102 results match your criteria: "Universite Rennes I[Affiliation]"

Admission chest CT scan of intensive care patients with interstitial lung disease: Unveiling its limited predictive value through visual and automated analyses in a retrospective study (ILDICTO).

Respir Med Res

November 2024

CHU Rennes, Maladies Infectieuses et Réanimation Médicale, F-35033 Rennes, France; Université Rennes1, Faculté de Médecine, Biosit, F-35043 Rennes, France; Inserm-CIC-1414, Faculté de Médecine, Université Rennes I, IFR 140, F-35033 Rennes, France.

Article Synopsis
  • The study investigates the use of chest CT scans to predict outcomes in interstitial lung disease (ILD) patients experiencing acute respiratory failure in the ICU.
  • A total of 81 ILD patients were analyzed for ICU mortality based on visual and automated CT scan assessments, but only the size of the main pulmonary artery was significant in differentiating outcomes.
  • Ultimately, the findings indicate that the severity of lung abnormalities shown on CT scans does not reliably predict worsening conditions in these patients.
View Article and Find Full Text PDF

Metriorhynchids are marine crocodylomorphs found across Jurassic and Lower Cretaceous deposits of Europe and Central and South America. Despite being one of the oldest fossil families named in paleontology, the phylogenetic relationships within Metriorhynchidae have been subject to many revisions over the past 15 years. Herein, we describe a new metriorhynchid from the Kimmeridgian of Porrentruy, Switzerland.

View Article and Find Full Text PDF

Background: This study aimed to compare ventilatory parameters recorded in the first days of acute respiratory distress syndrome (ARDS) and mortality at day 60 between coronavirus disease 2019 (COVID-19) and influenza ARDS patients with arterial oxygen tension ( )/inspiratory oxygen fraction ( ) ≤150 mmHg.

Methods: We compared 244 COVID-19 ARDS patients with 106 influenza ARDS patients. Driving pressure, respiratory system compliance ( ), ventilator ratio, corrected minute ventilation (') and surrogate of mechanical power (index=(4×driving pressure)+respiratory rate) were calculated from day 1 to day 5 of ARDS.

View Article and Find Full Text PDF

Background: Lung-protective ventilation (reduced tidal volume and limited plateau pressure) may lead to CO retention. Data about the impact of hypercapnia in patients with ARDS are scarce and conflicting.

Methods: We performed a non-interventional cohort study with subjects with ARDS admitted from 2006 to 2021 and with P /F ≤ 150 mm Hg.

View Article and Find Full Text PDF

Which trial do we need? Aminopenicillin-gentamicin versus aminopenicillin-ceftriaxone for Enterococcus faecalis endocarditis.

Clin Microbiol Infect

June 2023

Infectious Diseases and Intensive Care Unit, Pontchaillou Hospital, University Hospital of Rennes, Inserm U1230, Université Rennes-I, Rennes, France. Electronic address:

View Article and Find Full Text PDF

Precision of CT-derived alveolar recruitment assessed by human observers and a machine learning algorithm in moderate and severe ARDS.

Intensive Care Med Exp

February 2023

Université Claude Bernard Lyon 1, INSA-Lyon, CNRS, INSERM, CREATIS UMR 5220, U1294, Université de Lyon, Villeurbanne, France.

Background: Assessing measurement error in alveolar recruitment on computed tomography (CT) is of paramount importance to select a reliable threshold identifying patients with high potential for alveolar recruitment and to rationalize positive end-expiratory pressure (PEEP) setting in acute respiratory distress syndrome (ARDS). The aim of this study was to assess both intra- and inter-observer smallest real difference (SRD) exceeding measurement error of recruitment using both human and machine learning-made lung segmentation (i.e.

View Article and Find Full Text PDF

B-cell malignancies and COVID-19: a narrative review.

Clin Microbiol Infect

March 2023

Département des Maladies infectieuses et tropicales, Hospices Civils de Lyon, F-69004, Lyon, France; Centre International de Recherche en Infectiologie (CIRI), Inserm 1111, Université Claude Bernard Lyon 1, CNRS, UMR5308, École Normale Supérieure de Lyon, Univ Lyon, F-69007, France. Electronic address:

Background: COVID-19 has been extensively characterized in immunocompetent hosts and to a lesser extent in immunocompromised populations. Among the latter, patients treated for B-cell malignancies have immunosuppression generated by B-cell lymphodepletion/aplasia resulting in an increased susceptibility to respiratory virus infections and poor response to vaccination. The consequence is that these patients are likely to develop severe or critical COVID-19.

View Article and Find Full Text PDF

Background: Cover crops can be used as a habitat management strategy to enhance the natural enemies and their temporal synchronization with a target pest. We examined the effect of winter oat intercropping within organic plum orchards on the natural enemy abundance and seasonal dynamics on the biological control of plum aphids in spring in Central Chile.

Methods: We compared the incidence and abundance of natural enemies and aphid pests from winter to the end of spring using two treatments: (1) plum trees with an oat cover crop (OCC) and (2) plum trees without a cover crop but with spontaneous vegetation (SV).

View Article and Find Full Text PDF
Article Synopsis
  • - Inhaled corticosteroids (ICS) have been linked to a higher risk of pneumonia and may also increase susceptibility to respiratory viral infections, particularly adenovirus and respiratory syncytial virus (RSV).
  • - A study analyzed 2,658 adults hospitalized with influenza-like illness from 2012-2018, where 20.2% were treated with ICS prior to admission, with 52.5% testing positive for respiratory viruses.
  • - Patients on ICS had a greater likelihood of complications, with 55.9% experiencing issues like pneumonia, a 14.2% ICU admission rate, and a 2.8% in-hospital mortality rate.
View Article and Find Full Text PDF

1-hour t-piece spontaneous breathing trial vs 1-hour zero pressure support spontaneous breathing trial and reintubation at day 7: A non-inferiority approach.

J Crit Care

February 2022

CHU Rennes, Maladies Infectieuses et Réanimation Médicale, F-35033 Rennes, France; Université Rennes1, Faculté de Médecine, Biosit, F-35043 Rennes, France; Inserm-CIC-1414, Faculté de Médecine, Université Rennes I, IFR 140, F-35033 Rennes, France.

Purpose: Physiological data suggest that T-piece and zero pressure support (PS0) ventilation both accurately reflect spontaneous breathing conditions after extubation. These two types of spontaneous breathing trials (SBTs) are used in our Intensive Care Unit to evaluate patients for extubation readiness and success but have rarely been compared in clinical studies.

Materials And Methods: We performed a prospective observational study to confirm the hypothesis that 1-hour T-piece SBT and 1-h PS0 zero PEEP (ZEEP) SBT are associated with similar rates of reintubation at day 7 after extubation.

View Article and Find Full Text PDF

["Prescription and monitoring of anti-infectives in adults and children"].

Rev Prat

March 2021

Maladies infectieuses et réanimation médicale, CHU Pontchaillou, 35000 Rennes, France - Inserm U835, université Rennes-I, rue Louis-Guilloux, 35000 Rennes, France.

View Article and Find Full Text PDF

["Why is proper use particularly important for the therapeutic class of anti-infective drugs?"].

Rev Prat

February 2021

Maladies infectieuses et réanimation médicale, CHU Pontchaillou, 35000 Rennes, France - Inserm U835, université Rennes-I, rue Louis-Guilloux, 35000 Rennes, France.

View Article and Find Full Text PDF

[Prescription and monitoring of anti-infectious antibiotics in adults and children].

Rev Prat

February 2021

Maladies infectieuses et réanimation médicale, CHU Pontchaillou, 35000 Rennes, France - Inserm U835, université Rennes-I, rue Louis-Guilloux, 35000 Rennes, France.

View Article and Find Full Text PDF

Myorelaxants in ARDS patients.

Intensive Care Med

December 2020

Assistance Publique - Hôpitaux de Marseille, Hôpital Nord, Médecine Intensive Réanimation, 13015, Marseille, France.

Neuromuscular blocking agents (NMBAs) inhibit patient-initiated active breath and the risk of high tidal volumes and consequent high transpulmonary pressure swings, and minimize patient/ ventilator asynchrony in acute respiratory distress syndrome (ARDS). Minimization of volutrauma and ventilator-induced lung injury (VILI) results in a lower incidence of barotrauma, improved oxygenation and a decrease in circulating proinflammatory markers. Recent randomized clinical trials did not reveal harmful muscular effects during a short course of NMBAs.

View Article and Find Full Text PDF

Characteristics of human metapneumovirus infection in adults hospitalized for community-acquired influenza-like illness in France, 2012-2018: a retrospective observational study.

Clin Microbiol Infect

January 2021

Inserm, F-CRIN, Réseau Innovative Clinical Research in Vaccinology (I-REIVAC), Paris, France; Université Paris Descartes, Sorbonne Paris Cité, Inserm, CIC Cochin Pasteur, Assistance Publique Hôpitaux de Paris, Hôpital Cochin, Paris, France.

Objectives: To describe the prevalence, clinical features and complications of human metapneumovirus (hMPV) infections in a population of adults hospitalized with influenza-like illness (ILI).

Methods: This was a retrospective, observational, multicenter cohort study using prospectively collected data from adult patients hospitalized during influenza virus circulation, for at least 24 h, for community-acquired ILI (with symptom onset <7 days). Data were collected from five French teaching hospitals over six consecutive winters (2012-2018).

View Article and Find Full Text PDF

Impact on ICU mortality of moderate alcohol consumption in patients admitted with infection.

J Crit Care

June 2020

CHU Rennes, Maladies Infectieuses et Réanimation Médicale, F-35033 Rennes, France; Université Rennes1, Faculté de Médecine, Biosit, F-35043 Rennes, France; Inserm-CIC-1414, Faculté de Médecine, Université Rennes I, IFR 140, F-35033 Rennes, France.

Purpose: Alcohol dependence is associated with poor prognosis in the intensive care unit (ICU), but it remains uncertain whether moderate alcohol consumption negatively affects the prognosis of critically ill patients admitted with infection.

Materials And Methods: In a prospective observational cohort study performed in 478 patients admitted with documented infection, mortality at day 28 in the group of abstainers and nontrauma patients with estimated alcohol consumption lower than 100 g/week was compared with that in non-alcohol-dependent patients with estimated alcohol consumption between 100 and 350 g/week.

Results: In 97 patients (20%), alcohol consumption was estimated to be over 100 g/week, and in 391 patients (80%), alcohol consumption was estimated to be 100 g/week or less.

View Article and Find Full Text PDF

Non-influenza respiratory viruses in adult patients admitted with influenza-like illness: a 3-year prospective multicenter study.

Infection

August 2020

Université Rennes-I, Service Des Maladies Infectieuses et de Réanimation Médicale, Hôpital Pontchaillou, CHU Pontchaillou, 2 rue Henri Le Guilloux, 35033, Rennes Cedex, France.

Purpose: To describe the burden, and characteristics, of influenza-like illness (ILI) associated with non-influenza respiratory viruses (NIRV).

Methods: We performed a prospective, multicenter, observational study of adults admitted with ILI during three influenza seasons (2012-2015). Patients were screened for picornavirus, respiratory syncytial virus (RSV), coronavirus, human metapneumovirus, adenovirus, bocavirus, parainfluenza virus, and influenza, by PCR on nasopharyngeal samples.

View Article and Find Full Text PDF

The purpose of this study is to assess risk factors for the acquisition of extended-spectrum β-lactamase-producing Gram-negative bacilli (ESBL-GNB) colonization and infection (AI) in ICUs with low ESBL-GNB prevalence rate. We conducted a retrospective observational study in three ICUs in Bretagne, France. All patients admitted from January 2016 to September 2017 with a length of stay of 2 days or more were included.

View Article and Find Full Text PDF

Background And Aim: Water is an increasingly scarce resource while some crops, such as paddy rice, require large amounts of water to maintain grain production. A better understanding of rice drought adaptation and tolerance mechanisms could help to reduce this problem. There is evidence of a possible role of root-associated fungi in drought adaptation.

View Article and Find Full Text PDF

Background: Wischberg is a Swiss locality in Bern Canton which has yielded numerous vertebrates remains from the earliest Miocene (= MN1). It has a very rich faunal diversity, one of the richest in Switzerland for this age. Among all the mammals reported in the original faunal list 70 years ago, three rhinocerotid species were identified.

View Article and Find Full Text PDF

Fishes exhibit remarkably diverse, and plastic, patterns of sexual development, most striking of which is sequential hermaphroditism, where individuals readily reverse sex in adulthood. How this stunning example of phenotypic plasticity is controlled at a genetic level remains poorly understood. Several genes have been implicated in regulating sex change, yet the degree to which a conserved genetic machinery orchestrates this process has not yet been addressed.

View Article and Find Full Text PDF

Objectives: Unhealthy use of alcohol and acute kidney injury are major public health problems, but little is known about the impact of excessive alcohol consumption on kidney function in critically ill patients. We aimed to determine whether at-risk drinking is independently associated with acute kidney injury in the ICU and at ICU discharge.

Design: Prospective observational cohort study.

View Article and Find Full Text PDF

Background And Purpose: To determine the precise incidence of lesions at sites of high Aquaporin-4 expression (hAQP4) and their possible association with known neuromyelitis optica spectrum disease (NMOSD) lesions patterns.

Materials And Methods: A retrospective analysis of brain and, when available, spinal cord MRI scans of 54 NMOSD patients recruited among the French NMOSD cohort was performed. Brain lesions were annotated as MS-like, non-specific, or evocative of NMOSD.

View Article and Find Full Text PDF

Time to blood culture positivity: An independent predictor of infective endocarditis and mortality in patients with Staphylococcus aureus bacteraemia.

Clin Microbiol Infect

April 2019

Maladies Infectieuses et Réanimation Médicale, Hôpital Pontchaillou, CHU Rennes, France; INSERM U1230, Université Rennes-I, Rennes, France. Electronic address:

Objectives: Time to blood culture positivity (TTP), a routinely available parameter in automated blood culture systems, may be a proxy for infectious burden in patients with bloodstream infections. We aimed to study the association between TTP and infective endocarditis (IE), or death, in patients with Staphylococcus aureus bacteraemia.

Methods: VIRSTA is a multicentre prospective cohort study that included all adult patients with S.

View Article and Find Full Text PDF