Publications by authors named "A Gourinat"

Background: Pacific Islanders are underrepresented in vaccine efficacy trials. Few studies describe their immune response to COVID-19 vaccination. Yet, this characterization is crucial to re-enforce vaccination strategies adapted to Pacific Islanders singularities.

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Background And Aims: Several symptomatic cases of HEV infections were reported to the New Caledonia Island Public Health Service between August and December 2023. This prompted epidemiological and virological investigations to identify the source of infection.

Approach And Results: HEV RNA was assessed in symptomatic patients, various food items, and pig farms on the Island.

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Objectives: New Caledonia, a former zero-COVID country, was confronted with a SARS-CoV-2 Delta variant outbreak in September 2021. We evaluate the relative contribution of vaccination, lockdown, and timing of interventions on healthcare burden.

Methods: We developed an age-stratified mathematical model of SARS-CoV-2 transmission and vaccination calibrated for New Caledonia and evaluated three alternative scenarios.

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Article Synopsis
  • An increase in Corynebacterium diphtheriae infections has been noted in New Caledonia from May 2015 to May 2019, with a focus on clinical and microbiological characteristics of these samples.
  • Among 58 isolates studied, the majority (87.9%) were cutaneous, with many cases linked to other bacteria like Staphylococcus aureus and Streptococcus pyogenes, and some linked to recent travel to Vanuatu.
  • Most isolates were susceptible to common antibiotics, with a notable cluster showing resistance to tetracycline, suggesting ongoing surveillance for diphtheria is necessary due to the existence of nontoxigenic strains in cutaneous infections.
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The increase in carbapenem-resistant Enterobacterales (CRE) is mostly driven by the spread of carbapenemase-producing (CP) strains. In New Caledonia, the majority of carbapenemases found are IMP-type carbapenemases that are difficult to detect on routine selective media. In this study, a culture-based method with ertapenem selection is proposed to distinguish non-CRE, non-CP-CRE, and CP-CRE from samples with very high bacterial loads.

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