Pneumococcal susceptibility to antibiotics in carriage: a 17 year time series analysis of the adaptive evolution of non-vaccine emerging serotypes to a new selective pressure environment.

Background: Pneumococcal conjugate vaccine (PCV) implementations led to major changes in serotype distribution and antibiotic resistance in carriage, accompanied by changes in antibiotic consumption.

Objectives: To assess the dynamic patterns of antimicrobial non-susceptibility across non-PCV13 serotypes following PCV implementations.

Methods: We conducted a quasi-experimental interrupted time series analysis based on a 17 year French nationwide prospective cohort.

[Hospital practices and breastfeeding cessation risk within 6 months of delivery].

Background: The impact of maternity ward practices on breastfeeding duration remains uncertain in France.

Objective: This study aimed to determine whether compliance with an increasing number of Baby-Friendly Hospital Initiative recommended practices was associated with a decreasing risk for breastfeeding cessation within 6 months of delivery.

Methods: We analyzed the original data from a prospective cohort study carried out in eight maternity centers in France in 2005-2006.

Breastfeeding Assessment Score: Systematic Review and Meta-analysis.

Background: Previous studies have revealed conflicting results for the Breastfeeding Assessment Score (BAS) in predicting early breastfeeding cessation. Our objective was to externally validate the BAS and provide summary accuracy estimates for this clinical prediction model.

Methods: We used the original data from a prospective cohort study.

Determinants of 6-month maternal satisfaction with breastfeeding experience in a multicenter prospective cohort study.

Although a personally defined experience, successful breastfeeding is usually measured with regard to duration. This study investigated the determinants of maternal satisfaction with breastfeeding experience for 907 mothers enrolled in a prospective cohort study. Despite a median breastfeeding duration (18 weeks) that fell short of recommendations, 822 mothers (90.

CD-ROM-based program for breastfeeding mothers.

The vast majority of breastfeeding mothers in Western countries have routine access to multimedia and Internet resources at home. The aim of this study was to assess the effectiveness of a CD-ROM-based intervention in increasing the rates of breastfeeding. We conducted a pre- and post-intervention study involving four control and four intervention maternity units in France.

[Acceptability, compliance and schedule of administration of oral antibiotics in outpatient children].

Background: Compliance with antibiotics is essential to ensure treatment efficacy and to prevent the emergence of bacterial resistant stains. In children who take oral form, the palatability and the frequency of administration seem to be factors important to good compliance.

Patients And Methods: This observational study was designed to assess the acceptability of oral antibiotics (including generics) commonly prescribed to children by primary care physicians in France.

Breastfeeding outcomes for mothers with and without home access to e-technologies.

Aim: To estimate the percentage of breastfeeding mothers with home access to e-technologies and to compare breastfeeding outcomes for mothers with and without access to e-technologies.

Methods: We conducted a prospective observational study of 550 breastfeeding mothers discharged from nine maternity units in France.

Results: Overall, 435 mothers (79%; 95% confidence interval [95% CI], 75-82) had home access to e-technologies.

[Performance of the Breastfeeding Assessment Score for the prediction of early weaning in France].

Background: The Breastfeeding Assessment Score (BAS) was derived to help identify mothers at increased risk of early weaning in United States. Data are currently lacking on the accuracy of the BAS for French mother-infant pairs.

Objective: To assess the accuracy of the BAS in a French validation cohort.

Efficacy of breastfeeding support provided by trained clinicians during an early, routine, preventive visit: a prospective, randomized, open trial of 226 mother-infant pairs.

Background: Despite growing evidence of the benefits of prolonged breastfeeding for mother and infant health, the rate of breastfeeding at infant age of 6 months remains below the Healthy People 2010 goal. The greatest decrease in the breastfeeding rate occurs during the first 4 postpartum weeks. Mothers who discontinue breastfeeding early are more likely to report lack of confidence in their ability to breastfeed, problems with the infant latching or suckling, and lack of individualized encouragement from their clinicians in the early postdischarge period.