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Levy C, Cohen R, Béchet S, Ravilly S, Werner A, Romain O, Guiso N. Pediatric ambulatory pertussis epidemiology in France, recent updates. Infect Dis Now 2023; 53:104727. [PMID: 37268040 DOI: 10.1016/j.idnow.2023.104727] [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: 04/05/2023] [Revised: 04/11/2023] [Accepted: 05/24/2023] [Indexed: 06/04/2023]
Abstract
OBJECTIVES Following various changes in the vaccine strategy in 2013 and the mandatory vaccination in 2018, we aimed to analyze the vaccination status, age, and source of contamination of pertussis and parapertussis cases in outpatient surveillance. PATIENTS AND METHODS Confirmed pertussis and parapertussis cases were enrolled by 35 pediatricians. RESULTS From 2014 to 2022, 73 confirmed cases of pertussis (n = 65) and parapertussis (n = 8) were reported. For children below 6 years of age, the number of cases with a 2 + 1 schedule (n = 22) was higher than that of those with a 3 + 1 schedule (n = 7). The age of cases with a 3 + 1 or a 2 + 1 schedule was not significantly different (3.8y ± 1.4 vs 4.2y ± 1.5). The main source of contamination was either adults or adolescents. CONCLUSION Vaccination status and source of contamination are crucial to study the impact of vaccination recommendations.
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Affiliation(s)
- C Levy
- ACTIV, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France; Clinical Research Center (CRC), Centre Hospitalier Intercommunal de Créteil, Créteil, France; Université Paris Est, IMRB-GRC GEMINI, Créteil, France; AFPA, Association Française de Pédiatrie Ambulatoire, Orléans, France.
| | - R Cohen
- ACTIV, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France; Clinical Research Center (CRC), Centre Hospitalier Intercommunal de Créteil, Créteil, France; Université Paris Est, IMRB-GRC GEMINI, Créteil, France; AFPA, Association Française de Pédiatrie Ambulatoire, Orléans, France
| | - S Béchet
- ACTIV, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France; AFPA, Association Française de Pédiatrie Ambulatoire, Orléans, France
| | - S Ravilly
- ACTIV, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France; AFPA, Association Française de Pédiatrie Ambulatoire, Orléans, France
| | - A Werner
- ACTIV, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France; AFPA, Association Française de Pédiatrie Ambulatoire, Orléans, France
| | - O Romain
- ACTIV, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France
| | - N Guiso
- Independent Expert, Paris, France
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Rouard C, Bourgeois-Nicolaos N, Rahajamanana L, Romain O, Pouga L, Derouin V, De Luca D, Doucet-Populaire F. Evaluation of an 'all-in-one' seven-day whole-genome sequencing solution in the investigation of a Staphylococcus aureus outbreak in a neonatal intensive care unit. J Hosp Infect 2019; 102:297-303. [PMID: 30771369 DOI: 10.1016/j.jhin.2019.01.029] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2018] [Accepted: 01/30/2019] [Indexed: 10/27/2022]
Abstract
BACKGROUND Meticillin-susceptible and -resistant Staphylococcus aureus (MSSA and MRSA) are responsible for outbreaks in intensive care units. MSSA infections have the same morbidity and mortality rate as MRSA infections but are studied less often. Whole-genome sequencing (WGS) is used increasingly for outbreak monitoring, but still requires specific installation and trained personnel to obtain and analyse the data. AIM To evaluate the workflow and benefits of EpiSeq solution (bioMérieux, Marcy l'Etoile, France) in exploring the increased incidence of S. aureus bloodstream infections in a neonatal intensive care unit (NICU). METHODS Four S. aureus bacteraemia isolates and 27 colonization isolates obtained between January and July 2016 were submitted to the 'all in one solution' EpiSeq [WGS, quality data assessment, multi-locus sequence typing (MLST), spa typing, virulome and resistome characterization, and phylogenetic tree construction]. More in-depth analyses were performed (whole-genome MLST and whole-genome single nucleotide polymorphism (wgSNP)] with BioNumerics software (Applied Maths, Sint-Martens-Latem, Belgium). FINDINGS Nine different sequence types and 13 different spa types were found among the 31 isolates studied. Among those isolates, 11 (seven patients) were ST146 spa type t002, five (four patients) were ST30 and four (four patients) were ST398. The 11 ST146 isolates had a maximum of seven pairwise SNP differences. CONCLUSION Use of EpiSeq solution allowed fast demonstration of the polyclonal profile of the MSSA population in neonates, and enabled the suspicion of a global outbreak to be ruled out. However, wgSNP analysis showed the transmission and persistence of one sequence type for over six months in the NICU, and enabled the infection control team to adapt its response.
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Affiliation(s)
- C Rouard
- AP-HP, Hôpitaux Universitaires Paris Sud, Hôpital Antoine Béclère, Service de Bactériologie-Hygiène, Clamart, France; EA4043, Bactéries pathogènes et santé, Faculté de Pharmacie, Université Paris Sud, Chatenay-Malabry, France
| | - N Bourgeois-Nicolaos
- AP-HP, Hôpitaux Universitaires Paris Sud, Hôpital Antoine Béclère, Service de Bactériologie-Hygiène, Clamart, France; EA4043, Bactéries pathogènes et santé, Faculté de Pharmacie, Université Paris Sud, Chatenay-Malabry, France; Institute of Integrative Biology of the Cell, CNRS, CEA, Université Paris Sud, Paris Saclay University, Gif sur Yvette, France
| | - L Rahajamanana
- AP-HP, Hôpitaux Universitaires Paris Sud, Hôpital Antoine Béclère, Service de Bactériologie-Hygiène, Clamart, France
| | - O Romain
- AP-HP, Hôpitaux Universitaires Paris Sud, Hôpital Antoine Béclère, Division of Paediatrics and Neonatal Intensive Care, Clamart, France
| | - L Pouga
- AP-HP, Hôpitaux Universitaires Paris Sud, Hôpital Antoine Béclère, Service de Bactériologie-Hygiène, Clamart, France
| | - V Derouin
- AP-HP, Hôpitaux Universitaires Paris Sud, Hôpital Antoine Béclère, Service de Bactériologie-Hygiène, Clamart, France
| | - D De Luca
- AP-HP, Hôpitaux Universitaires Paris Sud, Hôpital Antoine Béclère, Division of Paediatrics and Neonatal Intensive Care, Clamart, France; INSERM-U999 LabEx - LERMIT, Clamart, France
| | - F Doucet-Populaire
- AP-HP, Hôpitaux Universitaires Paris Sud, Hôpital Antoine Béclère, Service de Bactériologie-Hygiène, Clamart, France; EA4043, Bactéries pathogènes et santé, Faculté de Pharmacie, Université Paris Sud, Chatenay-Malabry, France; Institute of Integrative Biology of the Cell, CNRS, CEA, Université Paris Sud, Paris Saclay University, Gif sur Yvette, France.
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Romain O. Antibiothérapie des infections néonatales bactériennes précoces chez les nouveau-nés nés à partir de 34 semaines d’aménorrhée. Arch Pediatr 2018; 24 Suppl 3:S24-S28. [PMID: 29433694 DOI: 10.1016/s0929-693x(18)30041-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
All newborns superior to 34 weeks of gestationnal age (GA) are concerned by these guidelines of the French Society of Neonatology and the French Society of Pediatrics. Only newborns at risk of Early-Onset Neonatal Bacterial Infection who are clinically symptomatic have to be treated with probabilistic antibiotherapy treatment. The antibiotic combination of choice is amoxicillin + gentamicin. The two exceptions that justify dual therapy with Cefotaxime and Gentamicin are the bacteriological documentation of Escherichia coli and/or the presence of clinical signs of severity. The continuation or not of the antibiotic treatment relies on the reevaluation of the clinical examination, the bacteriological culture results (blood culture and eventual Cerebro-Spinal-Fluid (CSF) culture) after 36-48 hours of treatment. Antibiotic treatment is continued for 7 days in case of positive blood culture, with amoxicillin alone if then bacterial species implicated are group B Streptococcus (GBS) or Listeria monocytogenes, with Cefotaxime alone in case of E.coli even if the strains are susceptible to aminopenicillins. In case of meningitis due to GBS or L. monocytogenes antibiotherapy is continued for 14 days with amoxicillin alone and 21 days of cefotaxime alone in case of E. coli meningitis. Specialist advice should be sought for other bacteria or extended-spectrum beat-lactamase-producing E. coli. and the absence of bacteriological documentation, according to the clinical evolution and the inflammatory parameters, it can be decided to continue or not the antibiotherapy.
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Affiliation(s)
- O Romain
- Service de Pédiatrie et Réanimation néonatales. Hôpital Antoine Béclère. 157 Avenue de la Porte de Trivaux. 92240. Clamart. France.
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Le Cleach L, Lebrun-Vignes B, Bachelot A, Beer F, Berger P, Brugère S, Chastaing M, Do-Pham G, Ferry T, Gand-Gavanou J, Guigues B, Join-Lambert O, Henry P, Khallouf R, Lavie E, Maruani A, Romain O, Sassolas B, Tran VT, Guillot B. Guidelines for the management of acne: recommendations from a French multidisciplinary group. Br J Dermatol 2018; 177:908-913. [PMID: 29052890 DOI: 10.1111/bjd.15843] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2017] [Indexed: 11/28/2022]
Affiliation(s)
- L Le Cleach
- Service de Dermatologie, Hôpital Henri-Mondor, Assistance Publique-Hôpitaux de Paris (APHP), 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010, Créteil, France.,Université Paris-Est Créteil-Val de Marne, EA7379 ÉpiDermE (Épidémiologie en Dermatologie et Évaluation des Thérapeutiques), 61, avenue du Général-de-Gaulle, 94010, Créteil Cedex, France
| | - B Lebrun-Vignes
- Centre Régional de Pharmacovigilance, Groupe Hospitalier Pitié-Salpêtrière-Charles-Foix, APHP, 47-83, boulevard de l'Hôpital, 75013, Paris, France
| | - A Bachelot
- Service d'Endocrinologie et Médecine de la Reproduction, Centre de Référence des Maladies Endocriniennes Rares de la Croissance, Groupe Hospitalier Pitié-Salpêtrière-Charles-Foix, APHP, 47-83, boulevard de l'Hôpital, 75013, Paris, France.,UPMC Université Paris 06, 4, place Jussieu, 75005, Paris, France
| | - F Beer
- Accueil Médical de la SDAT, 10bis, rue du Dr-Edouard-Laguesse, 21000, Dijon, France
| | - P Berger
- 25, rue Saint-Jean, 14000, Caen, France
| | - S Brugère
- Collège de Gynécologie de Bordeaux et du Sud-Ouest, 35, rue de Turenne, 33000, Bordeaux, France
| | - M Chastaing
- Unité de Psychiatrie de Liaison, Service Hospitalo-Universitaire de Psychiatrie d'Adultes et de Psychologie Médicale secteur 1, CHU de Brest, 2, avenue Foch, 29609, Brest, France
| | - G Do-Pham
- Service de Dermatologie, Hôpital Henri-Mondor, Assistance Publique-Hôpitaux de Paris (APHP), 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010, Créteil, France
| | - T Ferry
- Service de Maladies Infectieuses, Hospices Civils de Lyon, 3, quai des Célestins, 69229, Lyon, France.,Université Claude-Bernard Lyon 1, 43, boulevard du 11-Novembre-1918, 69100, Villeurbanne, France
| | | | - B Guigues
- 2b, avenue du Canada, 14000, Caen, France
| | - O Join-Lambert
- Université Paris Descartes, Sorbonne Paris Cité, Paris, France.,Laboratoire de Microbiologie Clinique, Groupe Hospitalier Necker-Enfants-Malades, APHP, 149, rue de Sèvres, 75015, Paris, France
| | - P Henry
- 43, rue de Foncillon, 17200, Royan, France
| | - R Khallouf
- 30, boulevard Heurteloup, 37000, Tours, France
| | - E Lavie
- Haute Autorité de Santé, 2, avenue du Stade-de-France, 93218, Saint-Denis, France
| | - A Maruani
- Université François-Rabelais Tours, 60, rue du Plat-d'Étain, 37000, Tours, France.,Service de Dermatologie, CHRU de Tours, 2, boulevard Tonnellé, 37044, Tours, France
| | - O Romain
- Service de Réanimation Néonatale, Hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, 92140, Clamart, France
| | - B Sassolas
- Département de Médecine Interne et Pneumologie, Hôpital de la Cavale-Blanche, CHRU de Brest, 5, boulevard T.-Prigent, 29609, Brest, France
| | - V T Tran
- Département de Médecine Générale, Université Paris Diderot, 16 rue Huchard, 75018, Paris, France.,Centre de Recherche Épidémiologie Statistique, Sorbonne Paris Cité (CRESS-Inserm U1153), 1, place du Parvis-Notre-Dame, 75004, Paris, France
| | - B Guillot
- Département de Dermatologie, CHU de Montpellier, Université de Montpellier, 191, avenue du Doyen-Gaston-Giraud, 34295, Montpellier, France
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Le Cleach L, Lebrun-Vignes B, Bachelot A, Beer F, Berger P, Brugère S, Chastaing M, Do-Pham G, Ertel-Pau V, Ferry T, Gand-Gavanou J, Guigues B, Join-Lambert O, Henry P, Khallouf R, Lavie E, Maruani A, Romain O, Sassolas B, Tran VT, Guillot B. [Not Available]. Arch Pediatr 2016; 23:213-21. [PMID: 26774894 DOI: 10.1016/j.arcped.2015.11.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- L Le Cleach
- Service de dermatologie, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France; Université Paris-Est Créteil-Val de Marne, EA7379 ÉpiDermE (épidémiologie en dermatologie et évaluation des thérapeutiques), 61, avenue du Général-de-Gaulle, 94010 Créteil cedex, France.
| | - B Lebrun-Vignes
- Centre régional de pharmacovigilance, groupe hospitalier Pitié-Salpétrière-Charles-Foix, AP-HP, 47-83, boulevard de l'Hôpital, 75013 Paris, France
| | - A Bachelot
- Service d'endocrinologie et médecine de la reproduction, centre de référence des maladies endocriniennes rares de la croissance, hôpitaux universitaires Pitié-Salpêtrière-Charles-Foix, 47-83, boulevard de l'Hôpital, 75013 Paris, France; UPMC université Paris 06, 4, place Jussieu, 75005 Paris, France
| | - F Beer
- Accueil médical de la SDAT, 10bis, rue du Dr-Edouard-Laguesse, 21000 Dijon, France
| | - P Berger
- 25, rue Saint-Jean, 14000 Caen, France
| | - S Brugère
- Collège de gynécologie de Bordeaux et du Sud-Ouest, 35, rue de Turenne, 33000 Bordeaux, France
| | - M Chastaing
- Unité de psychiatrie de liaison, service hospitalo-universitaire de psychiatrie d'adultes et de psychologie médicale secteur 1, CHU de Brest, 2, avenue Foch, 29609 Brest cedex, France
| | - G Do-Pham
- Service de dermatologie, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France
| | - V Ertel-Pau
- HAS, 2, avenue du Stade-de-France, 93218 Saint-Denis, France
| | - T Ferry
- Service de maladies infectieuses, hospices civils de Lyon, 3, quai des Célestins, 69229 Lyon cedex 02, France; Université Claude-Bernard Lyon 1, 43, boulevard du 11-Novembre-1918, 69100 Villeurbanne, France; Centre international de recherche en infectiologie, Inserm 1111, 46, allée d'Italie, 69007 Lyon, France
| | | | - B Guigues
- CHU de Caen, avenue de la Côte-de-Nacre, CS 30001, 14033 Caen, France
| | - O Join-Lambert
- Université Paris Descartes, Sorbonne Paris Cité, Paris, France; Laboratoire de microbiologie clinique, hôpital universitaire Necker-Enfants-Malades, Assistance publique-Hôpitaux de Paris, 149, rue de Sèvres, 75015 Paris, France; Inserm U1151, équipe 11, institut Necker-Enfants-Malades, bâtiment Leriche, porte 9, 14, rue Maria-Helena-Vieira-Da-Silva, CS61431, 75993 Paris cedex 1, France
| | - P Henry
- 43, rue de Foncillon, 17200 Royan, France
| | - R Khallouf
- 30, boulevard Heurteloup, 37000 Tours, France
| | - E Lavie
- HAS, 2, avenue du Stade-de-France, 93218 Saint-Denis, France
| | - A Maruani
- Université François-Rabelais Tours, 60, rue du Plat-d'Étain, 37000 Tours, France; Service de dermatologie, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 9, France
| | - O Romain
- Service de réanimation néonatale, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, 92140 Clamart, France
| | - B Sassolas
- Département de médecine interne et pneumologie, hôpital de la Cavale-Blanche, CHRU de Brest, 5, boulevard T.-Prigent, 29609 Brest cedex, France
| | - V T Tran
- Département de médecine générale, université Paris Diderot, 5, rue Thomas-Mann, 75013 Paris, France; Centre de recherche épidemiologie statistique, (Inserm U1153) Sorbonne Paris Cité, 1, place du Parvis-Notre-Dame, 75004 Paris, France
| | - B Guillot
- Département de dermatologie CHU de Montpellier, université de Montpellier, 191, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France
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De Luca D, Romain O, Yousef N, Andriamanamirija D, Shankar-Aguilera S, Walls E, Sgaggero B, Aube N, Tissières P. Monitorages physiopathologiques en réanimation néonatale. ACTA ACUST UNITED AC 2015. [DOI: 10.1016/j.jpp.2015.06.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Le Cleach L, Lebrun-Vignes B, Bachelot A, Beer F, Berger P, Brugère S, Chastaing M, Do–Pham G, Ertel-Pau V, Ferry T, Gand-Gavanou J, Guigues B, Join-Lambert O, Henry P, Khallouf R, Lavie E, Maruani A, Romain O, Sassolas B, Tran V, Guillot B. Prise en charge de l’acné. Traitement de l’acné par voie locale et générale. Ann Dermatol Venereol 2015; 142:692-700. [DOI: 10.1016/j.annder.2015.09.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Silva J, Histace A, Romain O, Dray X, Granado B, Pinna A. Towards real-time in situ polyp detection in WCE images using a boosting-based approach. Annu Int Conf IEEE Eng Med Biol Soc 2015; 2013:5711-4. [PMID: 24111034 DOI: 10.1109/embc.2013.6610847] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
This paper presents a new embeddable method for polyp detections in Wireless Capsule Endoscopic - WCE images. this approach consists first of extracting candidate polyps within the image using geometric considerations about related shape, and second, in classifying (polyp/non-polyp) obtained candidates by a boosting-based method using texture features. The proposed approach has been designed in accordance with the hardware constraints related to FPGA implementation for integration within WCE imaging device. The classification performance of the method have been evaluated on a large dataset of 300 polyps, and 1200 non-polyps images. Experiments show interesting and promising performance: the boosting-based classification is characterized by a sensitivity of 91%, a specificity of 95% and a false detection rate of 4.8%, the detection rate of the overall processing chain being of 68%. The performance of the boosting-based classification are in accordance with the most recent reference on this particular topic using the same dataset. Building of a dedicated WCE image database should permit the improvement of the global detection rate.
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Romain O, Le Sage FV, Dufour V, Grimprel E, Guérin N, Cohen R. Depuis le nouveau calendrier vaccinal, les rattrapages sont-il simplifiés? Arch Pediatr 2015; 22:23-5. [DOI: 10.1016/s0929-693x(15)30013-0] [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: 11/17/2022]
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Koskas M, Levy C, Romain O, Schlemmer C, Béchet S, Bonacorsi S, Bidet P, Cohen R. [Group A streptococcal perineal infection in children]. Arch Pediatr 2014; 21 Suppl 2:S97-S100. [PMID: 25456689 DOI: 10.1016/s0929-693x(14)72269-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Perineal diseases in children are usually caused by group A streptococcus (GAS). If the natural course of untreated cases is not known, it is well known that symptoms do not resolve spontaneously and can persist often for many months, until appropriate diagnosis and effective treatment are instituted. Furthermore, failures and recurrences after penicillin treatment are frequent. From 2009 to 2014, 165 perineal infections (median age: 48 months, extremes: 0.4-139) were enrolled by 15 pediatricians: 4 balanitis, 29 vulvo-vaginal diseases and 132 perianal infections. Painful defecation, anal fissures and macroscopic blood in stools were significantly more frequent in GAS perianal infections than negative GAS infections (p<0.01). The performance of GAS-rapid antigen test compared to the GAS culture was : sensitivity 97 % [CI 95 %: 89-100 %], specificity 76 % [CI 95 %: 66-84 %], negative predictive value 97 % [CI 95 %: 91-100 %], positive predictive value 71 % [CI 95 %: 60-80 %].
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Affiliation(s)
- M Koskas
- ACTIV (Association clinique et thérapeutique infantile du Val-de-Marne), 27, rue Inkermann, 94100 Saint-Maur-des-Fossés, France
| | - C Levy
- ACTIV (Association clinique et thérapeutique infantile du Val-de-Marne), 27, rue Inkermann, 94100 Saint-Maur-des-Fossés, France; Centre de recherche clinique (CRC) et Centre hospitalier intercommunal (CHI), 40, avenue de Verdun, 94010 Créteil, France; AFPA (Association française de pédiatrie ambulatoire), 4, rue Parmentier, 54270 Essey-les-Nancy, France.
| | - O Romain
- ACTIV (Association clinique et thérapeutique infantile du Val-de-Marne), 27, rue Inkermann, 94100 Saint-Maur-des-Fossés, France
| | - C Schlemmer
- ACTIV (Association clinique et thérapeutique infantile du Val-de-Marne), 27, rue Inkermann, 94100 Saint-Maur-des-Fossés, France
| | - S Béchet
- ACTIV (Association clinique et thérapeutique infantile du Val-de-Marne), 27, rue Inkermann, 94100 Saint-Maur-des-Fossés, France
| | - S Bonacorsi
- Université Paris-Diderot, PRES Sorbonne-Paris-Cité, 46, rue Henri-Huchard, 75018 Paris, France; Service de microbiologie, hôpital Robert-Debré (AP-HP), 48, boulevard Sérurier, 75019 Paris, France
| | - Ph Bidet
- Université Paris-Diderot, PRES Sorbonne-Paris-Cité, 46, rue Henri-Huchard, 75018 Paris, France; Service de microbiologie, hôpital Robert-Debré (AP-HP), 48, boulevard Sérurier, 75019 Paris, France
| | - R Cohen
- ACTIV (Association clinique et thérapeutique infantile du Val-de-Marne), 27, rue Inkermann, 94100 Saint-Maur-des-Fossés, France; Centre de recherche clinique (CRC) et Centre hospitalier intercommunal (CHI), 40, avenue de Verdun, 94010 Créteil, France; AFPA (Association française de pédiatrie ambulatoire), 4, rue Parmentier, 54270 Essey-les-Nancy, France; Unité court séjour, petits nourrissons, service de néonatologie, CHI de Créteil, 40, avenue de Verdun, 94010 Créteil, France
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Gaudelus J, Pinquier D, Romain O, Thiebault G, Vie le Sage F, Dommergues M, Hau I, Bakhache P, Virey B, Dufour V, Parez N, Guerin N, Aujard Y, Weil-Olivier C, Cohen R. Le nouveau calendrier vaccinal est-il adapté à l’ancien prématuré ? Arch Pediatr 2014; 21:1062-70. [DOI: 10.1016/j.arcped.2014.06.020] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Baron M, Boet A, Romain O, Labrune P, De Luca D. SFNP-17 - Purpura précoce en suite de couches : diagnostic et prise en charge. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71890-1] [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]
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Cohen R, Bégué P, Bakhache P, Dommergues MA, Dufour V, Garnier JM, Gaudelus J, Guérin N, Grimprel E, Hau I, Pinquier D, Reinert P, Romain O, Thiebault G, Vie le Sage F, Virey B, Weil-Olivier C, Siegrist CA. [The future of vaccination in France]. Arch Pediatr 2013; 19:1386-7. [PMID: 23346573 DOI: 10.1016/j.arcped.2012.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- R Cohen
- Service de réanimation néonatale, hôpital Antoine-Béclère, 157, avenue Porte-de-Trivaux, 92140 Clamart, France
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Dommergues MA, Gaudelus J, Weil-Olivier C, Thiebault G, Vié le Sage F, Virey B, Dufour V, Romain O, Cohen R. [Rotavirus vaccination in 2012. Position of the Pediatric Infections Pathology Group (GPIP) and the French Association of Ambulatory Pediatrics (AFPA)]. Arch Pediatr 2012. [PMID: 23178138 DOI: 10.1016/s0929-693x(12)71290-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [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
In 2008 and 2010, the Comité technique des vaccinations and the Haut Conseil de Santé Publique have not recommended generalized vaccination against rotavirus (RV) in France. The Groupe de Pathologie Infectieuse Pédiatrique (GPIP) and the Association Française de Pédiatrie Ambulatoire (AFPA) believes that it is time to reconsider the recommendation. Indeed, on the one hand, answers were made on the presence of circovirus in vaccines and the risk of intussusception, on the other hand, these vaccines are already implemented in vaccination programs in many developing countries or countries with income intermediate and high. Finally, independent studies have demonstrated the effectiveness in countries with widespread vaccinations (without significant genotypic changes of circulating strains). In addition, implementation would have a major impact on our health care system, changes of the epidemic curve of RV infections (delayed and shortened) to prevent the coexistence of different epidemics occurring during the fall and winter. Remains medico-economic evaluation, which is not of the competence and the responsibility of GPIP and AFPA. However, it seems surprising that developing or middle-income countries have been able to generalize this vaccination and that France can't do it.
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Affiliation(s)
- M-A Dommergues
- Centre Hospitalier de Versailles, 177 rue Versailles, 78150 Le Chesnay, France.
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Cohen R, Vié Le Sage F, Weil-Olivier C, Romain O, Hau I, Guérin N, Thiebault G, Virey B, Bakhache P, Dommergues MA, Gaudelus J. [Plea for advancement of the age of vaccination against human papillomavirus in France: Position of the Pediatric Infections Pathology Group (GPIP) and the French Association of Ambulatory Pediatrics (AFPA)]. Arch Pediatr 2012. [PMID: 23178137 DOI: 10.1016/s0929-693x(12)71289-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Vaccination against human papillomavirus (HPV) is recommended in France at 14 years. The Groupe de Pathologie Infectieuse Pédiatrique de la Société Française de Pédiatrie takes a clear position for advancement of age of vaccination at 11-12 years based on the following arguments: (i) data on the long-term persistence of protective antibodies are reassuring; (ii) these vaccines can be co-administered with vaccines recommended in the current immunization schedule at this age; (iii) actually, nearly 20% of adolescents have had sexual intercourse when the vaccination schedule is finished; (iv) vaccination beyond 14 years increases the risk of occurrence of coincidental autoimmune diseases; (v) the immunogenicity of vaccines against HPV is better when they are administered before age 15; (vi) finally, especially by reducing the number of injections from 3 to 2, the immunization at 11-12 years could improve immunization coverage which is insufficient nowadays.
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Affiliation(s)
- R Cohen
- Centre Hospitalier intercommunal de Créteil, 40, avenue de Verdun, 94010 Créteil cedex, France.
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Cohen R, Garnier JM, Bégué P, Bakhache P, Besse P, Dommergues MA, Dufour V, Gaudelus J, Grimprel E, Guérin N, Hau I, Pinquier D, Reinert P, Romain O, Virey B, Vié le Sage F, Weil-Olivier C, Siegrist. CA. Erratum à l’article « Bulletin Infovac » [Arch Pediatr 19 (2012) 1140–1141]. Arch Pediatr 2012. [DOI: 10.1016/j.arcped.2012.10.002] [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] [Indexed: 10/26/2022]
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Romain O, Levy C, Bingen E, Wollner A, Thollot F, Schlemmer C, Michot AS, Romain C, Varon E, Cohen R. Intérêt des études cliniques en pathologie infectieuse pédiatrique en pratique de ville et aux urgences. Arch Pediatr 2012. [DOI: 10.1016/s0929-693x(12)71118-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Levy C, Elbez A, Thollot F, Boucherat M, Romain O, Corrard F, Cohen R. Organisation des études cliniques en pédiatrie de ville. Arch Pediatr 2012. [DOI: 10.1016/s0929-693x(12)71116-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Cohen R, Dufour V, Floret D, Dommergues MA, Bégué P, Bakhache P, Besse P, Garnier JM, Gaudelus J, Grimprel E, Guérin N, Hau I, Pinquier D, Reinert P, Romain O, Thiebault G, Virey B, Vié Le Sage F, Weil-Olivier C, Siegrist CA. [Special report on vaccination week: measles, April No. 4/2011 1]. Arch Pediatr 2011; 18:932-933. [PMID: 21905320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Levy C, Thollot F, Corrard F, Lécuyer A, Martin P, Boucherat M, Koskas M, Romain O, Goldrey M, Hausdorff WP, Cohen R. Otite moyenne aiguë en pédiatrie ambulatoire : caractéristiques épidémiologiques et cliniques après l’introduction du vaccin antipneumococcique conjugué 7 valent (PCV7). Arch Pediatr 2011; 18:712-8. [DOI: 10.1016/j.arcped.2011.03.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2011] [Revised: 03/15/2011] [Accepted: 03/18/2011] [Indexed: 10/18/2022]
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22
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Romain O. [Immunization of newborn and his entourage]. Arch Pediatr 2010; 17:958-9. [PMID: 20654979 DOI: 10.1016/s0929-693x(10)70197-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- O Romain
- Service de Pédiatrie et Réanimation Néonatales, Hôpital Antoine-Béclère AP-HP, Clamart, France.
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Ayoub J, Granado B, Mhanna Y, Romain O. SVM based colon polyps classifier in a wireless active stereo endoscope. Annu Int Conf IEEE Eng Med Biol Soc 2010; 2010:5585-5588. [PMID: 21096484 DOI: 10.1109/iembs.2010.5626790] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
This work focuses on the recognition of three-dimensional colon polyps captured by an active stereo vision sensor. The detection algorithm consists of SVM classifier trained on robust feature descriptors. The study is related to Cyclope, this prototype sensor allows real time 3D object reconstruction and continues to be optimized technically to improve its classification task by differentiation between hyperplastic and adenomatous polyps. Experimental results were encouraging and show correct classification rate of approximately 97%. The work contains detailed statistics about the detection rate and the computing complexity. Inspired by intensity histogram, the work shows a new approach that extracts a set of features based on depth histogram and combines stereo measurement with SVM classifiers to correctly classify benign and malignant polyps.
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Affiliation(s)
- J Ayoub
- ETIS, CNRS, ENSEA, Université de Cergy Pontoise, 1, Av du Ponceau, 95014 cedex, France.
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François M, Romain O, Lery T, Detournay B, Nachit-Ouinekh F. Prise en charge et conséquences socio-économiques des otites moyennes aiguës en France en 2008. Rev Epidemiol Sante Publique 2009. [DOI: 10.1016/j.respe.2009.07.013] [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: 11/17/2022] Open
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Lasserre A, Rivière M, Blanchon T, Alvarez F, Gaillat J, Romain O, Bouhour D, Guiso N. [Awareness and adherence to Pertussis vaccination guidelines by occupational medicine physicians in Paris healthcare institution]. Med Mal Infect 2009; 39:325-9. [PMID: 19285817 DOI: 10.1016/j.medmal.2009.01.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2008] [Accepted: 01/28/2009] [Indexed: 12/01/2022]
Abstract
OBJECTIVE A questionnaire was used on 44 public and private hospital physicians in Paris to evaluate their knowledge of and adherence to Vaccination Guidelines, three years after their introduction. RESULTS Eighty per cent of the physicians answered and 92.5% were aware of the vaccination guidelines but only 2 out of 4 respected the targeted vaccination in young adults even when the vaccine was available. A policy of pertussis vaccination was applied only in 12 institutions, but even in these, the rate of vaccinated healthcare workers remained low or was not documented. CONCLUSION Pertussis is a potential risk to newborns not or partially vaccinated in France. Even if the vaccine is available, adherence to pertussis vaccination guidelines must be improved. Efforts should be made to better publicize and apply pertussis vaccination guidelines.
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Affiliation(s)
- A Lasserre
- Inserm, U707, 75012 Paris, France; Faculté de médecine, UMR S 707, université Pierre-et-Marie-Curie Paris 6, 27, rue Chaligny, 75571 Paris cedex, France.
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Okleh M, Cayemaex L, Benattar C, Boileau P, Romain O. SFP-P149 – Néonatalogie – Evaluation de l’apport de la CRP dosée en microméthode en réanimation néonatale. Arch Pediatr 2008. [DOI: 10.1016/s0929-693x(08)72279-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Grimprel E, de La Rocque F, Romain O, Minodier P, Dommergues MA, Laporte-Turpin E, Lorrot M, Parez N, Caulin E, Robert M, Lehors H, Chéron G, Levy C, Haas H. Modalités de prise en charge des invaginations intestinales aiguës en France en 2004 : enquête commune du Groupe de pathologie infectieuse pédiatrique (GPIP), du Groupe francophone d'urgences et de réanimation pédiatrique (GFRUP) et de la Société française de chirurgie pédiatrique (SFCP). Arch Pediatr 2006; 13:1581-8. [PMID: 17125980 DOI: 10.1016/j.arcped.2006.10.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To describe the different pathways of management of intussusception (IS) in infants and children in metropolitan France and to identify paediatric emergency centres that might constitute a surveillance network for IS. MATERIAL AND METHODS A questionnaire was sent to 273 paediatric emergency centres distributed across France in 2005. Modalities of diagnosis and treatment of IS had to be precised. RESULTS One hundred and sixty-seven centres (61.2%) responded. The response was given by 131 paediatricians (78.4%) and 36 surgeons (21.6%) working in 38 universitary hospitals (22.7%) and 129 general hospitals (77.2%). The mean number of IS treated in each centre in 2004 was 11+/-13.5 (extr. 0 to 70; median 6). Diagnosis of IS required a collaboration between medical and surgical teams in 51.5% of the centres, but in 40.1% the sole medical team was in charge of the diagnosis. Ultrasonography is used for diagnosis by 98.8% of the centres. Reduction with hydrostatic enema and eventually surgery was performed in the same hospital in 44.3%. Other centres systematically or frequently transferred the patients for reduction, mostly towards universitary hospitals (90%). CONCLUSION The procedures of IS diagnosis are the same everywhere in France but the pathways of therapeutic management do vary, depending on the availability of surgeons and anaesthetists trained in paediatrics on each site. These disparities will probably change with the implementation of the new plan for sanitary organization in children and adolescents in France. Labellized paediatric emergency centres will gather more surgical patients and could eventually constitute an effective surveillance network for IS.
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Affiliation(s)
- E Grimprel
- Service de Pédiatrie, Hôpital Armand-Trousseau, 26, avenue du Docteur-Arnold-Netter, 75012 Paris, France.
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Cohen R, Romain O, Levy C, Perreaux F, Decobert M, Hau I, Lécuyer A, Lesprit E, Maman L, Roullaud S, Chéron G, Bekri A, d'Athis P, Henriquet V, de La Rocque F. [Impact of CRP rapid test in management of febrile children in paediatric emergency units of Ile-de-France]. Arch Pediatr 2006; 13:1566-71. [PMID: 17070024 DOI: 10.1016/j.arcped.2006.09.003] [Citation(s) in RCA: 8] [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] [Received: 09/13/2006] [Accepted: 09/15/2006] [Indexed: 10/24/2022]
Abstract
OBJECTIVE Fever is a common cause of children visits to emergency units. Clinical evaluation does not always eliminate a bacterial infection. Among blood markers, several publications showed the interest of CRP. This study was undertaken to evaluate correlation between two techniques of CRP, one by usual technique at the laboratory and the other by a rapid test, and to evaluate the impact of this rapid test for febrile children at the emergency room, when a hospitalization was not immediately decided. MATERIAL AND METHODS The study was undertaken in 2004-2005 in eight emergency paediatric units in Ile-de-France concerning febrile children during two periods. In period A, children had at the same time a CRP dosage through two methods, whereas in period B, only a rapid CRP test was first managed. The test used was NycoCard CRP Single test (Progen Biotechnique). RESULTS Between September 2004 and June 2005, 572 children were included, 268 in period A and 304 in period B. Comparison of CRP results by the two methods showed for 247 children (93%) a fairly good linear correlation (r: 0.929). Blood cell count was the most often prescribed test (99.4 vs 10.5%). Conversely to chest radiography, blood culture, fibrinogen and urinary test were significantly most frequent in period A. The average cost of the additional examinations was 2.6 times more important during the first period. Duration of children management in the units was approximately two times shorter when rapid CRP test was used (199.7+/-92.8 vs 103.5+/-98.6 min). CONCLUSION This study shows the interest of rapid CRP test for febrile children in the emergency units, and has to be confirmed in ambulatory paediatric practice.
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Affiliation(s)
- R Cohen
- Service de Bactériologie, Hôpital Intercommunal de Créteil, 40, avenue de Verdun, 94000 Créteil, France.
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Cohen R, Garnier JM, Bégué P, Besse P, Dommergue MA, Dufour V, Floret D, Gaudelus J, Grimprel E, Guérin N, Hau I, Reinert P, Romain O, Le Sage FV, Weil-Olivier C, Siegrist CA. Bulletin Infovac-France. Arch Pediatr 2005. [DOI: 10.1016/j.arcped.2005.10.004] [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: 11/25/2022]
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Romain O, Jacqz-Aigrain E, Preud'homme D. Actualités pharmaceutiques. Arch Pediatr 2004. [DOI: 10.1016/j.arcped.2004.04.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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31
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Romain O, Jacqz-Aigrain E, Preud'homme D. Actualités pharmaceutiques. Arch Pediatr 2004; 11:889-91. [PMID: 15234395 DOI: 10.1016/j.arcped.2004.02.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- O Romain
- Hôpital Saint-Michel, Paris, France.
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32
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Romain O, Jacqz-Aigrain E. [Pharmaceutical news]. Arch Pediatr 2004; 11:495-7. [PMID: 15135446 DOI: 10.1016/j.arcped.2004.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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33
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Romain O. Actualités pharmaceutiques. Arch Pediatr 2004. [DOI: 10.1016/j.arcped.2003.11.013] [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: 10/26/2022]
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34
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Romain O. Actualités pharmaceutiques. Arch Pediatr 2004. [DOI: 10.1016/j.arcped.2003.10.002] [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] [Indexed: 10/26/2022]
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35
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Romain O. Actualités pharmaceutiques. Arch Pediatr 2003. [DOI: 10.1016/j.arcped.2003.09.029] [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: 10/26/2022]
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Affiliation(s)
- N Guiso
- Institut Pasteur, unité des Bordetella, 25, rue du Dr-Roux, 75724 Paris cedex 15, France
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Siegrist C, Ovetchkine P, Guérin N, Bégué P, Floret D, Garnier J, Gaudelus J, Grimprel E, Langue J, Reinert P, Romain O, Vié le Sage F, Weil-Olivier C, Cohen R. Bulletin Infovac–France. Arch Pediatr 2003. [DOI: 10.1016/s0929-693x(03)00346-4] [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]
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38
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Romain O, Jacqz-Aigrain E. Actualités pharmaceutiques. Arch Pediatr 2003. [DOI: 10.1016/s0929-693x(03)00143-x] [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: 11/17/2022]
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Abstract
Pneumatic otoscopy is based upon the reaction of the tympanic membrane after sending a small air volume. A normal mobility means that air is present in the middle ear. Instead absent or reduced mobility means that effusion is present. This technique improves the quality of ears clinical examination and is particularly useful for the diagnosis of suppurative and serous otitis media.
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Affiliation(s)
- O Romain
- Hôpital Saint-Michel, 33, rue Olivier-de-Serres, 75015 Paris, France.
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Romain O. [Obstructive rhinitis with respiratory syncytial virus infants under 3 years of age and at risk for bronchiolitis]. Arch Pediatr 2002; 9:558. [PMID: 12053555 DOI: 10.1016/s0929-693x(01)00842-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Mayer M, Romain O. [Sciatic paralysis after a buttock intramuscular injection in children: an ongoing risk factor]. Arch Pediatr 2001; 8:321-3. [PMID: 11270260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Abstract
Intramuscular injections are regularly recommended for the administration of certain drugs in children. This article underlines the fact that buttock intramuscular injection risks injury to the sciatic nerve, which may lead to lower limb palsy, most often presenting as paralytic drop foot. This condition rarely results from direct traumatic lesion of the sciatic nerve, but usually from the caustic effect of the injected drug. It may occur in older children and adolescents, as well as in infants and younger children. Therefore, the buttocks should not be used as an intramuscular injection site in children whatever their age. In the case of sciatic nerve injury following intramuscular injection, extrafascicular neurolysis may prevent the occurrence of paralysis.
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Affiliation(s)
- M Mayer
- Service de neuropédiatrie, hôpital Saint-Vincent-de-Paul, 74-82, avenue Denfert-Rochereau, 75674 Paris, France
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Romain O, David L, Carbajal R. Informations pour le praticien. Arch Pediatr 2000. [DOI: 10.1016/s0929-693x(00)88925-3] [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: 11/29/2022]
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Romain O. Les biberons dits de « compléments , dans les trois premiers jours, en début d'allaitement, n'augmentent pas le risque d'atopie dans les deux premières années de vie. Arch Pediatr 1999. [DOI: 10.1016/s0929-693x(00)88488-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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