220 research outputs found
Re: ‘Microbiological epidemiology depending on time to occurrence of prosthetic joint infection’ by Triffault-Fillit et al.
No full textInternational audienc
Antibiothérapie parentérale ambulatoire : évaluation des pratiques et limites en milieu rural
No full textInternational audienceOBJECTIVES: To evaluate outpatient parenteral antibiotic therapy (OPAT) practices in a French rural area. MATERIAL AND METHODS: Descriptive study assessing knowledge, practices, and limitations of OPAT use among hospital practitioners (HP), family physicians (FP), and private nurses (PN). RESULTS: OPAT (mainly ceftriaxone and penicillins) was used by 69.6%, 73.3%, and 97.7% of the 23 HPs, 45 FPs, and 46 PNs mostly for respiratory or urinary tract infections, bacteremia, and/or multidrug-resistant bacterial infections. Overall, 65.2% of HPs and 37.8% of FPs were in contact with an infectious disease specialist. Knowledge of OPAT benefits and risks was lower for FPs than HPs. The main obstacles were the patient's geographic isolation (HPs), the availability of a venous catheter, the lack of training (FPs), and the expected OPAT-associated overwork (PNs). CONCLUSION: OPAT practice is weak in rural areas. Declared obstacles constitute fields of improvement for its essential expansion.Objectif Évaluer les pratiques d’antibiothérapie parentérale ambulatoire (APA) en milieu rural.Matériel et méthodesÉtude descriptive interrogeant les médecins hospitaliers (MH), libéraux (ML) et infirmiers libéraux (IDE) sur les connaissances, pratiques et freins concernant l’APA.RésultatsL’APA (ceftriaxone et pénicillines majoritairement) était utilisée par 69,6 %, 73,3 % et 97,7 % des 23 MH, 45 ML et 46 IDE pour infections respiratoires ou urinaires, bactériémies et/ou infections à germes multirésistants, en lien avec un médecin référent pour l’antibiothérapie pour 65,2 % des MH et 37,8 % des ML. Les risques/bénéfices de l’APA étaient moins connus des ML que des MH. Les principaux freins étaient l’isolement géographique du patient (MH), l’accessibilité à une voie veineuse/le manque de formation (ML) et la surcharge de travail pressentie (IDE).ConclusionLes freins à l’APA, peu utilisée en milieu rural, dégagent des axes d’amélioration au développement indispensable de cette pratique
Délai de survenue et épidémiologie bactérienne des infections sur prothèse articulaire en CRIOAc : impact sur le choix de l’antibiothérapie probabiliste
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Pubic osteomyelitis: Epidemiology and factors associated with treatment failure
No full textInternational audienceObjective: To describe the epidemiology of pubic osteomyelitis (PO) and to look for factors associated with treatment failure.Method: Retrospective study describing PO according to outcome: success or failure of initial management. Factors associated with failure determined by univariate Cox analysis. Kaplan-Meier curve compared between groups by log-rank test.Results: Twenty-five patients were included over a 13-year period; 24% of PO had blood-borne infection. Failure (44%) was always observed in chronic postoperative presentations (76%). Fistula (32%) was only observed in postoperative presentations and was significantly associated with failure (HR 5.1; P=0.011). Other risk factors were pelvic malignant tumor history, abscess, infection due to extended-spectrum beta-lactamase-producing Enterobacteriaceae, and polymicrobial infection.Conclusion: PO is most often a chronic postoperative polymicrobial infection in patients with comorbidities at high risk of relapse. Studies in larger cohorts could assess the efficacy of more aggressive surgical strategies in patients at high risk of failure
Analyse par spectrométrie d'électron Auger des joints de grains d'alliages dilués NiS.
No full textNational audienc
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