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  1. Article ; Online: Single-stage revision for total shoulder arthroplasty infection. Results at a minimum 2 years follow-up.

    Hollier-Larousse, Bernard / Hardy, Alexandre / El Sayed, Faten / Roux, Anne-Laure / Ménigaux, Christophe / Bauer, Thomas / Werthel, Jean-David

    Orthopaedics & traumatology, surgery & research : OTSR

    2024  , Page(s) 103881

    Abstract: Introduction: Similar to the management of periprosthetic joint infections of the lower limb, one-stage revision in total shoulder arthroplasty (TSA) infections is an option that has been highlighted in scientific publications since the early 2010s. ... ...

    Abstract Introduction: Similar to the management of periprosthetic joint infections of the lower limb, one-stage revision in total shoulder arthroplasty (TSA) infections is an option that has been highlighted in scientific publications since the early 2010s. However, there are only a few studies which validate this treatment and determine its scope of application in relation to two-stage treatment.
    Hypothesis: Single-stage revision for infected TSA is a reliable treatment allowing good infection control and satisfactory functional results.
    Methods: This single-center retrospective series of 34 consecutive patients operated on between 2014 and 2020 for a one-stage prosthetic revision was evaluated at a minimum of 2 years of follow-up. All of the patients included underwent revision shoulder arthroplasty during this period with the diagnosis of infection confirmed by microbiological analysis of surgical samples. Patients who did not benefit from a bipolar revision were excluded. All patients were followed at least 2 years after the intervention. Clinically suspected recurrence of infection was confirmed by a periprosthetic sample under radiographic guidance. Functional clinical outcomes as well as mechanical complications were also reported.
    Results: The average follow-up was 40.4 months (24-102±21.6). A septic recurrence was observed in three patients (8.8%). A mechanical complication was present in four patients (14.7%), and three (11.8%) required at least one surgical revision. The mean Constant-Murley score at the last follow-up was 49 (42-57±21.83).
    Discussion: Single-stage revision for shoulder periprosthetic joint infection results in a success rate of 91.2% with satisfactory functional results after more than 2 years of follow-up.
    Level of evidence: IV; retrospective study.
    Language English
    Publishing date 2024-04-04
    Publishing country France
    Document type Journal Article
    ISSN 1877-0568
    ISSN (online) 1877-0568
    DOI 10.1016/j.otsr.2024.103881
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Labeled TEMPO-Oxidized Mannan Differentiates Binding Profiles within the Collectin Families.

    Le Guern, Florent / Gaucher, Anne / Cosentino, Gina / Lagune, Marion / Haagsman, Henk P / Roux, Anne-Laure / Prim, Damien / Rottman, Martin

    International journal of molecular sciences

    2022  Volume 23, Issue 24

    Abstract: Establishing the rapid and accurate diagnosis of sepsis is a key component to the improvement of clinical outcomes. The ability of analytical platforms to rapidly detect pathogen-associated molecular patterns (PAMP) in blood could provide a powerful host- ...

    Abstract Establishing the rapid and accurate diagnosis of sepsis is a key component to the improvement of clinical outcomes. The ability of analytical platforms to rapidly detect pathogen-associated molecular patterns (PAMP) in blood could provide a powerful host-independent biomarker of sepsis. A novel concept was investigated based on the idea that a pre-bound and fluorescent ligand could be released from lectins in contact with high-affinity ligands (such as PAMPs). To create fluorescent ligands with precise avidity, the kinetically followed TEMPO oxidation of yeast mannan and carbodiimide coupling were used. The chemical modifications led to decreases in avidity between mannan and human collectins, such as the mannan-binding lectin (MBL) and human surfactant protein D (SP-D), but not in porcine SP-D. Despite this effect, these fluorescent derivatives were captured by human lectins using highly concentrated solutions. The resulting fluorescent beads were exposed to different solutions, and the results showed that displacements occur in contact with higher affinity ligands, proving that two-stage competition processes can occur in collectin carbohydrate recognition mechanisms. Moreover, the fluorescence loss depends on the discrepancy between the respective avidities of the recognized ligand and the fluorescent mannan. Chemically modulated fluorescent ligands associated with a diversity of collectins may lead to the creation of diagnostic tools suitable for multiplex array assays and the identification of high-avidity ligands.
    Language English
    Publishing date 2022-12-16
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms232416067
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A prospective multicentre evaluation of BioFire® Joint Infection Panel for the rapid microbiological documentation of acute arthritis.

    Gaillard, Tiphaine / Dupieux-Chabert, Céline / Roux, Anne-Laure / Tessier, Eve / Boutet-Dubois, Adeline / Courboulès, Camille / Corvec, Stéphane / Bémer, Pascale / Lavigne, Jean-Philippe / El Sayed, Faten / Marchandin, Hélène / Munier, Clément / Chanard, Emmanuel / Gazzano, Vincent / Loiez, Caroline / Laurent, Frédéric

    Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases

    2024  

    Abstract: Objectives: To assess the performance of the rapid syndromic BioFire® Joint Infection Panel (BF-JIP) to detect bacterial and fungal pathogens, as well as antibiotic resistance genes, directly in synovial fluid specimens collected from patients with ... ...

    Abstract Objectives: To assess the performance of the rapid syndromic BioFire® Joint Infection Panel (BF-JIP) to detect bacterial and fungal pathogens, as well as antibiotic resistance genes, directly in synovial fluid specimens collected from patients with acute arthritis.
    Methods: The study was conducted in six French bacteriological laboratories. To assess the performances of BF-JIP, results were compared with those of synovial fluid 14-day culture and, in case of discrepancy, with those of complementary molecular methods and intraoperative samples. A total of 308 synovial fluid specimens were tested after collection from 308 adults and children presenting with clinical and biological suspicion of acute arthritis; patients presenting with acute periprosthetic joint infection were included according to the European Bone and Joint Infection Society 2021 criteria.
    Results: Only one specimen failed (no result). On the basis of the consolidated data, the BF-JIP was concordant with the 14-day culture in 280 (91.2%) of the 307 specimens finally included in the study. The positive percentage agreement was 84.9% (95% CI, 78.8-89.8%) and the negative percentage agreement was 100% (95% CI, 97.2-100%). The positive predictive value was extremely high (100%; 95% CI, 97.6-100%), whereas the negative predictive value was lower (82.6%; 95% CI, 75.7-88.2%), partially explained by the missing target species in the panel.
    Discussion: The BF-JIP showed high performances to detect pathogens involved in acute arthritis.
    Language English
    Publishing date 2024-03-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 1328418-6
    ISSN 1469-0691 ; 1470-9465 ; 1198-743X
    ISSN (online) 1469-0691
    ISSN 1470-9465 ; 1198-743X
    DOI 10.1016/j.cmi.2024.03.022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: In Vivo

    Cunningham, Scott A / Rodriguez, Christophe / Woerther, Paul-Louis / Menigaux, Christophe / Bauer, Thomas / Herrmann, Jean-Louis / Rottman, Martin / Roux, Anne-Laure / Gaillard, Jean-Louis / Patel, Robin / El Sayed, Faten

    Microbiology spectrum

    2023  Volume 11, Issue 4, Page(s) e0368722

    Abstract: Cutibacterium avidum is an emerging causative agent of orthopedic device-related infections (ODRIs). There are no guidelines for the antimicrobial treatment ... ...

    Abstract Cutibacterium avidum is an emerging causative agent of orthopedic device-related infections (ODRIs). There are no guidelines for the antimicrobial treatment of
    MeSH term(s) Humans ; Levofloxacin/pharmacology ; Levofloxacin/therapeutic use ; Rifampin/pharmacology ; Rifampin/therapeutic use ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Propionibacteriaceae ; Fluoroquinolones ; Microbial Sensitivity Tests
    Chemical Substances Levofloxacin (6GNT3Y5LMF) ; Rifampin (VJT6J7R4TR) ; Anti-Bacterial Agents ; Fluoroquinolones
    Language English
    Publishing date 2023-06-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2807133-5
    ISSN 2165-0497 ; 2165-0497
    ISSN (online) 2165-0497
    ISSN 2165-0497
    DOI 10.1128/spectrum.03687-22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: IgA Serological Response for the Diagnosis of Mycobacterium abscessus Infections in Patients with Cystic Fibrosis.

    Le Moigne, Vincent / Roux, Anne-Laure / Mahoudo, Hélène / Christien, Gaëtan / Ferroni, Agnès / Dumitrescu, Oana / Lina, Gérard / Bouchara, Jean-Philippe / Plésiat, Patrick / Gaillard, Jean-Louis / Canaan, Stéphane / Héry-Arnaud, Geneviève / Herrmann, Jean-Louis

    Microbiology spectrum

    2022  Volume 10, Issue 3, Page(s) e0019222

    Abstract: The immunoglobulin A (IgA) status of cystic fibrosis (CF) patients, presenting with or without a non-tuberculous mycobacterial (NTM) infection, has to date not been fully elucidated toward two antigenic preparations previously described. We have chosen ... ...

    Abstract The immunoglobulin A (IgA) status of cystic fibrosis (CF) patients, presenting with or without a non-tuberculous mycobacterial (NTM) infection, has to date not been fully elucidated toward two antigenic preparations previously described. We have chosen to determine the clinical values of an IgA ELISA for the diagnosis of NTM and/or Mycobacterium abscessus infections in CF patients. One hundred and 73 sera from CF patients, comprising 33 patients with M. abscessus positive cultures, and 31 non-CF healthy controls were assessed. IgA levels were evaluated by indirect ELISAs using a surface antigenic extract named TLR2eF for TLR2 positive extract and a recombinant protein, the phospholipase C (rMAB_0555 or rPLC). These assays revealed a sensitivity of 52.6% (95% CI = 35.8% to 69%) and 42.1% (95% CI = 26.3% to 59.2%) using TLR2eF and rPLC, respectively, and respective specificities of 92.6% (95% CI = 87.5% to 96.1%) and 92% (95% CI = 86.7% to 95.7%) for samples culture positive for M. abscessus. Overall sensitivity and specificity of 66.7% and 85.4%, respectively, were calculated for IgA detection in M. abscessus-culture positive CF patients, when we combine the results of the two used antigens, thus demonstrating the efficiency in detection of positive cases for these two antigens with IgA isotype. CF patients with a positive culture for M. abscessus had the highest IgA titers against TLR2eF and rPLC. The diagnosis of NTM infections, including those due to M. abscessus, can be improved by the addition of an IgA serological assay, especially when cultures, for example, are negative. Based on these promising results, a serological follow-up of a larger number of patients should be performed to determine if the IgA response may be correlated with an active/acute infection state or a very recent infection.
    MeSH term(s) Cystic Fibrosis/complications ; Cystic Fibrosis/microbiology ; Humans ; Immunoglobulin A ; Mycobacterium ; Mycobacterium Infections, Nontuberculous/diagnosis ; Mycobacterium Infections, Nontuberculous/microbiology ; Mycobacterium abscessus/physiology ; Nontuberculous Mycobacteria
    Chemical Substances Immunoglobulin A
    Language English
    Publishing date 2022-05-18
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2807133-5
    ISSN 2165-0497 ; 2165-0497
    ISSN (online) 2165-0497
    ISSN 2165-0497
    DOI 10.1128/spectrum.00192-22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Non-

    Courboules, Camille / Dournon, Nathalie / Lawrence, Christine / Noussair, Latifa / Descours, Ghislaine / Sivadon-Tardy, Valérie / Jarraud, Sophie / Herrmann, Jean-Louis / Gaillard, Jean-Louis / Espinasse, Florence / El Sayed, Faten / Roux, Anne-Laure

    IDCases

    2022  Volume 28, Page(s) e01487

    Abstract: We report a nosocomial case ... ...

    Abstract We report a nosocomial case of
    Language English
    Publishing date 2022-03-25
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2745454-X
    ISSN 2214-2509
    ISSN 2214-2509
    DOI 10.1016/j.idcr.2022.e01487
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Predictive factors for positive disco-vertebral biopsy culture in pyogenic vertebral osteomyelitis, and impact of fluoroscopic versus scanographic guidance.

    Diffre, Caroline / Jousset, Camille / Roux, Anne-Laure / Duran, Clara / Noussair, Latifa / Rottman, Martin / Carlier, Robert-Yves / Dinh, Aurélien

    BMC infectious diseases

    2020  Volume 20, Issue 1, Page(s) 512

    Abstract: Background: The aims of this study were to identify the predictive factors for microbiological diagnosis through disco-vertebral biopsy (DVB) in patients with pyogenic vertebral osteomyelitis (PVO) and negative blood cultures, and compare the ... ...

    Abstract Background: The aims of this study were to identify the predictive factors for microbiological diagnosis through disco-vertebral biopsy (DVB) in patients with pyogenic vertebral osteomyelitis (PVO) and negative blood cultures, and compare the performance of DVB under fluoroscopic versus scanographic guidance.
    Methods: We performed a cohort study comparing positive and negative DVB among patients with PVO. All cases of PVO undergoing a DVB for microbiological diagnosis in our center were retrospectively reviewed. Infections due to Mycobacterium tuberculosis, infections on foreign device, and non-septic diseases were excluded. Anamnestic, clinical, biological, microbiological, as well as radiological data were collected from medical charts thanks to a standardized data set.
    Results: A total of 111 patients were screened; 88 patients were included. Microbiological cultures were positive in 53/88 (60.2%) patients. A thickening of the paravertebral tissue ≥10 mm on magnetic resonance imaging (MRI) in axial MR scans was a predictive factor of DVB microbiological positivity (52.4% vs. 13.3%; p = 0.006; OR = 5.4). Overall, 51 DVB were performed under fluoroscopic guidance and 37 under scanographic guidance. Considering lumbar DVB, 25/36 (69.4%) of cases yielded positive results under fluoroscopic guidance versus 5/15 (33.3%) under scanographic guidance (p = 0.02; OR = 4.4). No adverse event linked to DVB was notified.
    Conclusion: Every patient with PVO and negative blood cultures should undergo a DVB. A thickening of the paravertebral tissue ≥10 mm on MRI is associated with a higher rate of positive DVB culture. A lumbar DVB under fluoroscopic guidance is more sensitive than under scanographic guidance to identify the micro-organism involved.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Cohort Studies ; Epidural Abscess/diagnosis ; Epidural Abscess/pathology ; Female ; Fluoroscopy/methods ; Humans ; Image-Guided Biopsy/methods ; Intervertebral Disc/microbiology ; Intervertebral Disc/pathology ; Lumbar Vertebrae/microbiology ; Lumbar Vertebrae/pathology ; Male ; Middle Aged ; Osteomyelitis/diagnosis ; Osteomyelitis/microbiology ; Osteomyelitis/pathology ; Prognosis ; Retrospective Studies ; Risk Factors ; Spinal Diseases/diagnosis ; Spinal Diseases/microbiology ; Spinal Diseases/pathology ; Staphylococcal Infections/diagnosis ; Staphylococcal Infections/pathology ; Tomography, X-Ray Computed/methods ; Young Adult
    Language English
    Publishing date 2020-07-16
    Publishing country England
    Document type Journal Article
    ISSN 1471-2334
    ISSN (online) 1471-2334
    DOI 10.1186/s12879-020-05223-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Compassionate Use of Cefiderocol to Treat a Case of Prosthetic Joint Infection Due to Extensively Drug-Resistant Enterobacter hormaechei

    Siméon, Soline / Dortet, Laurent / Bouchand, Frédérique / Roux, Anne-Laure / Bonnin, Rémy A / Duran, Clara / Decousser, Jean-Winoc / Bessis, Simon / Davido, Benjamin / Sorriaux, Grégory / Dinh, Aurélien

    Microorganisms. 2020 Aug. 13, v. 8, no. 8

    2020  

    Abstract: We report the case of a 67-year old man with a right knee prosthetic joint infection due to extensively drug-resistant Enterobacter hormaechei. The resistance phenotype was due to the overproduction of the intrinsic cephalosporinase (ACT-5) associated ... ...

    Abstract We report the case of a 67-year old man with a right knee prosthetic joint infection due to extensively drug-resistant Enterobacter hormaechei. The resistance phenotype was due to the overproduction of the intrinsic cephalosporinase (ACT-5) associated with the production of three acquired β-lactamases (CTX-M-15, TEM-1B and OXA-1), and a putative membrane decreased permeability. He was first treated with colistin-tigecyclin due to adverse drug reactions; treatment was switched to cefiderocol for a 12-week antibiotic duration, with a favorable outcome.
    Keywords Enterobacter hormaechei ; antibiotics ; beta-lactamase ; drug resistance ; drug toxicity ; permeability ; phenotype ; prostheses
    Language English
    Dates of publication 2020-0813
    Publishing place Multidisciplinary Digital Publishing Institute
    Document type Article
    ZDB-ID 2720891-6
    ISSN 2076-2607
    ISSN 2076-2607
    DOI 10.3390/microorganisms8081236
    Database NAL-Catalogue (AGRICOLA)

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  9. Article: Randomized Cross Over Study Assessing the Efficacy of Non-invasive Stimulation of the Vagus Nerve in Patients With Axial Spondyloarthritis Resistant to Biotherapies: The ESNV-SPA Study Protocol.

    Azabou, Eric / Bao, Guillaume / Costantino, Félicie / Jacota, Madalina / Lazizi, Chanez / Nkam, Lionelle / Rottman, Martin / Roux, Anne-Laure / Chevallier, Sylvain / Grimaldi, Lamiae / Breban, Maxime

    Frontiers in human neuroscience

    2021  Volume 15, Page(s) 679775

    Abstract: Axial spondyloarthritis (SpA), is a major cause of chronic pain and disability that profoundly alters the quality of life of patients. Nearly half of patients with SpA usually develop drug resistance. Non-pharmacological treatments targeting inflammation ...

    Abstract Axial spondyloarthritis (SpA), is a major cause of chronic pain and disability that profoundly alters the quality of life of patients. Nearly half of patients with SpA usually develop drug resistance. Non-pharmacological treatments targeting inflammation are an attractive alternative to drug administration. Vagus nerve stimulation (VNS), by promoting a cholinergic anti-inflammatory reflex holds promise for treating inflammatory disease. Inflammatory reflex signaling, which is enhanced by electrically stimulating the vagus nerve, significantly reduces cytokine production and attenuates disease severity in animal models of endotoxemia, sepsis, colitis, and other preclinical models of inflammatory diseases. It has been proposed that vagal efferent fibers release acetylcholine (Ach), which can interact with α7-subunit-containing nicotinic receptors expressed by tissue macrophages and other immune cells to rapidly inhibit the synthesis/release of pro-inflammatory cytokines such as TNFα, IL-1β, IL-6, and IL-18. External vagal nerve stimulation devices are now available that do not require surgery nor implantation to non-invasively stimulate the vagal nerve. This double-blind randomized cross-over clinical trial aims to study the change in SpA disease activity, according to Assessment in Ankylosing Spondylitis 20 (ASAS20) definition, after 12 weeks of non-invasive VNS treatment vs. non-specific dummy stimulation (control group). One hundred and twenty adult patients with drug resistant SpA, meeting the ASAS classification criteria, will be included in the study. Patients will be randomized into two parallel groups according to a cross over design: either active VNS for 12 weeks, then dummy stimulation for 12 weeks, or dummy stimulation for 12 weeks, then active VNS for 12 weeks. The two stimulation periods will be separated by a 4 weeks wash-out period. A transcutaneous auricular vagus nerve stimulator Tens Eco Plus SCHWA MEDICO
    Language English
    Publishing date 2021-06-30
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2425477-0
    ISSN 1662-5161
    ISSN 1662-5161
    DOI 10.3389/fnhum.2021.679775
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Multiplex Antibody Measurement for Post-treatment Follow-up of Staphylococcal Prosthetic Joint Infection: A Diagnostic Pilot Study.

    Bauer, Thomas / Marmor, Simon / Ghout, Idir / Salomon, Elsa / Sayed, Faten El / Heym, Beate / Rottman, Martin / Gaillard, Jean-Louis / Roux, Anne-Laure

    Journal of bone and joint infection

    2019  Volume 4, Issue 5, Page(s) 227–233

    Abstract: Introduction: ...

    Abstract Introduction:
    Language English
    Publishing date 2019-09-26
    Publishing country Germany
    Document type Journal Article
    ISSN 2206-3552
    ISSN 2206-3552
    DOI 10.7150/jbji.36015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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