Publications by authors named "J Lellouche"

The AIDA randomized clinical trial found no significant difference in clinical failure or survival between colistin monotherapy and colistin-meropenem combination therapy in carbapenem-resistant Gram-negative infections. The aim of this reverse translational study was to integrate all individual preclinical and clinical pharmacokinetic-pharmacodynamic (PKPD) data from the AIDA trial in a pharmacometric framework to explore whether individualized predictions of bacterial burden were associated with the trial outcomes. The compiled dataset included for each of the 207 patients was (i) information on the infecting Acinetobacter baumannii isolate (minimum inhibitory concentration, checkerboard assay data, and fitness in a murine model), (ii) colistin plasma concentrations and colistin and meropenem dosing history, and (iii) disease scores and demographics.

View Article and Find Full Text PDF

Unlabelled: Timely detection of carbapenem-resistant (CRAB) carriers is essential to direct infection control measures. In this work, we aimed to develop a practical protocol to detect CRAB from screening samples. To choose a selective medium that detects CRAB with high sensitivity and specificity, 111 .

View Article and Find Full Text PDF

Background: Breast implant infection and biofilm formation are major concerns in reconstructive and esthetic breast surgery, with significant medical and economic consequences. Staphylococcus is the common pathogen, with rapidly increasing rates of methicillin-resistant Staphylococcus aureus (MRSA). There is no consensus on prevention practices.

View Article and Find Full Text PDF

We report an outbreak of Candida auris across multiple healthcare facilities in Israel. For the period of May 2014-May 2022, a total of 209 patients with C. auris infection or colonization were identified.

View Article and Find Full Text PDF
Article Synopsis
  • Colistin heteroresistance (HR) in bacteria involves different subpopulations with varying levels of resistance, mainly found in carbapenem-resistant Acinetobacter baumannii.
  • In a study of 173 clinical isolates, a high prevalence of HR (67.1%) was observed, and many strains (80.2%) evolved into full resistance after exposure to colistin.
  • The study reveals that HR strains are linked to worse clinical outcomes, particularly higher 14-day mortality rates in patients with bacteremia, highlighting a public health concern in healthcare settings.
View Article and Find Full Text PDF