguesse, BP 83, 59006 Lille cedex, France; Institut de pharmacie, CHRU de Lille, rue Philippe-Marache, 59037 Lille cedex, France
| | - C Barthélémy
- EA GRITA, laboratoire de biopharmacie, pharmacie galénique et hospitalière, université Lille Nord de France, 3, rue du Professeur-Laguesse, BP 83, 59006 Lille cedex, France
| | - D Lannoy
- EA GRITA, laboratoire de biopharmacie, pharmacie galénique et hospitalière, université Lille Nord de France, 3, rue du Professeur-Laguesse, BP 83, 59006 Lille cedex, France; Institut de pharmacie, CHRU de Lille, rue Philippe-Marache, 59037 Lille cedex, France
| | - F Flamein
- Service de néonatalogie, hôpital Jeanne-de-Flandre, CHRU de Lille, 2 avenue Oscar-Lambret, 59037 Lille cedex, France
| | - L Storme
- Service de néonatalogie, hôpital Jeanne-de-Flandre, CHRU de Lille, 2 avenue Oscar-Lambret, 59037 Lille cedex, France; EA4489, laboratoire environnement périnatal et santé, université Lille Nord de France, 1, place de Verdun, 59045 Lille cedex, France
| | - A Tournoys
- Laboratoire d'hématologie, centre de biologie pathologie, CHRU de Lille, boulevard du Professeur-Jules-Leclercq, 59037 Lille cedex, France
| | - B Décaudin
- EA GRITA, laboratoire de biopharmacie, pharmacie galénique et hospitalière, université Lille Nord de France, 3, rue du Professeur-Laguesse, BP 83, 59006 Lille cedex, France; Institut de pharmacie, CHRU de Lille, rue Philippe-Marache, 59037 Lille cedex, France.
| | - P Odou
- EA GRITA, laboratoire de biopharmacie, pharmacie galénique et hospitalière, université Lille Nord de France, 3, rue du Professeur-Laguesse, BP 83, 59006 Lille cedex, France; Institut de pharmacie, CHRU de Lille, rue Philippe-Marache, 59037 Lille cedex, France
| |
Collapse
|
21
|
Perez M, Décaudin B, Abou Chahla W, Nelken B, Barthélémy C, Lebuffe G, Odou P. GM-010 Reducing the overall particulate contamination exposure in paediatric patients: the advantage of using multilumen infusion sets. Eur J Hosp Pharm 2015. [DOI: 10.1136/ejhpharm-2015-000639.278] [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: 11/04/2022] Open
|
22
|
Simon N, Vasseur M, Pinturaud M, Soichot M, Richeval C, Humbert L, Bonnabry P, Allorge D, Décaudin B, Odou P. PP-015 Using a closed-system transfer device leads to better control of occupational exposure in routine practice. Eur J Hosp Pharm 2015. [DOI: 10.1136/ejhpharm-2015-000639.295] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
23
|
Dambrine M, Genay S, Décaudin B, Odou P. CP-171 Medicines reconciliation on admission: a patient safety strategy. Eur J Hosp Pharm 2015. [DOI: 10.1136/ejhpharm-2015-000639.162] [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: 11/04/2022] Open
|
24
|
Granier E, Loeuillet F, Leroy A, Odou P. DI-080 Analysis of teicoplanin prescription practices and of their conformity with the recommendations. Eur J Hosp Pharm 2015. [DOI: 10.1136/ejhpharm-2015-000639.254] [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: 11/04/2022] Open
|
25
|
Lebecque M, Simon N, Legrand JF, Pinturaud M, Vasseur M, Barthélémy C, Décaudin B, Odou P. OHP-017 Ability of infusion devices to deliver the expected volume of antineoplastic drug in solution: an in vitroassessment: Abstract OHP-017 Table 1. Eur J Hosp Pharm 2015. [DOI: 10.1136/ejhpharm-2015-000639.464] [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: 11/03/2022] Open
|
26
|
Vermersch A, Umuhoza D, Lannoy D, Neuville S, Seignez B, Lescut D, Danel-Buhl N, Odou P. P072: Gestion des médicaments chez les patients sous nutrition entérale à domicile et place du pharmacien d’officine : à propos d’une enquête croisée auprès de patients et de pharmaciens d’officine du Nord-Pas-De-Calais. NUTR CLIN METAB 2014. [DOI: 10.1016/s0985-0562(14)70715-0] [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]
|
27
|
Janes A, Lannoy D, Lenne X, Bruandet A, Neuville S, Koodun S, Baekeland J, Lescut D, Odou P, Séguy D. P082: Impact de l’utilisation des verrous de taurolidine au long cours sur les infections et les hospitalisations chez des patients adultes en nutrition parentérale à domicile. NUTR CLIN METAB 2014. [DOI: 10.1016/s0985-0562(14)70725-3] [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]
|
28
|
Schiettecatte S, Loeuillet F, Leroy A, Odou P. PS-094 Pharmaceutical interventions in infectious diseases. Eur J Hosp Pharm 2014. [DOI: 10.1136/ejhpharm-2013-000436.444] [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: 11/04/2022] Open
|
29
|
Bourdon F, Lecoeur M, Odou P, Vaccher C, Foulon C. Complementarity of UV-PLS and HPLC for the simultaneous evaluation of antiemetic drugs. Talanta 2014; 120:274-82. [DOI: 10.1016/j.talanta.2013.12.015] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2013] [Revised: 12/04/2013] [Accepted: 12/08/2013] [Indexed: 10/25/2022]
|
30
|
Genay S, Feutry F, Santoni A, Décaudin B, Barthélémy C, Simon N, Odou P. PS-031 Insulin infusion: the right equipment for good care! Eur J Hosp Pharm 2014. [DOI: 10.1136/ejhpharm-2013-000436.382] [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: 11/04/2022] Open
|
31
|
Bancourt T, Baillet L, Vasseur M, Simon N, Longueville M, Décaudin B, Odou P. PP-002 Evaluation of a medical device to improve the security of intraspinal administration of cytotoxic drugs. Eur J Hosp Pharm 2014. [DOI: 10.1136/ejhpharm-2013-000436.301] [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: 11/04/2022] Open
|
32
|
Foinard A, Décaudin B, Barthélémy C, Lebuffe G, Debaene B, Odou P. Impact of infusion set characteristics on the accuracy of patient-controlled morphine administration: a controlled in-vitro study. Anaesthesia 2014; 69:131-6. [DOI: 10.1111/anae.12523] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/18/2013] [Indexed: 11/30/2022]
Affiliation(s)
- A. Foinard
- Department of Biopharmacy, Galenic and Hospital Pharmacy; Lille 2 University; UDSL; EA GRIIOT; UFR Pharmacie; Lille France
| | - B. Décaudin
- Department of Biopharmacy, Galenic and Hospital Pharmacy; Lille 2 University; UDSL; EA GRIIOT; UFR Pharmacie; Lille France
- Pharmacy; Lille University Hospital; CHU Lille; Lille France
| | - C. Barthélémy
- Department of Biopharmacy, Galenic and Hospital Pharmacy; Lille 2 University; UDSL; EA GRIIOT; UFR Pharmacie; Lille France
| | - G. Lebuffe
- Department of Anaesthesia and Intensive Care Department; Lille University Hospital; EA1046 Lille France
| | - B. Debaene
- Department of Anaesthesia and Intensive Care Department; Poitiers University Hospital; INSERM U1070; Poitiers France
| | - P. Odou
- Department of Biopharmacy, Galenic and Hospital Pharmacy; Lille 2 University; UDSL; EA GRIIOT; UFR Pharmacie; Lille France
- Pharmacy; Lille University Hospital; CHU Lille; Lille France
| |
Collapse
|
33
|
Genay S, Décaudin B, Ethgen S, Barthélémy C, Odou P, Lebuffe G. Impact of noradrenaline infusion set on mean arterial pressure: a retrospective clinical study. ACTA ACUST UNITED AC 2013; 32:e159-62. [PMID: 24138772 DOI: 10.1016/j.annfar.2013.08.011] [Citation(s) in RCA: 4] [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: 08/07/2013] [Accepted: 08/22/2013] [Indexed: 10/26/2022]
Abstract
OBJECTIVES Noradrenaline (NA) can be infused through various systems including single or double syringe pumps. The aim of this study was to define the best and most efficient infusion system in an emergency context. STUDY DESIGN This was a retrospective clinical study based on the analysis of patients' hemodynamic data. PATIENTS AND METHOD Three infusion lines used presently in our postoperative ICU were compared through a retrospective clinical study: an NA syringe pump at 2mL/h and a saline carrier solution syringe pump at 8mL/h (infusion system 1- IS1) or 5mL/h (IS2), both connected to a very low dead-space volume set (V=0.046mL); IS3 with the same NA syringe at 2mL/h directly connected to the central venous catheter. Mean arterial pressure (MAP) was obtained from retrospective data analysis of ICU patients with postoperative septic shock criteria. Infusion systems were compared according to the time required to reach an MAP greater than 65mmHg after the onset of infusion. RESULTS Data from 37 patients was analysed. The MAP objective was attained in 14:00 minutes (9:20 - 26:10, n=15) with IS1, in 19:10 minutes (12:20 - 27:20, n=13) with IS2 and in 34:10 minutes (23:10 - 62:30, n=9) with IS3 (P=0.00032). CONCLUSION The use of a double syringe pump system associated with a very low dead-space volume infusion set appears to be the most appropriate system for NA infusion.
Collapse
Affiliation(s)
- S Genay
- Department of biopharmacy, Galenic and hospital pharmacy, Lille 2 university, UDSL, EA GRIIOT 4481, UFR pharmacie, 3, rue du Professeur-Laguesse, BP 83, 59006 Lille cedex, France
| | | | | | | | | | | |
Collapse
|
34
|
Pinturaud M, Vasseur M, Décaudin B, Odou P. [Preliminary assessment of the use of portable hydrogen peroxide detectors in a centralized cytotoxic preparation unit]. Ann Pharm Fr 2013; 71:243-8. [PMID: 23835022 DOI: 10.1016/j.pharma.2013.04.003] [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: 03/13/2013] [Revised: 04/30/2013] [Accepted: 04/30/2013] [Indexed: 11/28/2022]
Abstract
INTRODUCTION For 1 year, our unit has been equipped with portable H₂O₂ Dräger detectors contributing to protect the staff from a possible exposure to this odourless and toxic gas. This work shows the current available data about H₂O₂ toxicity, describes the organization of the implementation and the analysis of the values measured over 12 months. MATERIAL AND METHODS Data about H₂O₂ toxicity have been obtained through a literature review. The measured values are presented in instantaneous value and occupational exposure limit (OEL) over 8 h. RESULTS Over six technicians, the average percentage, of detected values superior to zero reached 1.06% in August. The detected maximum instantaneous value reached 2.2 ppm in May. These isolated exposures have little incidence when related to the 8-h exposure with an occupational exposure limit (OEL) of 0.072 ppm over 12 months. DISCUSSION AND CONCLUSION The implementation of this tool has allowed to highlight a technical problem of the sterilization airlock that could be resolved. This measuring device of H₂O₂ concentration in the air in real time allows to secure everyday working conditions and to alert the staff of a possible technical failure. However, literature data regarding chronic toxicity are limited and restrict the analysis of the measured values.
Collapse
Affiliation(s)
- M Pinturaud
- Institut de pharmacie, CHRU de Lille, rue Philippe-Marache, 59037 Lille cedex, France
| | | | | | | |
Collapse
|
35
|
Genay S, Décaudin B, Ethgen S, Scoccia S, Pinturaud M, Barthélémy C, Lebuffe G, Odou P. Improving noradrenaline infusion technique. Anaesthesia 2013; 68:647-8. [DOI: 10.1111/anae.12273] [Citation(s) in RCA: 4] [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] [Indexed: 11/28/2022]
Affiliation(s)
- S. Genay
- Lille University Hospital; Lille; France
| | | | - S. Ethgen
- Lille University Hospital; Lille; France
| | - S. Scoccia
- Lille University Hospital; Lille; France
| | | | | | - G. Lebuffe
- Lille University Hospital; Lille; France
| | - P. Odou
- Lille University Hospital; Lille; France
| |
Collapse
|
36
|
Perez M, Foinard A, Barthélémy C, Debaene B, Décaudin B, Odou P. OHP-046 Impact of Multi-Lumen Infusion Devices on the Occurrence of Physical Drug Incompatibilities: A Controlled in Vitro Study. Eur J Hosp Pharm 2013. [DOI: 10.1136/ejhpharm-2013-000276.420] [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: 11/04/2022] Open
|
37
|
Maton G, Brzezinki C, Beaussart H, Lannoy D, Staumont-Sallé D, Odou P. GRP-170 Searching For the Cause of Allergic Cutaneous Adverse Drug Reactions: Retrospective Analysis of a Five-Year Clinical Exploration in a Single-Centre Cohort. Eur J Hosp Pharm 2013. [DOI: 10.1136/ejhpharm-2013-000276.170] [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: 11/04/2022] Open
|
38
|
Lebecque M, Beaussart H, Berneron C, Odou P. TCH-043 Stability Study of Sildenafil Capsules by High Performance Liquid Chromatography. Eur J Hosp Pharm 2013. [DOI: 10.1136/ejhpharm-2013-000276.234] [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: 11/04/2022] Open
|
39
|
Dekyndt B, Bourdon F, Castelain L, Neuville S, Décaudin B, Odou P. OHP-050 In Vitro Evaluation of a New Safety Connexion For the Administration of Enteral Nutrition: ENLock. Eur J Hosp Pharm 2013. [DOI: 10.1136/ejhpharm-2013-000276.424] [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: 11/03/2022] Open
|
40
|
Dekyndt B, Simon N, Vasseur M, Guerriero E, Anzie O, Décaudin B, Odou P. TCH-028 New Bulsulfan Procedure to Improve Both Preparation and Administration. Eur J Hosp Pharm 2013. [DOI: 10.1136/ejhpharm-2013-000276.219] [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: 11/04/2022] Open
|
41
|
Ethgen S, Genay S, Décaudin B, Odou P, Lebuffe G. [Major haemodynamic incident during continuous norepinephrine infusion: Beware of the infusion line. An avoidable postoperative hypertensive peak?]. Ann Fr Anesth Reanim 2012; 31:550-552. [PMID: 22464839 DOI: 10.1016/j.annfar.2012.01.033] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/24/2011] [Accepted: 01/30/2012] [Indexed: 05/31/2023]
Abstract
The restoration of patients' mean arterial pressure after ineffective fluid resuscitation is obtained by vasopressive treatment such as norepinephrine. However, no guidelines exist concerning a norepinephrine infusion method: whether it be the norepinephrine concentration in the syringe, single or double pump administration via a carrier such as an isotonic saline solution, or use of minimized dead-volume extension sets. We present the case of a female patient requiring norepinephrine treatment, who quickly suffers a major haemodynamic incident (a sudden rise in systolic blood pressure above 220 mmHg associated with tachycardia up to 189 b/min). The main causes of this incident are discussed and infusion parameters considered with a view to developing an optimal infusion method for a drug with a specific therapeutic index.
Collapse
Affiliation(s)
- S Ethgen
- Clinique d'anesthésie-réanimation, hôpital Claude-Huriez, CHRU Lille, 1, rue Michel-Polonovski, 59037 Lille cedex, France
| | | | | | | | | |
Collapse
|
42
|
Perrinet M, Décaudin B, Champs BBD, Heran I, Urbina MA, Lemaitre V, Azar R, Odou P. Chronic dialysis-associated anaemia in end-stage renal disease: analysis of management in two French centres. J Clin Pharm Ther 2010; 35:395-400. [PMID: 20831542 DOI: 10.1111/j.1365-2710.2009.01106.x] [Citation(s) in RCA: 2] [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] [Indexed: 11/28/2022]
Abstract
BACKGROUND Treatment of anaemia in renal-insufficient patients relies on the use of an erythropoiesis-stimulating agent (ESA). This study aimed to compare the impact of two different strategies of ESA prescribing on variation in haemoglobin (Hb) concentration in end-stage renal disease (ESRD) patients. METHODS Patients with ESRD, on haemodialysis, and who had received ESA for >3 months were recruited. Different parameters were analysed: demographics, Hb level the last day of the year before dialysis, the most recent weekly ESA dose, risk factors for resistance and cost. Each institution continued its local practice for achieving the desired Hb level: increasing the ESA dose to overcome resistance in one centre and defining an upper ESA-dose limit in the other. RESULTS A total of 185 patients were recruited. No significant differences in the biological parameters were found between the two populations. In both centres, Hb levels were comparable and mean levels exceeded 11 g/dL, despite the higher ESA doses given in one centre to achieve this target. This finding also held true for the subgroups with greater than or equal to two resistance factors. These two strategies led to large between-centre differences in treatment costs. CONCLUSION The ESA-use strategy difference probably indicates that erythropoietin-resistance was not overcome with increased dosing. The Hb concentrations remained stable even when ESA doses were increased. On current evidence, the cheaper ESA-dose limitation strategy is preferable but randomized controlled studies, including comparisons of alternative ESA formulations are necessary.
Collapse
Affiliation(s)
- M Perrinet
- Pharmacy, Dunkerque General Hospital, Dunkerque, France
| | | | | | | | | | | | | | | |
Collapse
|
43
|
Simon N, Décaudin B, Lannoy D, Odou M, De Broucker M, Barthélémy C, Poret E, Dubreuil L, Odou P. Impact of infusion method on amikacin serum levels in humans. Pulm Pharmacol Ther 2010; 23:324-6. [DOI: 10.1016/j.pupt.2010.03.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2009] [Revised: 02/24/2010] [Accepted: 03/13/2010] [Indexed: 11/25/2022]
|
44
|
|
45
|
Lannoy D, Décaudin B, Resibois JP, Barrier F, Wierre L, Horrent S, Batt C, Moulront S, Odou P. [Humidification assessment of four heat and moisture exchanger filters according to ISO 9360: 2000 standard]. Ann Fr Anesth Reanim 2008; 27:148-153. [PMID: 18164895 DOI: 10.1016/j.annfar.2007.11.012] [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] [Subscribe] [Scholar Register] [Received: 12/20/2006] [Accepted: 11/13/2007] [Indexed: 05/25/2023]
Abstract
OBJECTIVE This work consisted of the assessment of humidification parameters and flow resistance for different heat and moisture exchanger filters (HMEF) used in intensive care unit. Four electrostatic HMEF were assessed: Hygrobac S (Tyco); Humidvent compact S (Teleflex); Hygrovent S/HME (Medisize-Dräger); Clear-Therm+HMEF (Intersurgical). MATERIAL AND METHODS Humidification parameters (loss of water weight, average absolute moisture [AAM], absolute variation of moisture) have been evaluated on a bench-test in conformity with the ISO 9360: 2000 standard, for 24h with the following ventilatory settings: tidal volume at 500 ml, respiratory rate at 15 c/min, and inspiration/expiration ratio at 1:1. The flow resistance of HMEFs assessed using the pressure drop method was measured before and after 24h of humidification for three increasing air flows of 30, 60, and 90 l/min. RESULTS All the HMEFs allowed satisfactory level of humidification exceeding 30 mgH(2)O/l. The less powerful remained the Clear-Therm. Concerning HMEFs flow resistance, results showed a pressure drop slightly more important for the Hygrobac S filter as compared with other filters. CONCLUSION This test showed differences between the HMEFs for both humidification and resistance parameters. When compared to the new version of the standards, HMEFs demonstrated their reliability. However, evolution of humidification and flow resistance characteristics over 24h showed a structural degradation of HMEFs, limiting their use over a longer period.
Collapse
Affiliation(s)
- D Lannoy
- Service pharmacie, centre hospitalier, 130, avenue Louis-Herbeaux, B.P. 6367, 59385 Dunkerque cedex 1, France
| | | | | | | | | | | | | | | | | |
Collapse
|
46
|
Lannoy D, Decaudin B, Grozieux de Laguérenne A, Barrier F, Pignon JM, Wetterwald M, Odou P. Gemtuzumab ozogamicin-induced sinusoidal obstructive syndrome treated with defibrotide: a case report. J Clin Pharm Ther 2006; 31:389-92. [PMID: 16882110 DOI: 10.1111/j.1365-2710.2006.00742.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
New treatments for relapse of acute myeloid leukaemia (AML), include gemtuzumab ozogamicin (GO), an anti-CD33 monoclonal antibody. We describe a second case of GO-induced sinusoidal obstructive syndrome (SOS) effectively treated with defibrotide (DF). No stem-cell transplantation was involved. On day 23 after the first GO dose, a patient presented with ascites, weight gain, liver enlargement and pain in the right upper quadrant. Sudden hepatic cytolysis (transaminases at six times the normal range: grade 3) and cholestasis [alkaline phosphatase ALP and gamma-glutamyltransferase (GGT) respectively at four and eight times the normal range: grade 2] were observed but there was no evidence of increase serum bilirubin. Treatment with DF (Prociclide), Crinos; 10 mg/kg/day, or 200 mg, q.i.d.) improved the hepatic abnormality within a few days (serum transaminases decreased from 312 to 103 IU/L for aspartate aminotransferase (AST) and from 141 to 80 IU/L for alanine aminotransferase (ALT) within 3 days ALP increased from 253 to 383 IU/L and gamma-GT from 238 to 417 IU/L 4 days after administration of DF. The clinical and biological features of our case suggest a direct involvement of GO in causing SOS, even when used as monotherapy, without allogenic stem-cell transplantation. Low dose DF (10 mg/kg/day) given early during the development of SOS associated with GO was effective. Unfortunately, in our case the patient eventually died of multi-organ failure probably because of failure of GO.
Collapse
Affiliation(s)
- D Lannoy
- Pharmacy Department, General Hospital Dunkerque, France
| | | | | | | | | | | | | |
Collapse
|
47
|
Barrier F, de La Guerenne A, Semjen E, Wierre L, Horrent S, Decaudin B, Resibois JP, Weillaert MP, Azar R, Odou P. [Spontaneously acquired haemophilia: report of a patient with prostatic adenoma]. Ann Biol Clin (Paris) 2006; 64:347-52. [PMID: 16829479] [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] [Received: 01/20/2006] [Accepted: 05/10/2006] [Indexed: 05/10/2023]
Abstract
We report the case of a 86-year-old man admitted in a local hospital with spontaneous haematoma, an isolated prolonged activated partial prothrombin time (114/32 seconds; ratio = 3.6), an anemia and a normal platelet count. Two diagnosis were suspected: a coagulation factor defect, or the presence of a lupus anticoagulant or of anti-factor antibodies. An acquired haemophilia A was confirmed with a factor VIII activity level < 1 U/dL associated with the presence of an anti-factor VIII inhibitor. The factor VIII inhibitor titer reached 195 Bethesda U/mL. A prostatic adenocarcinoma was suspected: a 5 cm prostatic tumour was found and the PSA level was 113 ng/mL. The patient was treated with recombinant factor VIIa: Novoseven (90 microg/kg). None immunosuppressive agents were prescribed in this elderly patient. The patient's disease was identified as a spontaneously acquired haemophilia A associated with prostatic adenocarcinoma.
Collapse
Affiliation(s)
- F Barrier
- Pharmacie Centrale, Centre Hospitalier de Dunkerque
| | | | | | | | | | | | | | | | | | | |
Collapse
|
48
|
Odou P, Ferrari N, Barthélémy C, Brique S, Lhermitte M, Vincent A, Libersa C, Robert H. Grapefruit juice-nifedipine interaction: possible involvement of several mechanisms. J Clin Pharm Ther 2005; 30:153-8. [PMID: 15811168 DOI: 10.1111/j.1365-2710.2004.00618.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To develop a model based on mean residence time for better understanding the effect of grapefruit juice on the metabolism of nifedipine (NIF). MATERIAL AND METHODS Sixteen healthy volunteers from an urban population were included. For each trial, the subjects drank water, fresh grapefruit juice or bottled grapefruit juice. Thirty minutes later, the subjects took a 10 mg capsule of NIF, orally. Plasma concentration of NIF was measured and the kinetic parameters were calculated with a non-compartmental model. RESULTS Grapefruit juice increased the bioavailability of NIF, but did not significantly reduce the drug's metabolism as shown by the approximately constant metabolite to parent drug AUC ratio (P = 0.948). There was no significant increase in the amount of non-metabolized drug absorbed during first-pass: 0.12 and 0.16 (P = 0.470) without and with grapefruit juices respectively. There was an increase in the relative bioavailability (P = 0.039) and the apparent volume of distribution (Vdm) (P = 0.025) of dehydronifedipine with grapefruit co-administration. A second peak was also observed in the NIF plasma-concentration profile when the drug is co-administered with grapefruit juice. Therefore, the most likely explanation for the double peak phenomenon is a delay in gastric emptying (+32 min with grapefruit juice) caused by the pH of grapefruit juice. CONCLUSION This study shows that grapefruit juice interferes with the metabolism of NIF by inhibiting NIF metabolism and slowing down the rate of gastric emptying. This study also confirms that the metabolic inhibition is not a first pass effect, but is a secondary oxidative step.
Collapse
Affiliation(s)
- P Odou
- Department de Biopharmacy and Clinical Pharmacy, Faculty of Pharmaceutical and Biological Sciences, Lille, France.
| | | | | | | | | | | | | | | |
Collapse
|
49
|
Guénault N, Odou P, Robert H. Increase in dihydroxycarbamazepine serum levels in patients co-medicated with oxcarbazepine and lamotrigine. Eur J Clin Pharmacol 2003; 59:781-2. [PMID: 14576966 DOI: 10.1007/s00228-003-0686-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2003] [Accepted: 09/15/2003] [Indexed: 10/26/2022]
|
50
|
Abstract
Twenty-five percent of epileptic patients present refractory seizures to current frontline antiepileptic drugs, needing new treatments and leading to the introduction of several new AEDs, among which is oxcarbazepine (Trileptal). This 10-ketoanalogue of carbamazepine seems to be a weaker inducer of cytochrome P450 3A4. However, pharmacokinetic interactions with clinical significance have already been reported, before the marketing of Trileptal in France. The aim of this study was to develop and validate a HPLC method allowing simultaneous dosage of oxcarbazepine, 10-hydroxycarbamazepine, epoxycarbamazepine, carbamazepine, phenobarbital and phenytoïn. After plasma defecation by acetonitrile, dosage was obtained by analysis of the supernatants on a C(18) reversed-phase column coupled with UV detection (240 nm). The statistical validation was performed according to the recommendations of a European technical commission. This method seems to provide a quite good selectivity from the psychotropic therapeutics, which is commonly coprescribed with AEDs. Linearity was established for the whole concentration range, whatever the compound. Quantization limits of oxcarbazepine, 10-hydroxycarbamazepine, epoxycarbamazepine, carbamazepine, phenobarbital and phenytoïn are 0.58, 3.5, 2.35, 0.66, 1.02 and 3.13 microg/ml, respectively, and absolute recoveries are 105.15, 84.76, 94.45, 96.52, 98.62 and 95.08%, respectively.
Collapse
Affiliation(s)
- H Levert
- EPSM Lille-métropole Hospital, 109 rue du Général Leclerc, Lille, Armentières, France
| | | | | |
Collapse
|