Publications by authors named "Marie-Anne Bouldouyre"

Article Synopsis
  • - The World Health Organization prioritizes combating antibiotic resistance due to its significance for public health.
  • - Efforts to fight antibiotic resistance need to happen on global, national, and local scales.
  • - Nurses play a critical role in preventing infections and ensuring the proper use of antibiotics within this strategy in France.
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Objective: The aim of this study was to assess updated mortality and causes of death in people with HIV (PWH) in France.

Design And Methods: We analyzed all deaths in PWH followed up between January 1, 2020, and December 31, 2021, in 11 hospitals in the Paris region. We described the characteristics and causes of death among deceased PWH, and evaluated the incidence of mortality and associated risk factors using a multivariate logistic regression.

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Article Synopsis
  • The study evaluated the effectiveness of switching HIV patients on stable antiretroviral therapy to a co-formulated drug called E/C/F/TDF, measuring success by the number of patients maintaining low viral loads at 48 weeks.
  • A total of 382 patients were analyzed, showing that 82% maintained viral loads below 50 copies/mL, while only 3.5% experienced virological failure, primarily linked to past treatment issues.
  • Resistance to integrase inhibitors was noted in those who failed treatment, though overall, the switch to E/C/F/TDF was well tolerated with minimal adverse effects reported.
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Article Synopsis
  • Tocilizumab, an anti-interleukin-6 receptor treatment, showed potential benefits for severe COVID-19 pneumonia when given timely as a single 400 mg dose.
  • In a study of 246 patients, those treated with tocilizumab had significantly better outcomes compared to those who did not receive the medication, with a lower rate of mortality and ventilatory support needed.
  • The results indicated that tocilizumab could improve survival without the need for mechanical ventilation, making it a promising option for severe COVID-19 patients.
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Objective: In the obstetric medicine movement and in response to requests for appointments in internal medicine by obstetricians and midwives, we created an internal medicine consultation within the maternity ward of our General Hospital, and provide feedback after 1 year.

Methods: This retrospective descriptive study took place at the Robert Ballanger Intercommunal Hospital Center in Aulnay-sous-Bois in Seine-Saint-Denis (France) between 3rd March 2016 and 9th March 2017, the first year of the internal medicine consultation, one afternoon every 15 days, in the maternity level 2b.

Results: Out of 121 appointments, 93 consultations were conducted for 63 patients.

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Objectives: Systemic lupus erythematosus (SLE) is a disease requiring long-term follow-up. Most studies published in the literature concerned teaching hospitals. We wanted to study a population of SLE patients, their follow-up and therapeutic modalities in a general hospital in order to evaluate professional practices.

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Background: Concomitant syphilis and human immunodeficiency virus (HIV) infection is increasingly frequent in industrialized countries.

Methods: From a large hospital cohort of HIV-infected patients followed up in the Paris area between 1998 and 2006, we examined the effect of early syphilis on plasma HIV-1 RNA levels and CD4 cell counts. We compared 282 HIV-1-infected men diagnosed as having incident primary or secondary syphilis with 1233 syphilis-free men matched for age (±5 years), sexual orientation, participating center, length of follow-up (±6 months), and immunologic and virologic status before the date of syphilis diagnosis (index date).

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Background: The number of international trips undertaken by French citizens is rising and we wished to assess the appropriateness of advices given to travelers in a vaccine and travel medicine center in France.

Methods: We conducted a 3-month prospective study in one center in Paris where prescriptions and advice to travelers are given by trained physicians in travel medicine who have access to a computerized decision support system (Edisan). A questionnaire was used to record trip characteristics, patients' demographics, and prescriptions.

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Objectives And Methods: Retrospective study of all patients who started antiretroviral therapy (ART) in 2007 in a single center in Paris, with baseline characteristics and 1-year outcome, to assess adherence to national guidelines.

Results: We analyzed 118 patients. Time of ART initiation was in agreement with the guidelines for only 64 (54.

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We report a 46-year-old man who has sex with men (MSM) patient, of Scottish descent, who had no history of arterial hypertension, diabetes, or illicit drug use, was hepatitis C virus (HCV) negative but underwent right nephrectomy for urothelial tumor in 2006. Before starting antiretroviral therapy, he had a CD4 cell count of 316/mm(3) and plasma HIV RNA level was 1,020,537 copies per milliliter. He developed acute renal failure only 2 weeks after introduction of tenofovir-based antiretroviral therapy and then required 3 months of hemodialysis.

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The human polyomavirus JC virus (JCV) is the agent of progressive multifocal leukoencephalopathy (PML). It has also recently been involved in cerebellar atrophy. Factors involved in this entity are elusive.

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Objectives: Infectious myositis can be a life-threatening condition. We describe the clinical presentation, diagnosis, treatment, and outcome of a patient with Aspergillus-related myositis and review the relevant literature on Aspergillus-related myositis.

Methods: We report on a patient with acquired immunodeficiency syndrome who presented with Aspergillus myo-fasciitis, which was unusual because of its relapsing-remitting course and favorable outcome.

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Background: Incidence and risk factors for thrombocytopenia in patients discontinuing highly active antiretroviral therapy (HAART) have not been fully investigated.

Methods: Well-suppressed patients on HAART were randomized to continuous (CT) or intermittent therapy (IT) for 96 weeks. Incidence of thrombocytopenia (<150 x 10(3) platelets/mm(3)) was assessed and multivariate analysis performed to identify baseline predictors.

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Sulfadiazine, pyrimethamine, and atovaquone are widely used for the treatment of severe toxoplasmosis. Their in vitro activities have been almost exclusively demonstrated on laboratory strains belonging to genotype I. We determined the in vitro activities of these drugs against 17 strains of Toxoplasma gondii belonging to various genotypes and examined the correlations among 50% inhibitory concentrations (IC50s), growth kinetics, strain genotypes, and mutations on drug target genes.

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Article Synopsis
  • Long-term use of hydroxyurea (HU) therapy is linked to various skin side effects, including a reported first case of neuroendocrine carcinoma associated with the drug.
  • The patient had been treated with HU for thrombocythemia for two years, but the treatment was stopped due to a skin eruption resembling dermatomyositis.
  • Years later, she developed multiple keratotic lesions and ultimately a Merkel cell carcinoma on her finger, suggesting a potential link to HU while also acknowledging that it could be a coincidence.
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