Publications by authors named "Nicolas Steenkeste"

In Mali, hepatocellular carcinoma (HCC) is the third and sixth most common cancer in men and women, respectively. Mali comprises several distinct climato-ecological zones. Most studies to date have been conducted in the sub-Sahelian zone of southern Mali, including the capital city Bamako.

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Background: Laos is considered highly endemic for persistent infection with hepatitis B virus (HBV). To eliminate this burden, it has gradually implemented universal anti-hepatitis B immunisation of newborns over the past two decades.

Methods: Using VIKIA® HBsAg, a rapid test for the qualitative detection of the HBV surface antigen, we conducted between Sep 1st, 2020 and Aug 31st, 2021 the largest prospective prevalence survey ever in Laos.

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Article Synopsis
  • The study examined the transmission of hepatitis B virus (HBV) from mothers to their infants in Vientiane, Lao PDR, focusing on immunization success rates without the use of hepatitis B immune globulin (HBIg).
  • Among 120 infants, only 4% tested positive for HBsAg, all linked to mothers with high viral loads, suggesting lower transmission rates than anticipated.
  • The findings indicate that enhancing immunization strategies, potentially by including HBIg and maternal antiviral treatment, could further reduce mother-to-child transmission and improve antibody responses in infants.
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  • Respiratory diseases significantly impact health in tropical nations like Lao PDR, yet there's limited knowledge about viral or bacterial causes of influenza-like illness (ILI) at the community level.
  • A community-based study tracked ILI cases in Vientiane over a year, involving 995 households and 4,885 participants, using various testing methods to identify pathogens.
  • The findings revealed a high incidence of ILI (10.7 episodes per 100 person-years) linked to factors such as age, sex, and living conditions, with common pathogens including Streptococcus pneumoniae and influenza A; co-infections were noted in 24% of cases.
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Hepatitis C virus (HCV) is a global health concern, notably in Southeast Asia, and in Laos the presentation of the HCV-induced liver disease is poorly known. Our objective was thus to describe a comprehensive HCV infection pattern in order to guide national health policies. A study on a group of 1765 patients formerly diagnosed by rapid test in health centres was conducted at the Centre of Infectiology Lao Christophe Merieux in Vientiane.

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Objective: Lao PDR is one of the most highly endemic countries for hepatitis B in Asia and the second country for liver cancer incidence. Therefore, the follow-up of infected individuals through predictive serological markers is of utmost importance to monitor the progression of the pathology and take the decision on treatment.

Methods: A retrospective-descriptive cohort study was conducted on 3,857 HBV-infected patients.

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Objective: To assess the antibiotic prescribing practices of doctors working in the Lao People's Democratic Republic and their knowledge of local antibiotic resistance patterns.

Methods: Doctors attending morning meetings in 25 public hospitals in four provinces were asked to complete a knowledge, attitude and practice survey. The questionnaire contained 43 multiple choice questions that the doctor answered at the time of the meeting.

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Background: It is estimated that Lao People's Democratic Republic (Lao PDR) ranks fifth among the seven countries most affected by TB in the WHO Western Pacific Region. However, because of late implementation of mycobacterial culture, no study on resistance to anti-TB drugs had been performed yet. The objective of this study was to document drug resistance rate among patients hospitalized for pulmonary TB in threeprovinces of Lao PDR.

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Article Synopsis
  • The study assessed A(H1N1) seroconversion rates in unvaccinated individuals in Vientiane Capital, Laos, using a cohort of over 4,000 participants.
  • The overall seroconversion rate was 14.3%, with younger individuals (under 20) exhibiting the highest rates of infection, while older individuals (over 60) had the lowest.
  • Key factors influencing infection rates included lower baseline antibody titres and having a household member with higher antibody levels, suggesting strong epidemiological determinants similar to those in more developed countries.
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Two cases of Plasmodium knowlesi infection in humans were identified in Cambodia by 3 molecular detection assays and sequencing. This finding confirms the widespread distribution of P. knowlesi malaria in humans in Southeast Asia.

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Background: Malaria microscopy and rapid diagnostic tests are insensitive for very low-density parasitaemia. This insensitivity may lead to missed asymptomatic sub-microscopic parasitaemia, a potential reservoir for infection. Similarly, mixed infections and interactions between Plasmodium species may be missed.

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Background: A number of molecular tools have been developed to monitor the emergence and spread of anti-malarial drug resistance to Plasmodium falciparum. One of the major obstacles to the wider implementation of these tools is the absence of practical methods enabling high throughput analysis. Here a new Zip-code array is described, called FlexiChip, linked to a dedicated software program, which largely overcomes this problem.

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Background: Several strategies are currently deployed in many countries in the tropics to strengthen malaria control toward malaria elimination. To measure the impact of any intervention, there is a need to detect malaria properly. Mostly, decisions still rely on microscopy diagnosis.

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Background: Over the last years, significant progress has been made in the comprehension of the molecular mechanism of malaria resistance to drugs. Together with in vivo tests, the molecular monitoring is now part of the survey strategy of the Plasmodium sensitivity. Currently, DNA-microarray analysis allows the simultaneous study of many single nucleotide polymorphisms (SNP) of Plasmodium isolates.

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