Infections respiratoires opportunistes survenues sous anti-TNFa au centre hospitalier universitaire de Limoges 2001-2004

LIMOGES-BU Médecine pharmacie (870852108) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Antibiotic prescription by general practitioners for urinary tract infections in outpatients.

ERMAInternational audienceIn July 2008, in France, guidelines for antibiotic prescriptions for urinary tract infections (UTIs) were amended. As general practitioners (GPs) treat numerous UTIs, we wanted to evaluate whether they followed these guidelines. In order to do this, we performed a prospective study. The point of call was urinalyses. Using this selection method together with criteria diagnostic for urinalysis, we confirmed that patients presented a UTI. Each GP was contacted. Prescriptions were analysed and compared to the 2008 French guidelines for UTIs. Our study included 185 urinalyses. UTIs diagnosed by GPs were as follows: acute cystitis: 72.4 %, prostatitis: 13.5 %, nephritis: 8.7 % and asymptomatic bacteriuria: 5.4 %. The principal antibiotics used were: quinolone (59.5 %), furan (17.8 %) and cotrimoxazole (6.5 %). Only 20 % of the prescriptions were compliant with the guidelines. The correct antibiotic but not the dose or the duration of prescription was selected in 8.1 % of the prescriptions. For cystitis, inappropriate prescription was associated with an extra cost of 694 , namely, 7.4 per treatment. GP prescriptions for UTIs do not follow the guidelines. Even if GPs assert that they are aware of the emergence of resistant strains, it seems that they do not take into account the objective of quinolone restriction, which was one of the backbones of these guidelines

LES ANTI-INFLAMMATOIRES NON STREROIDIENS COMPLIQUENT LES PYELONEPHRITES AIGUES

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ANTI- INFLAMMATOIRES NON STEROIDIENS ET ABCES RENAUX

ERM

[Community-acquired meningitis due to methicillin susceptible Staphylococcus aureus] : Méningites communautaires à Staphylococcus aureus méticilline sensible

ERMAInternational audienceUNLABELLED: Meningitis due to Staphylococcus aureus is infrequent. MRSA is mainly found after neurosurgery, but MSSA may be involved in community-acquired meningitis. However, this kind of infection is not widely reported, despite its severity. METHODS: We describe the characteristics of five patients hospitalized in our ward over a period of 18 months who presented with community-acquired meningitis due to MSSA. RESULTS: The patients were three men and two women with a mean age of 62 years. One patient was immunosuppressed. Neurological signs were present at the onset for only two patients. In all cases, there were extraneurological localizations of the infection, mainly in bones (spondylodiscitis, epidural abscess, arthritis) but also lung infection. Three patients with meningeal inflammation also presented with confusion. CSF analysis revealed less than 950 white blood cells, hyper-CSF-proteins, and hypo-CSF-glucose. Bacteraemia was present in all patients. The source of infection was never determined. The evolution was good for all patients with a prolonged antibiotic course. The analysis of genetic determinants for three strains revealed the presence of TSST-1 which could account for the severity of the disease. CONCLUSION: Community-acquired MSSA meningitis is a serious infection, occurring in patients without risk factors. Hematogenous dissemination leads to multiple tissue infection. A long course of antibiotics, with high doses, is needed to treat meningitis but also extraneurological localizations. The role of TSST-1 needs to be confirmed in other patients

Connaissance des Infections Sexuellement Transmissibles par 501 consultants d'un CDAG-CIDDIST

Congrès de la Société de Pathologie Infectieuse de Langue Française et du Collège des Universitaires de Maladies Infectieuses et Tropicales; ERMANational audienc

ENQUETE SUR L'OBSERVANCE ET L'IMPACT DES CONSEILS AUX VOYAGEURS

ERM

E-03 Effets secondaires des antibiotiques au cours des endocardites

ERMANational audienc

Méningites communautaires à Staphylococcus aureus meticilline sensible

Congrès de la Société de Pathologie Infectieuse de Langue Française et du Collège des Universitaires de Maladies Infectieuses et Tropicales; ERMANational audienc

MENINGITES ET ENCEPHALITES A ENTEROVIRUS dIAGNOSTIQUEES AU CHU DE LIMOGES : 2005- 2006

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