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Grandiere Perez L, Allavena C, Sécher S, Durand S, Grégoire A, Vandamme YM, Hitoto H, Leautez-Nainville S, Michau C, Billaud E. Sport and self-esteem in people living with HIV: a cross-sectional study. BMC Infect Dis 2022; 22:858. [PMCID: PMC9670474 DOI: 10.1186/s12879-022-07860-y] [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: 05/21/2022] [Accepted: 08/04/2022] [Indexed: 11/19/2022] Open
Abstract
Background In the general population, sport activity is associated with better health and better self-esteem. Among people living with HIV (PLHIV), sport activity could also be associated with better self-esteem. The main objective of our study was to assess the association between sport activity and self-esteem among people living with HIV. The secondary objectives were to evaluate the associations between sport activity with fatigue as well as with pain. Methods We performed a cross-sectional observational study among PLHIV in our region (Pays de la Loire in France). Each adult seen in routine HIV care was invited to participate in the study. Participants were invited to fill out self-questionnaires about sport activity, self-esteem, fatigue, and pain. The 2 groups of participants with and without sport activity were compared with a T Student test for self-esteem, fatigue, and pain scales. Results Among the 1160 people included in the study, 47% performed sport activity. The self-esteem score was better in the “sporting group” compared with the “non sporting group” (Rosenberg mean scale 32.7 ± 5.1/40 vs 31.9 ± 5 p = 0.01). The Functional Assessment of Chronic Illness Therapy Fatigue scale showed a lower fatigue in the sporting group than in the non-sporting group (mean total score 125 ± 22 vs 118 ± 24 p < 0.0001). The sporting group had a lower mean pain score (1.1 ± 1.8) than the non sporting group (1.4 ± 1.9 p = 0.004). Conclusions Among PLHIV in our region, sport activity was associated with better self-esteem, lower fatigue and lower pain. Sport activity should be included in patient care for people living with HIV.
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Affiliation(s)
- Lucia Grandiere Perez
- grid.418061.a0000 0004 1771 4456Service des Maladies Infectieuses et Tropicales, Centre Hospitalier Le Mans, 194 Avenue Rubillard, 72037 Le Mans, France
| | - Clotilde Allavena
- grid.4817.a0000 0001 2189 0784Service des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire Nantes Hôtel-Dieu, 1 Place Alexis Ricordeau, 44093 Nantes Cedex 1, France
| | - Solène Sécher
- grid.277151.70000 0004 0472 0371COREVIH Pays de la Loire, CHU Nantes Hôtel-Dieu, 1 Place Alexis Ricordeau, 44093 Nantes Cedex 1, France
| | - Sylvain Durand
- grid.34566.320000 0001 2172 3046Département STAPS, EA 4334 Motricité, Interactions, Performance, Le Mans Université, Avenue Olivier Messiaen, 72085 Le Mans Cedex 09, France
| | - Antoine Grégoire
- grid.4817.a0000 0001 2189 0784Service des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire Nantes Hôtel-Dieu, 1 Place Alexis Ricordeau, 44093 Nantes Cedex 1, France
| | - Yves-Marie Vandamme
- grid.411147.60000 0004 0472 0283Service des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire ANGERS, 4 Rue Larrey, 49000 Angers, France
| | - Hikombo Hitoto
- grid.418061.a0000 0004 1771 4456Service des Maladies Infectieuses et Tropicales, Centre Hospitalier Le Mans, 194 Avenue Rubillard, 72037 Le Mans, France
| | - Sophie Leautez-Nainville
- grid.477015.00000 0004 1772 6836Service de Médecine Post-Urgence, Centre Hospitalier Départemental Vendée, Boulevard Stéphane Moreau, 85925 La Roche Sur Yon Cedex 9, France
| | - Christophe Michau
- grid.477134.2Service de Médecine Polyvalente, Centre Hospitalier Saint-Nazaire, 11 Boulevard Georges Charpak BP414, 44600 Saint Nazaire, France
| | - Eric Billaud
- grid.277151.70000 0004 0472 0371COREVIH Pays de la Loire, CHU Nantes Hôtel-Dieu, 1 Place Alexis Ricordeau, 44093 Nantes Cedex 1, France
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Lefebvre M, Secher S, Bouchez S, Vandamme YM, Fialaire P, Leautez S, Blanchi S, Michau C, Coste-Burel M, Brunet-Cartier C, Reliquet V, Gregoire A, Raffi F, Allavena C. Measles seroprevalence in human immunodeficiency virus-infected adults born in the era of measles vaccination. AIDS 2022; 36:1273-1278. [PMID: 35262533 DOI: 10.1097/qad.0000000000003220] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 11/25/2022]
Abstract
OBJECTIVE Widespread use of the measles vaccine should lead to the elimination of this disease. Here, we study the seroprevalence of measles in a cohort of adults living with HIV born after the introduction of measles vaccine in France and attempt to identify risk factors for the absence of serum measles antibody. DESIGN In this multi-centre cross-sectional study, adult outpatients born after 1980 were screened for the presence of measles IgG antibody. Demographic and clinical data were obtained from the standardized electronic medical record system. Univariate and multivariate logistic regressions were performed to identify factors associated with the absence of measles antibodies. RESULTS Between April 2019 and April 2020, 648 participants were enrolled. The median age was 33 years, 53.6% were born outside of France, and 74% were considered as socially deprived. Plasma HIV RNA was undetectable in 86% of patients. Among 603 evaluable patients, measles serology was positive in 87.2%. Only 81.8% of the patients with documented vaccination tested positive for measles IgG. Younger age was significantly associated with the absence of measles serum antibodies ( P = 0.004 for each 10-year lower), as was birth in France ( P < 0.001) and absence of social vulnerability ( P = 0.04). CONCLUSION The current study revealed a low seroprevalence of measles compared with that previously reported in France 6 years earlier and to the expected rate to achieve herd immunity. Checking vaccination record should be systematically carried out in patients living with HIV to fill the immunity gaps.
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Affiliation(s)
- Maeva Lefebvre
- Infectious Diseases Department, CHU Hôtel Dieu and INSERM UIC 1413 Nantes University
- Centre for Prevention of Infectious and Transmissible Diseases, CHU Nantes
| | | | - Sabelline Bouchez
- Infectious Diseases Department, CHU Hôtel Dieu and INSERM UIC 1413 Nantes University
| | | | | | - Sophie Leautez
- Infectious Diseases Department, CHD Vendée, La Roche-sur-Yon
| | | | | | | | - Cécile Brunet-Cartier
- Infectious Diseases Department, CHU Hôtel Dieu and INSERM UIC 1413 Nantes University
| | - Véronique Reliquet
- Infectious Diseases Department, CHU Hôtel Dieu and INSERM UIC 1413 Nantes University
| | - Antoine Gregoire
- Infectious Diseases Department, CHU Hôtel Dieu and INSERM UIC 1413 Nantes University
| | - François Raffi
- Infectious Diseases Department, CHU Hôtel Dieu and INSERM UIC 1413 Nantes University
| | - Clotilde Allavena
- Infectious Diseases Department, CHU Hôtel Dieu and INSERM UIC 1413 Nantes University
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Declerck C, Mahieu R, Sanderink D, de la Chapelle M, Abgueguen P, Vandamme YM, Dubée V. Implementation of point-of-care ultrasonography in an infectious disease ward. Infect Dis Now 2021; 52:87-92. [PMID: 34896661 DOI: 10.1016/j.idnow.2021.11.008] [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: 07/28/2021] [Revised: 11/15/2021] [Accepted: 11/29/2021] [Indexed: 10/19/2022]
Abstract
INTRODUCTION Point-of-care ultrasonography (POCUS) has emerged as an essential supplement to physical examination in many specialties. In contrast, its use by infectious diseases (ID) specialists remains anecdotal. Here, we report on the acquisition of an ultrasonography device in a French ID ward, and we describe its everyday use. METHODS A preliminary audit was conducted to evaluate the potential impact of the acquisition of an ultrasonography device. A second audit was performed during the first year following the acquisition of the device to quantify its everyday use. We also evaluated the impact of POCUS implementation on medical imaging requests by comparing the number of intra-hospital transports before and after the acquisition. RESULTS According to the first audit, 81 of the 199 (41%) imaging examinations that were prescribed during a two-month period could have been replaced by POCUS. During the first year following the acquisition of the ultrasonography device, POCUS was performed 240 times by 31 different operators. The operators were a senior physician, an intern, and a medical student in 94 (39%), 135 (57%), and 11 (5%) cases, respectively. The organs most frequently explored were the genito-urinary tract (n=74), the joints (n=35), and the lungs/pleura (n=35). Acquisition of the device was followed by a significant decrease in the number of transports to the ultrasonography room, whereas the total number of transports to the medical imaging ward did not change. CONCLUSION Opportunities to use POCUS in the ID ward are numerous. POCUS training should be part of the ID specialist's curriculum.
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Affiliation(s)
- C Declerck
- Infectious Disease and Tropical Medicine Ward, Angers University Hospital, Angers, France.
| | - R Mahieu
- Infectious Disease and Tropical Medicine Ward, Angers University Hospital, Angers, France
| | - D Sanderink
- Infectious Disease and Tropical Medicine Ward, Angers University Hospital, Angers, France
| | - M de la Chapelle
- Infectious Disease and Tropical Medicine Ward, Angers University Hospital, Angers, France
| | - P Abgueguen
- Infectious Disease and Tropical Medicine Ward, Angers University Hospital, Angers, France
| | - Y M Vandamme
- Infectious Disease and Tropical Medicine Ward, Angers University Hospital, Angers, France
| | - V Dubée
- Infectious Disease and Tropical Medicine Ward, Angers University Hospital, Angers, France
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Douillet D, Mahieu R, Boiveau V, Vandamme YM, Armand A, Morin F, Savary D, Dubée V, Annweiler C, Roy PM. Outpatient management or hospitalization of patients with proven or suspected SARS-CoV-2 infection: the HOME-CoV rule. Intern Emerg Med 2020; 15:1525-1531. [PMID: 32888112 PMCID: PMC7550768 DOI: 10.1007/s11739-020-02483-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Accepted: 08/20/2020] [Indexed: 01/08/2023]
Abstract
In the context of the COVID-19 pandemic and overloaded hospitals, a central issue is the need to define reliable and consensual criteria for hospitalization or outpatient management in mild cases of COVID-19. Our aim was to define an easy-to-use clinical rule aiming to help emergency physicians in hospitalization or outpatient management decision-making for patients with suspected or confirmed SARS-CoV-2 infection (the HOME-CoV rule). The Delphi method was used to reach a consensus of a large panel of 51 experts: emergency physicians, geriatricians, infectious disease specialists, and ethical consultants. A preliminary list of eligible criteria was compiled based on a literature review. Four rounds of anonymized expert consultations were performed. The experts were asked to score each item as relevant, possibly relevant and non-relevant, as major or minor, and to choose the cut-off. They were also able make suggestions and remarks. Eight criteria constituting the HOME-CoV were selected: six correspond to the severity of clinical signs, one to the clinical course (clinically significant worsening within the last 24 h), and the last corresponds to the association of a severe comorbidity and an inadequate living context. Hospitalization is deemed necessary if a patient meets one or more of the criteria. In the end, 94.4% of the experts agreed with the defined rule. Thanks to the Delphi method, an absolute consensus was obtained of a large panel of experts on the HOME-CoV rule, a decision-making support mechanism for clinicians to target patients with suspected or confirmed COVID-19 requiring hospitalization.Trial registration: NCT04338841.
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Affiliation(s)
- Delphine Douillet
- Emergency Department, CHU Angers, 4 rue Larrey, 49100, Angers, France.
- UMR (CNRS 6015-INSERM 1083) et Institut MitoVasc, Université d'Angers, Angers, France.
| | - Rafaël Mahieu
- Department of Infectious Disease, CHU Angers, Université d'Angers, Angers, France
- CRCINA, Inserm, Université de Nantes, Nantes, France
| | - Violette Boiveau
- Emergency Department, CHU Angers, 4 rue Larrey, 49100, Angers, France
| | - Yves-Marie Vandamme
- Department of Infectious Disease, CHU Angers, Université d'Angers, Angers, France
| | - Aurore Armand
- Emergency Department, CHU Angers, 4 rue Larrey, 49100, Angers, France
| | - Francois Morin
- Emergency Department, CHU Angers, 4 rue Larrey, 49100, Angers, France
| | - Dominique Savary
- Emergency Department, CHU Angers, 4 rue Larrey, 49100, Angers, France
- EHESP, Irset, Inserm, UMR S1085, CAPTV CDC, Université Rennes, Rennes, France
| | - Vincent Dubée
- Department of Infectious Disease, CHU Angers, Université d'Angers, Angers, France
- CRCINA, Inserm, Université de Nantes, Nantes, France
| | - Cédric Annweiler
- Geriatric Department, CHU Angers, Angers, France
- Department of Medical Biophysics, Robarts Research Institute, Schulich School of Medicine and Dentistry, the University of Western Ontario, London, ON, Canada
| | - Pierre-Marie Roy
- Emergency Department, CHU Angers, 4 rue Larrey, 49100, Angers, France
- UMR (CNRS 6015-INSERM 1083) et Institut MitoVasc, Université d'Angers, Angers, France
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Journeau L, de la Chapelle M, Guimard T, Ferfar Y, Saadoun D, Mahé I, Castier Y, Montravers P, Lescure X, Van Gysel D, Asseray N, Lascarrou JB, Ngohou C, Vandamme YM, Connault J, de Cepoy PD, Brochard J, Goueffic Y, Pistorius MA, Boutoille D, Espitia O. A strobe multicenter descriptive study of 55 infectious aortitis. Medicine (Baltimore) 2020; 99:e22422. [PMID: 33019420 PMCID: PMC7535642 DOI: 10.1097/md.0000000000022422] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Infectious aortitis (IA) is a rare and severe disease. The treatment classically associates open surgery with prolonged antibiotic therapy. This study aimed to describe clinical characteristics, medical and surgical supports in a large and current series of IA.We conducted a retrospective multicenter study of native aorta IA, between 2000 and 2019. Inclusion criteria were the presence of a microorganism on blood culture, aortic sample or any other validated technique and structural anomaly in imaging.We included 55 patients (85% men), with a median age of 65. Microbiology data substantially differed from previous studies with 12 Gram-negative rods IA, of which only 3 due to Salmonella spp., 24 Gram-positive cocci IA of which 12 Streptococcus spp., and 18 IA due to intracellular growth and/or fastidious microorganisms, of which 8 Coxiella burnetii, 3 Treponema pallidum, and 5 tuberculosis suspicious cases. Fifteen patients (27%) presented with thoracic IA, 31 (56%) with abdominal IA, and 9 (16%) with thoraco-abdominal IA. Eight patients had no surgery, 41 underwent open surgery, only 4 endovascular aneurysm repair, and 2 a combination of these 2 techniques. Nine patients died before 1-month follow-up. There was no difference in the mortality rate between the different types of germ or localization of IA.The variety of germs involved in IA increases. Positron emission tomography-computed tomography scan is a very useful tool for diagnosis. Surgery is still mainly done in open approach and a prospective multicenter study seems necessary to better determine the place of endovascular aneurysm repair versus open surgery.
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Affiliation(s)
- Louis Journeau
- Department of Internal Medicine, Hôpital Louis Mourier (AP-HP), Colombes
- Department of Internal Medicine, CHD René Dubos, Pontoise
| | | | | | - Yasmina Ferfar
- Department of Internal Medicine and Clinical Immunology, INSERM, UMR_S 959, CNRS, FRE3632, Groupe Hospitalier Pitié-Salpêtrière (AP-HP)
| | - David Saadoun
- Department of Internal Medicine and Clinical Immunology, INSERM, UMR_S 959, CNRS, FRE3632, Groupe Hospitalier Pitié-Salpêtrière (AP-HP)
| | - Isabelle Mahé
- Department of Internal Medicine, Hôpital Louis Mourier (AP-HP), Colombes
| | | | | | - Xavier Lescure
- Department of Infectious Diseases, Hôpital Bichat – Claude Bernard (AP-HP), Paris
| | - Damien Van Gysel
- Department of Medical Information, Hôpital Louis Mourier (AP-HP), Colombes
| | | | | | | | | | | | | | - Julia Brochard
- Department of Infectious Diseases, Saint-Nazaire Hospital, Saint-Nazaire
| | - Yann Goueffic
- Department of Vascular Surgery, CHU Nantes, Nantes, France
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Lacombe V, Planchais M, Boud'Hors C, Croué A, Melenotte C, Raoult D, Dubée V, Vandamme YM. Coxiella burnetii endocarditis as a possible cause of ANCA-associated vasculitis. Rheumatology (Oxford) 2020; 59:e44-e45. [DOI: 10.1093/rheumatology/kez648] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 11/21/2019] [Accepted: 11/28/2019] [Indexed: 11/12/2022] Open
Affiliation(s)
- Valentin Lacombe
- Service de Médecine Interne, Centre Hospitalier Universitaire d’Angers, Angers France
| | - Martin Planchais
- Service de Néphrologie, Centre Hospitalier Universitaire d’Angers, Angers France
| | - Charlotte Boud'Hors
- Service de Néphrologie, Centre Hospitalier Universitaire d’Angers, Angers France
| | - Anne Croué
- Département de Pathologie Cellulaire et Tissulaire, Centre Hospitalier Universitaire d’Angers, Angers France
| | - Cléa Melenotte
- Université d’Aix-Marseille, IRD, APHM, MEPHI, Marseille France
- Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France
| | - Didier Raoult
- Université d’Aix-Marseille, IRD, APHM, MEPHI, Marseille France
- Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France
| | - Vincent Dubée
- Service de Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire d’Angers, Angers, France
| | - Yves-Marie Vandamme
- Service de Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire d’Angers, Angers, France
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Douillet D, Mahieu R, Delori M, Baudry E, Griffiths K, Roy PM, Vandamme YM. Screening and infectious diseases of new migrants in France: A retrospective cross-sectional study. Travel Med Infect Dis 2017; 17:64-65. [DOI: 10.1016/j.tmaid.2017.05.002] [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: 03/23/2017] [Revised: 04/27/2017] [Accepted: 05/02/2017] [Indexed: 10/19/2022]
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Birgand G, Toupet G, Rukly S, Antoniotti G, Deschamps MN, Lepelletier D, Pornet C, Stern JB, Vandamme YM, van der Mee-Marquet N, Timsit JF, Lucet JC. Air contamination for predicting wound contamination in clean surgery: A large multicenter study. Am J Infect Control 2015; 43:516-21. [PMID: 25752955 DOI: 10.1016/j.ajic.2015.01.026] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2014] [Revised: 01/22/2015] [Accepted: 01/22/2015] [Indexed: 10/23/2022]
Abstract
BACKGROUND The best method to quantify air contamination in the operating room (OR) is debated, and studies in the field are controversial. We assessed the correlation between 2 types of air sampling and wound contaminations before closing and the factors affecting air contamination. METHODS This multicenter observational study included 13 ORs of cardiac and orthopedic surgery in 10 health care facilities. For each surgical procedure, 3 microbiologic air counts, 3 particles counts of 0.3, 0.5, and 5 μm particles, and 1 bacteriologic sample of the wound before skin closure were performed. We collected data on surgical procedures and environmental characteristics. RESULTS Of 180 particle counts during 60 procedures, the median log10 of 0.3, 0.5, and 5 μm particles was 7 (interquartile range [IQR], 6.2-7.9), 6.1 (IQR, 5.4-7), and 4.6 (IQR, 0-5.2), respectively. Of 180 air samples, 50 (28%) were sterile, 90 (50%) had 1-10 colony forming units (CFU)/m(3) and 40 (22%) >10 CFU/m(3). In orthopedic and cardiac surgery, wound cultures at closure were sterile for 24 and 9 patients, 10 and 11 had 1-10 CFU/100 cm(2), and 0 and 6 had >10 CFU/100 cm(2), respectively (P < .01). Particle sizes and a turbulent ventilation system were associated with an increased number of air microbial counts (P < .001), but they were not associated with wound contamination (P = .22). CONCLUSIONS This study suggests that particle counting is a good surrogate of airborne microbiologic contamination in the OR.
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