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  1. Article ; Online: Author's reply to "Face-mask non-invasive ventilation plus high-flow nasal oxygen in COVID-19 patients: "one size fits all" or tailored approach?": always tailored, with a trial!

    Urbina, Tomas / Elabbadi, Alexandre / Voiriot, Guillaume / Ait-Oufella, Hafid

    Minerva anestesiologica

    2022  Volume 88, Issue 7-8, Page(s) 644–646

    MeSH term(s) COVID-19/therapy ; Humans ; Masks ; Noninvasive Ventilation ; Oxygen ; Respiration, Artificial
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2022-07-08
    Publishing country Italy
    Document type Journal Article ; Comment
    ZDB-ID 123584-9
    ISSN 1827-1596 ; 0026-4717 ; 0375-9393
    ISSN (online) 1827-1596
    ISSN 0026-4717 ; 0375-9393
    DOI 10.23736/S0375-9393.22.16669-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Diagnostic yield of viral multiplex PCR during acute exacerbation of COPD admitted to the intensive care unit: a pilot study.

    Salachas, Costa / Gounane, Cherifa / Beduneau, Gaëtan / Lopinto, Julien / Turpin, Matthieu / Amiel, Corinne / Cuvelier, Antoine / Gueudin, Marie / Voiriot, Guillaume / Fartoukh, Muriel

    Scientific reports

    2024  Volume 14, Issue 1, Page(s) 1057

    Abstract: Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is one of the leading causes of admission to the intensive care unit, often triggered by a respiratory tract infection of bacterial or viral aetiology. Managing antibiotic therapy in ... ...

    Abstract Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is one of the leading causes of admission to the intensive care unit, often triggered by a respiratory tract infection of bacterial or viral aetiology. Managing antibiotic therapy in this context remains a challenge. Respiratory panel molecular tests allow identifying viral aetiologies of AECOPD. We hypothesized that the systematic use of a respiratory multiplex PCR (mPCR) would help antibiotics saving in severe AECOPD. Our objectives were to describe the spectrum of infectious aetiologies of severe AECOPD, using a diagnostic approach combining conventional diagnostic tests and mPCR, and to measure antibiotics exposure. The study was bicentric, prospective, observational, and included 105 critically ill patients with a severe AECOPD of presumed infectious aetiology, in whom a respiratory mPCR with a viral panel was performed in addition to conventional microbiological tests. Altogether, the microbiological documentation rate was 50%, including bacteria alone (19%), respiratory viruses alone (16%), and mixed viruses and bacterial species (16%). The duration of antibiotic therapy was shorter in patients without documented bacterial infection (5.6 vs. 9 days; P = 0.0006). This pilot study suggests that molecular tests may help for the proper use of anti-infective treatments in critically ill patients with severe AECOPD.
    MeSH term(s) Humans ; Anti-Bacterial Agents/therapeutic use ; Critical Illness ; Disease Progression ; Intensive Care Units ; Multiplex Polymerase Chain Reaction ; Pilot Projects ; Prospective Studies ; Pulmonary Disease, Chronic Obstructive ; Viruses
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2024-01-11
    Publishing country England
    Document type Journal Article ; Observational Study
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-024-51465-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Aspects pédiatriques des infections bronchopulmonaires.

    Phillipot, Quentin / Voiriot, Guillaume / Fartoukh, Muriel

    La Revue du praticien

    2020  Volume 69, Issue 7, Page(s) e248–e249

    Title translation Pediatric aspects of bronchopulmonary infections.
    MeSH term(s) Child ; Humans ; Infections ; Lung Diseases
    Language French
    Publishing date 2020-03-31
    Publishing country France
    Document type Journal Article
    ZDB-ID 205365-2
    ISSN 2101-017X ; 0035-2640
    ISSN (online) 2101-017X
    ISSN 0035-2640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Infections bronchopulmonaires communautaires de l’adulte et de l’enfant.

    Phillipot, Quentin / Voiriot, Guillaume / Fartoukh, Muriel

    La Revue du praticien

    2020  Volume 69, Issue 7, Page(s) e239–e247

    Title translation Community-acquired bronchopulmonary infections in adults and children.
    MeSH term(s) Adult ; Child ; Community-Acquired Infections ; Humans
    Language French
    Publishing date 2020-03-31
    Publishing country France
    Document type Journal Article
    ZDB-ID 205365-2
    ISSN 2101-017X ; 0035-2640
    ISSN (online) 2101-017X
    ISSN 0035-2640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Diagnostic yield of viral multiplex PCR during acute exacerbation of COPD admitted to the intensive care unit

    Costa Salachas / Cherifa Gounane / Gaëtan Beduneau / Julien Lopinto / Matthieu Turpin / Corinne Amiel / Antoine Cuvelier / Marie Gueudin / Guillaume Voiriot / Muriel Fartoukh

    Scientific Reports, Vol 14, Iss 1, Pp 1-

    a pilot study

    2024  Volume 7

    Abstract: Abstract Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is one of the leading causes of admission to the intensive care unit, often triggered by a respiratory tract infection of bacterial or viral aetiology. Managing antibiotic ... ...

    Abstract Abstract Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is one of the leading causes of admission to the intensive care unit, often triggered by a respiratory tract infection of bacterial or viral aetiology. Managing antibiotic therapy in this context remains a challenge. Respiratory panel molecular tests allow identifying viral aetiologies of AECOPD. We hypothesized that the systematic use of a respiratory multiplex PCR (mPCR) would help antibiotics saving in severe AECOPD. Our objectives were to describe the spectrum of infectious aetiologies of severe AECOPD, using a diagnostic approach combining conventional diagnostic tests and mPCR, and to measure antibiotics exposure. The study was bicentric, prospective, observational, and included 105 critically ill patients with a severe AECOPD of presumed infectious aetiology, in whom a respiratory mPCR with a viral panel was performed in addition to conventional microbiological tests. Altogether, the microbiological documentation rate was 50%, including bacteria alone (19%), respiratory viruses alone (16%), and mixed viruses and bacterial species (16%). The duration of antibiotic therapy was shorter in patients without documented bacterial infection (5.6 vs. 9 days; P = 0.0006). This pilot study suggests that molecular tests may help for the proper use of anti-infective treatments in critically ill patients with severe AECOPD.
    Keywords Medicine ; R ; Science ; Q
    Subject code 610 ; 572
    Language English
    Publishing date 2024-01-01T00:00:00Z
    Publisher Nature Portfolio
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Infectious aetiologies of severe acute chest syndrome in sickle-cell adult patients, combining conventional microbiological tests and respiratory multiplex PCR.

    Lopinto, Julien / Elabbadi, Alexandre / Gibelin, Aude / Voiriot, Guillaume / Fartoukh, Muriel

    Scientific reports

    2021  Volume 11, Issue 1, Page(s) 4837

    Abstract: Acute chest syndrome (ACS) is the most serious complication of sickle cell disease. The pathophysiology of ACS may involve lower respiratory tract infection (LRTI), alveolar hypoventilation and atelectasis, bone infarcts-driven fat embolism, and in situ ... ...

    Abstract Acute chest syndrome (ACS) is the most serious complication of sickle cell disease. The pathophysiology of ACS may involve lower respiratory tract infection (LRTI), alveolar hypoventilation and atelectasis, bone infarcts-driven fat embolism, and in situ pulmonary artery thrombosis. One of the most challenging issues for the physicians is to diagnose LRTI as the cause of ACS. The use of a respiratory multiplex PCR (mPCR) for the diagnosis of LRTI has not been assessed in sickle-cell adult patients with ACS. To describe the spectrum of infectious aetiologies of severe ACS, using a diagnostic approach combining conventional tests and mPCR. A non-interventional monocenter prospective study involving all the consecutive sickle-cell adult patients with ACS admitted to the intensive care unit (ICU). Microbiological investigation included conventional tests and a nasopharyngeal swab for mPCR. Altogether, 36 patients were enrolled, of whom 30 (83%) had complete microbiological investigations. A bacterial microorganism, mostly Staphylococcus aureus (n = 8), was identified in 11 patients. There was no pneumonia-associated intracellular bacterial pathogen. A respiratory virus was identified in six patients. Using both conventional tests and nasopharyngeal mPCR, a microbiological documentation was obtained in half of adult ACS patients admitted to the ICU. Pyogenic bacteria, especially S. aureus, predominated.
    MeSH term(s) Acute Chest Syndrome/complications ; Acute Chest Syndrome/genetics ; Acute Chest Syndrome/microbiology ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Multiplex Polymerase Chain Reaction ; Pneumonia, Staphylococcal/etiology ; Pneumonia, Staphylococcal/genetics ; Pneumonia, Staphylococcal/microbiology ; Prospective Studies ; Staphylococcus aureus/genetics
    Language English
    Publishing date 2021-03-01
    Publishing country England
    Document type Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-021-84163-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Inappropriate Heart Rate Response to Hypotension in Critically Ill COVID-19-Associated Acute Kidney Injury.

    Verney, Charles / Legouis, David / Voiriot, Guillaume / Fartoukh, Muriel / Labbé, Vincent

    Journal of clinical medicine

    2021  Volume 10, Issue 6

    Abstract: Angiotensin-converting enzyme 2 (ACE2) receptor of severe acute respiratory syndrome coronavirus 2 is involved in baroreflex control mechanisms. We hypothesize that severe coronavirus infectious disease 2019 (COVID-19) patients may show an alteration in ... ...

    Abstract Angiotensin-converting enzyme 2 (ACE2) receptor of severe acute respiratory syndrome coronavirus 2 is involved in baroreflex control mechanisms. We hypothesize that severe coronavirus infectious disease 2019 (COVID-19) patients may show an alteration in baroreflex-mediated heart rate changes in response to arterial hypotension. A pilot study was conducted to assess the response to hypotension in relation to continuous venovenous hemodiafiltration (CVVHDF) in critically ill patients with PCR-confirmed COVID-19 (from February to April 2020) and in critically ill non-COVID-19 patients with sepsis (from February 2018 to February 2020). The endpoint was a change in the heart rate in response to CVVHDF-induced hypotension. The association between COVID-19 status and heart rate change was estimated using linear regression. The study population included 6 COVID-19 patients (67% men; age 58 (53-64) years) and 12 critically ill non-COVID-19 patients (58% men; age 67 (51-71) years). Baseline characteristics, laboratory findings, hemodynamic parameters, and management before CVVHDF-induced hypotension were similar between the two groups, with the exception of a higher positive end-expiratory pressure and doses of propofol and midazolam administered in COVID-19 patients. Changes in the heart rate were significantly lower in COVID-19 patients as compared to critically ill non-COVID-19 patients (-7 (-9; -2) vs. 2 (2;5) bpm,
    Language English
    Publishing date 2021-03-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm10061317
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Bronchoalveolar lavage findings in severe COVID-19 pneumonia.

    Voiriot, Guillaume / Fajac, Anne / Lopinto, Julien / Labbé, Vincent / Fartoukh, Muriel

    Internal and emergency medicine

    2020  Volume 15, Issue 7, Page(s) 1333–1334

    MeSH term(s) Betacoronavirus ; Bronchoalveolar Lavage ; COVID-19 ; Coronavirus ; Coronavirus Infections ; Humans ; Pandemics ; Pneumonia ; Pneumonia, Viral ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-05-15
    Publishing country Italy
    Document type Journal Article ; Comment
    ZDB-ID 2454173-4
    ISSN 1970-9366 ; 1828-0447
    ISSN (online) 1970-9366
    ISSN 1828-0447
    DOI 10.1007/s11739-020-02356-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Destructive pulmonary fibrosis after severe COVID-19 pneumonia.

    Letellier, Alice / Gibelin, Aude / Voiriot, Guillaume / Fartoukh, Muriel / Djibré, Michel

    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

    2020  Volume 100, Page(s) 377–378

    Keywords covid19
    Language English
    Publishing date 2020-09-16
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 1331197-9
    ISSN 1878-3511 ; 1201-9712
    ISSN (online) 1878-3511
    ISSN 1201-9712
    DOI 10.1016/j.ijid.2020.09.026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Corticosteroids induce an early but limited decrease in IL-6 dependent pro-inflammatory responses in critically ill COVID-19 patients.

    Urbina, Tomas / Gabarre, Paul / Bonny, Vincent / Lavillegrand, Jean-Rémi / Garnier, Marc / Joffre, Jérémie / Mario, Nathalie / Dumas, Guillaume / Hariri, Geoffroy / Turpin, Matthieu / Pardo, Emmanuel / Fartoukh, Muriel / Guidet, Bertrand / Maury, Eric / Chantran, Yannick / Boelle, Pierre-Yves / Voiriot, Guillaume / Ait-Oufella, Hafid

    Minerva anestesiologica

    2024  Volume 90, Issue 3, Page(s) 172–180

    Abstract: Background: Corticosteroids have become standard of care for COVID-19 but their effect on the systemic immune-inflammatory response has been little investigated.: Methods: Multicenter prospective cohort, including critically ill COVID-19 patients ... ...

    Abstract Background: Corticosteroids have become standard of care for COVID-19 but their effect on the systemic immune-inflammatory response has been little investigated.
    Methods: Multicenter prospective cohort, including critically ill COVID-19 patients between March and November 2020. C-reactive protein (CRP), lymphocyte count and fibrinogen levels were collected upon hospital admission before initiation of steroid treatment and at ICU admission, three days and seven days later, along with interleukin (IL)-6, IL-10 and tumor necrosis factor-alpha (TNF-α) plasma levels.
    Results: A hundred and fifty patients were included, 47 received corticosteroids, 103 did not. Median age was 62 [53-70], and 96 (65%) patients were mechanically ventilated. Propensity score matching rendered 45 well-balanced pairs of treated and non-treated patients, particularly on pre-treatment CRP levels. Using a mixed model, CRP (P=0.019), fibrinogen (P=0.003) and lymphocyte counts (P=0.006) remained lower in treated patients over ICU stay. Conversely, there was no significant difference over the ICU stay for Il-6 (P=0.146) and IL-10 (0.301), while TNF- α levels were higher in the treated group (P=0.013). Among corticosteroid-treated patients, CRP (P=0.012), fibrinogen (P=0.041) and lymphocyte count (P=0.004) over time were associated with outcome, whereas plasma cytokine levels were not.
    Conclusions: Steroid treatment was associated with an early and sustained decrease in the downstream IL-6-dependent inflammatory signature but an increase in TNF-α levels. In corticosteroid-treated patients, CRP and lymphocyte count were associated with outcome, conversely to plasma cytokine levels. Further research on using these biomarker's kinetics to individualize immunomodulatory treatments is warranted.
    MeSH term(s) Humans ; Middle Aged ; Interleukin-6 ; COVID-19 ; Interleukin-10 ; Tumor Necrosis Factor-alpha ; Prospective Studies ; Critical Illness/therapy ; Cytokines ; C-Reactive Protein ; Adrenal Cortex Hormones ; Fibrinogen ; Steroids
    Chemical Substances Interleukin-6 ; Interleukin-10 (130068-27-8) ; Tumor Necrosis Factor-alpha ; Cytokines ; C-Reactive Protein (9007-41-4) ; Adrenal Cortex Hormones ; Fibrinogen (9001-32-5) ; Steroids
    Language English
    Publishing date 2024-01-29
    Publishing country Italy
    Document type Multicenter Study ; Journal Article
    ZDB-ID 123584-9
    ISSN 1827-1596 ; 0026-4717 ; 0375-9393
    ISSN (online) 1827-1596
    ISSN 0026-4717 ; 0375-9393
    DOI 10.23736/S0375-9393.23.17765-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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