État des lieux et évaluation de la surveillance des Staphylococcus aureus résistants à la méticilline (SARM) : PMSI versus surveillance Raisin

Abstract Background The surveillance of methicillin-resistant Staphylococcus aureus (MRSA) is a national priority. The rate of MRSA infections is one of six indicators tracked by the Department of Health. Since 2002, the French institute for public health surveillance (InVS) has monitored MRSA infections to estimate incidence density. Today, the use of the French administrative database (PMSI) could facilitate this surveillance. The aim of this study was to compare MRSA incidence density computed at a national level using PMSI databases with the results from the InVS taken as the reference. Methods PMSI databases for the years 2006 to 2009 were used. The reference results were those publish…

Évaluation des pratiques professionnelles dans la prise en charge du traumatisme crânien grave avec monitorage de l’hémostase par Rotem dans le service de réanimation traumatologique du CHU de Dijon : étude préliminaire

Introduction La traumatologie crânienne grave reste une priorite en terme de sante publique avec une mortalite elevee ainsi que des sequelles importantes. Les troubles de l’hemostase associes peuvent aggraver le pronostic. Ils doivent etre corriger rapidement. L’objectif de notre travail est de realiser une evaluation des pratiques professionnelles de la prise en charge des patients traumatises crâniens graves au CHU de Dijon et d’observer les facteurs aggravant le pronostic, notamment les troubles de l’hemostase. Materiel et methodes Il a ete mene dans un premier temps une etude retrospective observationnelle de janvier 2011 a decembre 2013 sur l’ensemble des patients ayant ete hospitalise…

Expression of the multidrug resistance glycoprotein 170 in the peripheral blood lymphocytes of rheumatoid arthritis patients. The percentage of lymphocytes expressing glycoprotein 170 is increased in patients treated with prednisolone

International audience; Abstract: The objective was to evaluate the expression of the multidrug resistance P-glycoprotein (P-gp) in peripheral blood lymphocytes (PBL) of patients with rheumatoid arthritis (RA). PBL from 68 RA patients and 44 controls were evaluated. RA patients had a mean disease duration of 10.7 yr, with a mean number of past resistances to DMARDs of 0.82, and were treated with NSAIDs (n = 34), DMARDs (n = 25) and prednisolone (n = 40). Fluorescence flow cytometry was used to assess P-gp membrane expression on PBL. In the RA group, the percentage of PBL expressing P-gp was higher in patients treated with prednisolone than in other patients [mean +/- S.D.: 10.7 +/- 15.8% vs…

Les facteurs pronostiques de décès des candidémies chez les patients hospitalisés : une étude rétrospective dans un hôpital universitaire en France

Realignment of myocardial first-pass MR perfusion images using an automatic detection of the heart-lung interface

International audience; Abstract: Magnetic resonance first-pass imaging of a bolus of contrast agent is well adapted to distinguish normal and hypoperfused areas of the myocardium. In most cases, the signal intensity-time curves in user defined regions of interest (ROI) are studied. As image acquisition is ECG-gated, the images are acquired at the same moment in the cardiac cycle, and the basic shape of the heart is similar from one view to the next. However, superficial respiratory motion can displace the heart in the short-axis plane. The aim of this study is to correct for the respiratory motion of the heart by performing an automatic realignment of the myocardial ROI based on a method t…