Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
Background: Neonatal infection constitutes one of Senegal’s most important public health problems, with amortality rate of 41 deaths per 1,000 live births.Methods: Between January 2007 and March 2008, 242 neonates with suspected infection were recruited at threeneonatal intensive care units in three major tertiary care centers in Dakar, the capital of Senegal. Neonatal infections wereconfirmed by positive bacterial blood or cerebrospinal fluid culture. The microbiological pattern of neonatal infectionsand the antibiotic susceptibility of the isolates were characterized. In addition, the genetic basis for antibiotic resistanceand the genetic background of third-generation cephalosporin-resistant (3GC-R) Enterobacteriaceae were studied.Results: A bacteriological infection was confirmed in 36.4 % (88/242) of neonates: 22.7 % (30/132) during the early-onsetand 52.7 % (58/110) during the late-onset periods (p > 0.20). Group B streptococci accounted for 6.8 % of the 88 collectedbacterial isolates, while most of them were Enterobacteriaceae (n = 69, 78.4 %). Of these, 55/69 (79.7 %) were 3GC-R. TheblaCTX-M-15 allele, the blaSHV and the blaTEM were highly prevalent (63.5, 65.4 and 53.8 %, respectively), usually associatedwith qnr genes (65.4 %). Clonally related strains of 3GC-R Klebsiella pneumoniae and 3GC-R Enterobacter cloacae, the twomost commonly recovered 3GC-R Enterobacteriaceae (48/55), were detected at the three hospitals, underlining the roleof cross-transmission in their spread. The overall case fatality rate was 18.6 %.Conclusions:Measures should be taken to prevent nosocomial infections and the selection of resistant bacteria
ISSN: 1471-2334

Droits : http://creativecommons.org/licenses/by/
hal-01473613
https://hal.archives-ouvertes.fr/hal-01473613
https://hal.archives-ouvertes.fr/hal-01473613/document
https://hal.archives-ouvertes.fr/hal-01473613/file/High%20third-generation%20cephalosporin%20resistant%20Enterobacteriaceae%20prevalence%20rate%20among%20neonatal%20infections%20in%20Dakar%2C%20Senegal.pdf
DOI : 10.1186/s12879-016-1935-y

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
BACKGROUND: The genetic diversity of Plasmodium falciparum has been extensively studied in various parts of the world. However, limited data are available from Mauritania. The present study examined and compared the genetic diversity of P. falciparum isolates in Mauritania. METHODS: Plasmodium falciparum isolates blood samples were collected from 113 patients attending health facilities in Nouakchott and Hodh El Gharbi regions. K1, Mad20 and RO33 allelic family of msp-1 gene were determined by nested PCR amplification. RESULTS: K1 family was the predominant allelic type carried alone or in association with Ro33 and Mad20 types (90%; 102/113). Out of the 113 P. falciparum samples, 93(82.3%) harboured more than one parasite genotype. The overall multiplicity of infection was 3.2 genotypes per infection. There was no significant correlation between multiplicity of infection and age of patients. A significant increase of multiplicity of infection was correlated with parasite densities. CONCLUSIONS: The polymorphism of P. falciparum populations from Mauritania was high. Infection with multiple P. falciparum clones was observed, as well as a high multiplicity of infection reflecting both the high endemicity level and malaria transmission in Mauritania.
ISSN: 1475-2875

inserm-00936407
http://www.hal.inserm.fr/inserm-00936407
http://www.hal.inserm.fr/inserm-00936407/document
http://www.hal.inserm.fr/inserm-00936407/file/1475-2875-13-26.pdf
DOI : 10.1186/1475-2875-13-26

Éditeur(s) : HAL CCSD Wiley
Résumé : International audience
1. The Before-After Control-Impact Paired Series (BACIPS) design distinguishes natural spatial and temporalvariability from variation induced by an environmental impact (or intervention) of interest. BACIPS is a powerfultool to derive inferences about interventions when classic experimental approaches (e.g. which rely on spatialreplicates and random assignment of treatments) are not feasible or desirable. Previously applied BACIPSdesigns generally assume that effects are sudden, constant and long-lived: that is, that systems exhibit ‘stepchanges’in response to interventions. However, complex ecological interactions or gradual interventions maycreate delayed and/or progressive responses, potentially impeding the reliability of classic (step-change) analyses.2. We propose a novel approach, the Progressive-Change BACIPS, which generalizes and expands the scope ofBACIPS analyses.We evaluate the relative performance of this approach using both simulated and real data thatexhibit step-change, linear, asymptotic and sigmoid responses following an intervention.We quantify the statisticalpower and accuracy of the Progressive-Change BACIPS under varying initial population densities, intensityof spatial sampling, effect sizes and number of sampling dates After the intervention.3. We show that Progressive-Change BACIPS identified the correct model among the set of candidate modelsunder most conditions and led to accurate estimates of the parameters that were used to generate the simulateddata. When data were sparse, and the dynamics complex, simpler (more parsimonious) models were favouredover the more complex models that actually generated the simulated data. Application of the Progressive-Change BACIPS to existing data sets from the literature led to strong support for specific models (over alternatives)and led to more specific inferences than possible under the classic BACIPS approach.4. The Progressive-Change BACIPS proposed here is more flexible than the original BACIPS formulationbecause the data are used to inform the form of the final model, rather than having the form of the modelimposed on the data. This leads to better estimates of the effects of environmental impacts and the time-scalesover which they operate. As a result, the Progressive-Change BACIPS should be applicable to a wide range ofstudies and should help improve investigation of time-dependent effects. R code to perform Progressive-ChangeBACIPS analysis is provided.
ISSN: 2041-210X

hal-01416668
https://hal-univ-perp.archives-ouvertes.fr/hal-01416668
DOI : 10.1111/2041-210X.12655

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Until recently, our ability to implement and assess spatial marine management approaches has been limited by a lack of information regarding processes that bind marine ecosystems, including habitat locations, larval and adult movement, trophic interactions, and fisher behavior. However, recent advances in habitat-mapping technologies, genetics, marine microchemistry, animal tracking and numerical modeling have greatly enhanced our knowledge of these processes. Although these advances have yet to be fully integrated into management decisions, they have the potential to revolutionize spatial marine management. Nevertheless, this revolution will require advances in our ability to share and integrate data into models of marine ecosystems.
ISSN: 1877-3435

hal-00609464
https://hal.archives-ouvertes.fr/hal-00609464
DOI : 10.1016/j.cosust.2010.02.002

Éditeur(s) : HAL CCSD Public Library of Science
Résumé : International audience
ISSN: 1932-6203

hal-01520195
https://hal.archives-ouvertes.fr/hal-01520195
DOI : 10.1371/journal.pone.0176862

Éditeur(s) : HAL CCSD International Medical Press
Résumé : International audience
Background: Although the role of clinical/biological factors associated with mortality has already been explored in HIV-infected patients on antiretroviral therapy (ART), to date little attention has been given to the potential role of social vulnerability. This study aimed to construct an appropriate measure of social vulnerability and to evaluate whether this measure is predictive of increased mortality risk in ART-treated patients followed up in the ANRS CO8 APROCO-COPILOTE cohort.Methods: The cohort enrolled 1,281 patients initiating a protease inhibitor-based regimen in 1997–1999. Clinical/laboratory data were collected every 4 months. Self-administered questionnaires collected psycho-social/behavioural characteristics at enrolment (month [M] 0), M4 and every 8–12 months thereafter. A multiple correspondence analysis using education, employment and housing indicators helped construct a composite indicator measuring social vulnerability. The outcome studied was all-cause deaths occurring after M4. The relationship between social vulnerability and mortality, after adjustment for other predictors, was studied using a shared-frailty Cox model, taking into account informative study dropout.Results: Over a median (IQR) follow-up of 7.9 (3.0–11.2) years, 121 deaths occurred among 1,057 eligible patients, corresponding to a mortality rate (95% CI) of 1.64 (1.37, 1.96)/100 person-years. Leading causes of death were non-AIDS defining cancers (n=26), AIDS (n=23) and cardiovascular diseases (n=12). Social vulnerability (HR [95% CI] =1.2 [1.0, 1.5]) was associated with increased mortality risk, after adjustment for other known behavioural and bio-medical predictors.Conclusions: Social vulnerability remains a major mortality predictor in ART-treated patients. A real need exists for innovative interventions targeting individuals cumulating several sources of social vulnerability, to ensure that social inequalities do not continue to lead to higher mortality.
ISSN: 1359-6535

hal-01299300
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01299300
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01299300/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01299300/file/Twelve-year%20mortality%20in%20HIV-infected%20patients_accepted.pdf
DOI : 10.3851/IMP2960

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
We investigate the contribution of atmospheric and its induced non-tidal oceanic loading effects on surface time-varying gravity and tilt measurements for several stations in Western Europe. The ocean response to pressure forcing can be modelled accordingly to the inverted barometer, i.e. assuming that air pressure variations are fully compensated by static sea height changes, or using ocean general circulation models.Wevalidate two runs of theHUGO-mbarotropic ocean model by comparing predicted sea surface height variations with hundred tide-gauge measurements along the European coasts. We then show that global surface pressure field, as well as a barotropic high-resolution ocean model forced by air pressure and winds allow in most cases a significant reduction of the variance of gravity residuals and, to a smaller extends tilt residuals. Wefinally show that precise gravity measurements with superconducting gravimeters allow the observation of large storm surges, occurring in the North Sea, even for inland stations. However, we also confirm that the continental hydrology contribution cannot be neglected. Thanks to their specific sensitivity feature, only tiltmeters closest to the coast can clearly detect the loading due to these storm surges.
ISSN: 0264-3707

hal-00708046
https://hal.archives-ouvertes.fr/hal-00708046
https://hal.archives-ouvertes.fr/hal-00708046/document
https://hal.archives-ouvertes.fr/hal-00708046/file/ETS2008_BOY.pdf
BIBCODE : 2009JGeo...48..182B

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Liposomal amphotericin B (LAmb) may fail to heal Leishmania infantum visceral leishmaniasis (VL) in the immunodeficient host. There are currently no guidelines on how to treat such patients and efficacy of miltefosine monotherapy seems limited in this indication. We present 2 cases of patients with VL and AIDS for which LAmb had to be interrupted (one because of toxicity, one because of treatment failure) and who were treated effectively with pentamidine followed by miltefosine.
ISSN: 1383-5769

hal-01509592
https://hal.archives-ouvertes.fr/hal-01509592
PUBMED : 27353022

Éditeur(s) : HAL CCSD Oxford University Press (OUP)
Résumé : International audience
We investigate the deformation induced by water pressure variations in hydrologically active natural fractures, and recorded by tiltmeters and strainmeters. The deformation associated with a single fracture is derived using finite-element modelling (FEM). A range in fracture geometries is explored, first to highlight the sensitivity of each geometrical parameter to the deformation, and secondly to allow transfer to observation sites. Water level variations in the fracture are then derived from a hydrological model, driven by observed rainfall, and calibrated on fracture water flow measurements. The modelling results are explicitly applied to constrain the local hydrological contribution to observations with the 100-m-long hydrostatic tiltmeter installed at Sainte-Croix-aux-Mines (France). Our study shows that well-founded physical modelling of local hydrological effect allows a substantial correction of records in observatories.
ISSN: 0956-540X

hal-00708093
https://hal.archives-ouvertes.fr/hal-00708093
https://hal.archives-ouvertes.fr/hal-00708093/document
https://hal.archives-ouvertes.fr/hal-00708093/file/fracture_v72.pdf
BIBCODE : 2009GeoJI.178..667L

Éditeur(s) : HAL CCSD
Résumé : International audience
Many emerging infectious diseases are caused by generalist pathogens that infect and transmit via multiple host species with multiple dissemination routes, thus confounding the understanding of pathogen transmission pathways from wildlife reservoirs to humans. The emergence of these pathogens in human populations has frequently been associated with global changes, such as socio-economic, climate or biodiversity modifications, by allowing generalist pathogens to invade and persist in new ecological niches, infect new host species, and thus change the nature of transmission pathways. Using the case of Buruli ulcer disease, we review how land-use changes, climatic patterns and biodiversity alterations contribute to disease emergence in many parts of the world. Here we clearly show that Mycobacterium ulcerans is an environmental pathogen characterized by multi-host transmission dynamics and that its infectious pathways to humans rely on the local effects of global environmental changes. We show that the interplay between habitat changes (for example, deforestation and agricultural land-use changes) and climatic patterns (for example, rainfall events), applied in a local context, can lead to abiotic environmental changes and functional changes in local biodiversity that favor the pathogen’s prevalence in the environment and may explain disease emergence.
ISSN: 2222-1751

Droits : http://creativecommons.org/licenses/by/
hal-01528488
http://hal.upmc.fr/hal-01528488
http://hal.upmc.fr/hal-01528488/document
http://hal.upmc.fr/hal-01528488/file/emi20177a.pdf
DOI : 10.1038/emi.2017.7

Éditeur(s) : HAL CCSD Public Library of Science
Résumé : International audience
BACKGROUND: Dengue and malaria are two major public health concerns in tropical settings. Although the pathogeneses of these two arthropod-borne diseases differ, their clinical and biological presentations are unspecific. During dengue epidemics, several hundred patients with fever and diffuse pain are weekly admitted at the emergency room. It is difficult to discriminate them from patients presenting malaria attacks. Furthermore, it may be impossible to provide a parasitological microscopic examination for all patients. This study aimed to establish a diagnostic algorithm for communities where dengue fever and malaria occur at some frequency in adults. METHODOLOGY/PRINCIPAL FINDINGS: A sub-study using the control groups of a case-control study in French Guiana - originally designed to compare dengue and malaria co-infected cases to single infected cases - was performed between 2004 and 2010. In brief, 208 patients with malaria matched to 208 patients with dengue fever were compared in the present study. A predictive score of malaria versus dengue was established using .632 bootstrap procedures. Multivariate analysis showed that male gender, age, tachycardia, anemia, thrombocytopenia, and CRP>5 mg/l were independently associated with malaria. The predictive score using those variables had an AUC of 0.86 (95%CI: 0.82-0.89), and the CRP was the preponderant predictive factor. The sensitivity and specificity of CRP>5 mg/L to discriminate malaria from dengue were of 0.995 (95%CI: 0.991-1) and 0.35 (95%CI 0.32-0.39), respectively. CONCLUSIONS/SIGNIFICANCE: The clinical and biological score performed relatively well for discriminating cases of dengue versus malaria. Moreover, using only the CRP level turned to be a useful biomarker to discriminate feverish patients at low risk of malaria in an area where both infections exist. It would avoid more than 33% of unnecessary parasitological examinations with a very low risk of missing a malaria attack.
ISSN: 1935-2727

inserm-00872353
http://www.hal.inserm.fr/inserm-00872353
http://www.hal.inserm.fr/inserm-00872353/document
http://www.hal.inserm.fr/inserm-00872353/file/journal.pntd.0002420.pdf
DOI : 10.1371/journal.pntd.0002420