Different epidemiology of bloodstream infections in COVID-19 compared to non-COVID-19 critically ill patients: A descriptive analysis of the Eurobact II study

Background: The study aimed to describe the epidemiology and outcomes of hospital-acquired bloodstream infections (HABSIs) between COVID-19 and non-COVID-19 critically ill patients. Methods: We used data from the Eurobact II study, a prospective observational multicontinental cohort study on HABSI treated in ICU. For the current analysis, we selected centers that included both COVID-19 and non-COVID-19 critically ill patients. We performed descriptive statistics between COVID-19 and non-COVID-19 in terms of patients’ characteristics, source of infection and microorganism distribution. We studied the association between COVID-19 status and mortality using multivariable fragility Cox models. Results: A total of 53 centers from 19 countries over the 5 continents were eligible. Overall, 829 patients (median age 65 years [IQR 55; 74]; male, n = 538 [64.9%]) were treated for a HABSI. Included patients comprised 252 (30.4%) COVID-19 and 577 (69.6%) non-COVID-19 patients. The time interval between hospital admission and HABSI was similar between both groups. Respiratory sources (40.1 vs. 26.0%, p < 0.0001) and primary HABSI (25.4% vs. 17.2%, p = 0.006) were more frequent in COVID-19 patients. COVID-19 patients had more often enterococcal (20.5% vs. 9%) and Acinetobacter spp. (18.8% vs. 13.6%) HABSIs. Bacteremic COVID-19 patients had an increased mortality hazard ratio (HR) versus non-COVID-19 patients (HR 1.91, 95% CI 1.49–2.45). Conclusions: We showed that the epidemiology of HABSI differed between COVID-19 and non-COVID-19 patients. Enterococcal HABSI predominated in COVID-19 patients. COVID-19 patients with HABSI had elevated risk of mortality. Trial registration ClinicalTrials.org number NCT03937245. Registered 3 May 2019

Development of tools for farmers to self-assess the welfare of poultry and pigs in organic and outdoor systems

A goal of the PPILOW project is to develop and evaluate tools for animal welfare self-assessments by poultry and pig farmers of organic and outdoor systems. To accomplish this goal, two smartphone applications are being modified or developed in eight different languages. The EBENE® app, which was primarily developed for conventional poultry farms, was adapted to be more suitable for outdoor farming systems and the PIGLOW® app for outdoor pig farms was newly developed. For both apps, a selection of welfare indicators to be included in the assessments was made based on a suitability analysis of indicators from existing welfare monitoring protocols (e.g. Welfare Quality© , Dierenwelzijnscan). The opinions of National Practitioner Groups (NPGs), including representatives of feed producers, consumer associations, retailers, veterinarians, processors and farmers, were taken into account in this decision process. NPGs from six and three countries were surveyed for EBENE® and PIGLOW®, respectively. Preference was given to animal-based indicators, all of which fit into one of the four welfare principles of the Welfare Quality© protocols, namely good feeding, good housing, good health and appropriate behaviour. A trade-off was made between the time investment by the farmers and the level of detail of the assessment, resulting in assessments that take approximately one hour to complete. The results of the apps include scores for all welfare indicators and anonymous benchmarking. The farmers also receive automated feedback for each welfare indicator that includes an explanation of and risk factors for related potential welfare problems. Separate welfare assessments are available for broilers and laying hens, and for fattening pigs and sows at different production stages. Additionally, both apps have the possibility to assess the depopulation process. The user-friendliness and feasibility of the apps was tested during on-farm trials in Belgium and France, after which minor adjustments were made to wording and specific questions. The use of these tools for welfare self-assessments could sensitize farmers to the presence of potential welfare problems and the automated feedback could motivate and guide them to take corrective actions or seek additional advice of experts. A longitudinal study to assess the effect of the use of the apps on animal welfare and on the farmers’ opinions of the apps on commercial fattening pig and broiler farms is currently being conducted. This project has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement N°816172

Interactive demonstration of the functionalities of a welfare self-assessment tool for improving animal welfare on-farm in organic and outdoor systems

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L’oreille ne se contente pas d’écouter la musique : elle l'informe pour l’apprécier et l’évaluer. L’écoute est faite de circulations : elle se réfléchit dans des discours qui donnent à voir des représentations constitutives de l'expérience musicale. Elle s'incarne dans des pratiques et des rituels qui dessinent individuellement ou collectivement leur objet pour mieux assurer la félicité de l'expérience auditive, qui ne peut faire sans ses multiples médiations, qu'elles soient sociales, symboliques ou matérielles. The ear does not just listen to music: it informs it to appreciate and evaluate it. Listening is made of circulations: it reflects itself in discourses which make visible representations, that constitute the musical experience. It becomes incarnate in practices and rituals which individually or collectively outline their object to better assurer the listening experience's success, which can not happen without its multiple mediations, whether social, symbolic or material

The PPILOW project: Innovations improving welfare in low input and organic pig and poultry farms

International audienceThe PPILOW project aims to co-construct innovations to improve Poultry and Pig Welfare in Low-input outdoor and Organic farming systems through a multi-actor approach. PPILOW implements a participatory approach for proposing and studying welfare-improvement levers. It will provide a combination of practical solutions that can be applied at a pan-European level with specific adjustments depending on citizen’s expectations and the target market. The multi-actor approach consists in involving end-users including farmers, breeding companies, feed producers, consumer associations, retailers, advisers, processors, and scientists in National Practitioner Groups (NPG) in six participating countries. PPILOW partners facilitate the groups by connecting NPG at European level, transferring scientific information, interacting with partners engaged in animal experiments, and co-creating innovations rising from NPG-specific demands. They co-build with PPILOW partners welfare self-assessment tools (development of the PIGLOW app for pigs and refinement of the EBENE® app for poultry), and innovative breeding, feeding, and rearing strategies and techniques to improve the welfare of animals. They co-design protocols, test innovations on farm, and disseminate the results. In turn, they receive insights on methods and scientific results, and inputs from other NPG reinforcing the value of the expected outcomes. Approaches focus on avoiding physical damage and the elimination of layer male chicks, on reducing boar taint of intact male pigs, promoting positive behaviours, animal health, and robustness through field studies with pigs and poultry. Multicriteria analyses of the most effective levers of welfare improvement will be performed to evaluate their economic, social, and environmental impacts based on the ‘One Welfare’ concept; economic and business models will also be developed. To ensure the rapid uptake of the project results by end-users, the close involvement of PPILOW’s NPG throughout the EU will ensure disseminationactivities and the facilitation of change. The PPILOW project has received funding from the European Union’s Horizon 2020 Research and Innovation Programme under grant agreement N°816172. www.ppilow.eu

Welfare barriers and levers for improvement in organic and low-input outdoor pig and poultry production systems

International audienceThe PPILOW project aims to co-construct innovations to improve Poultry and Pig Welfare in Low-input outdoor and Organic farming systems through a multi-actor approach. Its first step was to sum up animal welfare challenges observed in these systems and levers of improvement, from a review of literature data and research projects. Data were completed with information from key informants of the supply chains of poultry meat, eggs and pork in Italy, France, the United Kingdom and Finland. The interviews indicated that the main issues in poultry were: feeding, biosecurity, lack of range use and range management, feather pecking, weather, regulation, flock size or density, predation, bone fractures, lack of robustness, parasitism, pododermatitis, arthrosis, nervousness, water quality, catching and time spent by farmers. The main issues in pig were: feeding, tail biting, mortality, weather, predation, lack of robustness, lack of range use, castration, animal aggressiveness and competition, water quality, range management, human welfare, biosecurity issues, flock size or density, parasitism, insolation burns, joint abnormalities, parturition in freedom and pollution. This information has implemented a participatory approach for proposing welfare-improvement levers. Some issues and potential solutions were included in PPILOW experiments (phytotherapy against parasitism, involvement of animal personality in range use, rearing of entire pig males, genetic selection for reduced piglet mortality, improved farrowing huts for sows and piglets reared on range, avoiding feather pecking in laying hens with intact beaks, avoiding the killing of day-old male chicks etc.), and solution costs evaluated. The results will provide a combination of practical solutions for welfare improvement in Europe. The PPILOW project has received funding from the European Union’s Horizon 2020 Research and Innovation Programme under grant agreement N°816172

Welfare barriers and levers for improvement in organic and low-input outdoor pig and poultry production systems

International audienceThe PPILOW project aims to co-construct innovations to improve Poultry and Pig Welfare in Low-input outdoor and Organic farming systems through a multi-actor approach. Its first step was to sum up animal welfare challenges observed in these systems and levers of improvement, from a review of literature data and research projects. Data were completed with information from key informants of the supply chains of poultry meat, eggs and pork in Italy, France, the United Kingdom and Finland. The interviews indicated that the main issues in poultry were: feeding, biosecurity, lack of range use and range management, feather pecking, weather, regulation, flock size or density, predation, bone fractures, lack of robustness, parasitism, pododermatitis, arthrosis, nervousness, water quality, catching and time spent by farmers. The main issues in pig were: feeding, tail biting, mortality, weather, predation, lack of robustness, lack of range use, castration, animal aggressiveness and competition, water quality, range management, human welfare, biosecurity issues, flock size or density, parasitism, insolation burns, joint abnormalities, parturition in freedom and pollution. This information has implemented a participatory approach for proposing welfare-improvement levers. Some issues and potential solutions were included in PPILOW experiments (phytotherapy against parasitism, involvement of animal personality in range use, rearing of entire pig males, genetic selection for reduced piglet mortality, improved farrowing huts for sows and piglets reared on range, avoiding feather pecking in laying hens with intact beaks, avoiding the killing of day-old male chicks etc.), and solution costs evaluated. The results will provide a combination of practical solutions for welfare improvement in Europe. The PPILOW project has received funding from the European Union’s Horizon 2020 Research and Innovation Programme under grant agreement N°816172

The PPILOW project: Innovations improving welfare in low input and organic pig and poultry farms

International audienceThe PPILOW project aims to co-construct innovations to improve Poultry and Pig Welfare in Low-input outdoor and Organic farming systems through a multi-actor approach. PPILOW implements a participatory approach for proposing and studying welfare-improvement levers. It will provide a combination of practical solutions that can be applied at a pan-European level with specific adjustments depending on citizen’s expectations and the target market. The multi-actor approach consists in involving end-users including farmers, breeding companies, feed producers, consumer associations, retailers, advisers, processors, and scientists in National Practitioner Groups (NPG) in six participating countries. PPILOW partners facilitate the groups by connecting NPG at European level, transferring scientific information, interacting with partners engaged in animal experiments, and co-creating innovations rising from NPG-specific demands. They co-build with PPILOW partners welfare self-assessment tools (development of the PIGLOW app for pigs and refinement of the EBENE® app for poultry), and innovative breeding, feeding, and rearing strategies and techniques to improve the welfare of animals. They co-design protocols, test innovations on farm, and disseminate the results. In turn, they receive insights on methods and scientific results, and inputs from other NPG reinforcing the value of the expected outcomes. Approaches focus on avoiding physical damage and the elimination of layer male chicks, on reducing boar taint of intact male pigs, promoting positive behaviours, animal health, and robustness through field studies with pigs and poultry. Multicriteria analyses of the most effective levers of welfare improvement will be performed to evaluate their economic, social, and environmental impacts based on the ‘One Welfare’ concept; economic and business models will also be developed. To ensure the rapid uptake of the project results by end-users, the close involvement of PPILOW’s NPG throughout the EU will ensure disseminationactivities and the facilitation of change. The PPILOW project has received funding from the European Union’s Horizon 2020 Research and Innovation Programme under grant agreement N°816172. www.ppilow.eu

PPILOW: innovations for improving animal welfare and human well-being in low-input outdoor and organic poultry and pig production systems

International audienc