Publications by authors named "S Alviset"

Introduction: Timely and appropriate therapy is critical in patients with Gram-negative bloodstream infections (GNBSI). Most bacteriology laboratories process blood specimen in the daytime, during laboratory operating hours, and use conventional culture for antimicrobial susceptibility testing (AST). We simulated the potential impact of real-time processing and rapid AST (7 hours) on early adaptation of the antibiotic regimen in intensive care unit (ICU) patients with GNBSI.

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Article Synopsis
  • The study evaluates the impact of an antimicrobial stewardship (AMS) program based on ECIL4 guidelines for antibiotics de-escalation in febrile neutropenia (FN) patients, comparing data from before and after the implementation.
  • Conducted at Cochin University Hospital, the observational study analyzed 273 hospital stays pre-intervention and 217 post-intervention, focusing on antibiotic use and clinical outcomes.
  • Results showed substantial reductions in the use of glycopeptides and carbapenems (85% and 72% respectively), along with a significant decrease in the risk of ICU transfers or death, indicating the effectiveness of the AMS program.
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Background: The gold-standard treatment for acute exacerbation of chronic obstructive pulmonary disease (ae-COPD) is non-invasive ventilation (NIV). However, NIV failures may be observed, and invasive mechanical ventilation (IMV) is required. Extracorporeal CO₂ removal (ECCO₂R) devices can be an alternative to intubation.

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Objectives: To characterize the clinical and biological course, management and response to treatment in SLE-associated pure red cell aplasia (PRCA).

Methods: This was a nationwide, multicentre, retrospective cohort study. From 2006 to 2018, we included adults with a diagnosis of PRCA supported by bone marrow examination and SLE or biologic manifestations of SLE after ruling out parvovirus B19 infection.

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Introduction: Because of the COVID-19 pandemic, intensive care units (ICU) can be overwhelmed by the number of hypoxemic patients.

Material And Methods: This single centre retrospective observational cohort study took place in a French hospital where the number of patients exceeded the ICU capacity despite an increase from 18 to 32 beds. Because of this, 59 (37%) of the 159 patients requiring ICU care were referred to other hospitals.

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