Publications by authors named "Salam Abbara"

We investigated links between antimicrobial resistance in community-onset bacteremia and 1-year bacteremia recurrence by using the clinical data warehouse of Europe's largest university hospital group in France. We included adult patients hospitalized with an incident community-onset Staphylococcus aureus, Escherichia coli, or Klebsiella spp. bacteremia during 2017-2019.

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Purpose: Antibiotic-resistant bacteremia is a leading global cause of infectious disease morbidity and mortality. Clinical data warehouses (CDWs) allow for the secure, real-time coupling of diverse data sources from real-world clinical settings, including care-based medical-administrative data and laboratory-based microbiological data. The main purpose of this study was to assess the contribution of CDWs in the epidemiological study of antibiotic resistance by constructing a database of bacteremia patients, BactHub, and describing their main clinico-microbiological features and outcomes.

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Article Synopsis
  • Dominant negative mutations in STAT3 lead to hyper-IgE syndrome, making patients susceptible to fungal infections, especially skin-related ones like fusariosis.
  • In a study of four STAT3 DN patients, ages 4 to 33, unique skin lesions were observed, primarily affecting the extremities without systemic involvement.
  • Skin biopsies revealed Fusarium solani invading the dermis, with treatment responses varying, often necessitating combined antifungal therapies.
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Objective: The frequency of vasculitis may be increased in patients with Familial Mediterranean Fever (FMF), according to several studies. Our aim was to assess the characteristics of French adult patients with both diseases.

Methods: Patients with vasculitis were selected from patients followed for FMF in the French JIR-cohort.

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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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Antimicrobial resistance is a global public health concern, at least partly due to the misuse of antibiotics. The increasing prevalence of antibiotic-resistant infections in the community has shifted at-risk populations into the general population. Numerous case-control studies attempt to better understand the link between antibiotic use and antibiotic-resistant community-onset infections.

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Article Synopsis
  • - Insufficient understanding of bacteria and antimicrobials contributes to the rise of multidrug-resistant infections, making education on this topic crucial.
  • - To enhance learning, a series of games (Bacteria Game, KROBS, and Dawaa) were organized to gauge student knowledge and gather feedback.
  • - Preliminary findings indicate that the games had a positive impact on learning, but the limited participant number suggests these results are primarily a proof of concept for the effectiveness of game-based education.
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Objectives: To describe and compare the clinical and biological characteristics of subjects with primary Sjögren's syndrome (pSS) with and without anti-RNP antibodies.

Methods: Patients fulfilling the American College of Rheumatology (ACR)/EULAR 2016 criteria for pSS and having anti-RNP antibodies, without other connective tissue disease diagnosed and no anti-dsDNA antibodies were retrieved from the database from our French National Reference Center. These patients were compared with all other patients with pSS with negative anti-Sm, anti-RNP and anti-dsDNA antibodies.

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Certain types of vasculitis occur more frequently and present differently in patients with familial Mediterranean fever (FMF). We assessed the characteristics of patients with FMF and systemic vasculitis through a systematic review of the literature. Medline was searched by two independent investigators until December 2017.

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This study aimed to assess whether post-prescription review and feedback (PPRF) of all antibiotics, with restriction of carbapenems, fluoroquinolones and third-generation cephalosporins (3GCs), along with a change in medical standard of care impacted antibiotic consumption and bacterial antimicrobial resistance in a French medical/surgical intensive care unit (ICU). A 4-year before (2007-2010) and after (2011-2014) retrospective comparative study was performed. Antibiotic consumption was evaluated in defined daily doses per 1000 patient-days.

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Objectives: To describe clinicopathologic features of muscular sarcoidosis and the associated sarcoidosis phenotype through a nationwide multicenter study.

Methods: Patients were included if they had histologically proven sarcoidosis and symptomatic muscular involvement confirmed by biological, imaging, or histologic examinations.

Results: Forty-eight patients (20 males) were studied, with a median age at muscular symptoms onset of 45 years (range 18-71).

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Objectives: Familial mediterranean fever (FMF) is the most common monogenic autoinflammatory disease. Hidradenitis suppurativa (HS) is an inflammatory cutaneous disease. Those diseases can occur simultaneously among the same individual.

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