Epidémiologie de la résistance du pneumocoque aux antibiotiques dans les hôpitaux du groupe hospitalier de l'Institut catholique de Lille de 1998 à 2005

LILLE2-BU Santé-Recherche (593502101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Organisation du suivi des prématurés (pratiques dans la région Nord-Pas-de-Calais)

Introduction: L amélioration des techniques de soins périnataux a favorisé la survie des nouveau-nés prématurés. Cette survie n est pas indemne de séquelles à long terme, notamment sur le plan neurologique et psychomoteur. Il semble justifié d appliquer des politiques de suivi à cette population de nouveau-nés prématurés à risques de troubles du développement. Matériel et Méthode: Dans un premier temps, ont été recueillies les pratiques de suivi des centres de néonatalogie de niveau IIA, IIB et III de la région Nord-Pas-de-Calais. Nous nous sommes intéressés à la population suivie, la fréquence des consultations, l utilisation de tests de dépistage, les critères d arrêt du suivi. Nous avons recherché la présence de réseau d aval, et les principales structures impliquées dans le suivi (CAMSP, PMI, pédiatre et médecin généraliste). Dans un deuxième temps, il était recherché des recommandations dans la littérature concernant le suivi de ces nouveau-nés prématurés. Résultats: On retrouvait une disparité des pratiques de suivi des nouveau-nés prématurés en termes de population cible, d âge et de nature des évaluations. Les centres III et IIB assuraient un suivi pour des nouveau-nés d AG entre 34 et 35 SA et pour un PN < 1500 g. les centres IIA pour des nouveau-nés d AG de 36 SA et pou un PN <= 1800 g. Les enfants étaient le plus souvent examinés à 2 ans d âge corrigé. Peu de tests (psychomoteurs et/ou psychométriques) étaient réalisés. Aucun centre n utilisait de questionnaires parentaux. Le suivi s arrêtait pour la moitié des centres à l âge de 6 ans. Les réseaux d aval étaient en cours de création. Dans notre recherche bibliographique, nous retrouvions peu de recommandations. Conclusion: Il semble important de favoriser le travail en collaboration entre les personnels soignants par l intermédiaire des réseaux d aval et avec les parents, par l utilisation de questionnaires parentaux.LILLE2-BU Santé-Recherche (593502101) / SudocSudocFranceF

Evolution neurologique entre 2 ans et 5 ans des enfants nés grands prématurés indemnes de séquelles neurosensorielles à 2 ans (résultats de l étude Epipage Nord Pas de Calais)

LILLE2-BU Santé-Recherche (593502101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Utilisation du vaccin pneumococcique heptavalent conjugué en médecine de ville (enquête menée auprès de 369 médecins du département du Nord)

LILLE2-BU Santé-Recherche (593502101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Compréhension et acceptation d'une ordonnance de paracétamol au sortir des urgences pédiatriques (enquête menée aux urgences de Saint Vincent de Paul à Lille et au centre hospitalier de Douai)

LILLE2-BU Santé-Recherche (593502101) / SudocSudocFranceF

Epidémiologie du diabète insulino-dépendant survenant avant l'âge de 20 ans en France entre 1988 et 1997

PARIS6-Bibl. St Antoine CHU (751122104) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Circonstances et motifs d admission des nouveau-nés de moins d un mois aux urgences pédiatriques de l hôpital Saint Vincent de Paul à Lille

LILLE2-BU Santé-Recherche (593502101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Three-dimensional printing models improves long-term retention in medical education of pathoanatomy: A randomized controlled study

International audienceCraniosynostosis is a rare and complex pathology, and visuospatial skills are necessary for a good understanding of the condition. While the use of three-dimensional (3D) models has improved the understanding of complex craniofacial anatomy, no study has evaluated the impact of this teaching support on long-term retention. Our randomized controlled trial was designed to compare the long-term retention of information with 3D-printed models of four types of craniosynostosis versus classic 3D reconstructions displayed in two-dimensional (2D) among undergraduate students. All students benefited from the same standardized course followed by the manipulation of the learning tool associated with the group for 15 min. Long-term retention was assessed by the capability to properly recognize different types of craniosynostosis 3 weeks after the course. Eighty-five students were enrolled. Previous educational achievements and baseline visuospatial skills were similar between the groups. The bivariate analysis showed the mean score in the 3D and 2D groups were 11.32 (2.89) and 8.08 (2.81), respectively (p < 0.0001). 3D-printed models of structures with spatial complexity such as various craniosynostosis patterns improve significantly medical students' long-term retention, indicating their educational efficacy

Very preterm children free of disability or delay at age 2: predictors of schooling at age 8: a population-based longitudinal study.

International audienceAIM: To study the predictive value of a developmental assessment at 2 years corrected age (CA) for schooling at age 8 in children born very preterm and free of disability or delay; to identify other factors associated with schooling in this population. METHODS: 244 children born before 33 weeks in 1997, part of the population-based EPIPAGE cohort study, free of disability or delay, had their developmental quotient (DQ) evaluated with the Brunet-Lezine scale at 2 years CA. The mental processing composite (MPC) score was evaluated at age 5 with the K-ABC battery. Data on schooling were obtained at age 8 by postal questionnaire. Schooling was considered appropriate if the child was attending age-appropriate grade level in a regular classroom environment without support at school. RESULTS: Schooling was appropriate for 172 (70%) children. The predictive value of a DQ≥100 for appropriate schooling was 0.80 [0.75;0.85]. In children with a DQ at age 2<100, schooling varied significantly according to their MPC score at age 5 whereas it didn't in children with a DQ≥100. In multivariate analysis, the rate of appropriate schooling was significantly related to global DQ at age 2 (p<0.01), gestational age≥29 weeks (p<0.05), head circumference at age 2 (p<0.05) and mother's educational level (p<0.05). CONCLUSION: A DQ≥100 cannot be solely used for the prediction of appropriate schooling at age 8. Mother's educational level, gestational age and head circumference at age 2 could be taken account. These factors could be used to individualise follow-up

Full compliance with Respiratory syncytial virus prophylaxis was associated with fewer respiratory‐related hospital admissions in preterm children: A cohort study

International audienceAim Although well documented in randomised trials, the efficacy of prophylaxis against respiratory syncytial virus (RSV) in real-word conditions is less studied. The objective was to assess the impact of partial versus full RSV prophylaxis for acute respiratory infections (ARIs) and ARI-related hospital admissions in preterm children.Methods This study included children born preterm in 2011 in France who were eligible for RSV prophylaxis and received at least one palivizumab dose from October 2011 to March 2012. Full prophylaxis was defined as receiving at least one palivizumab dose for each month of RSV exposure in the community. Children with full and partial prophylaxis were matched, and odds of ARIs and ARI-related hospital admission were compared by logistic regression.Results Full prophylaxis concerned 861/1083 (80%) children. As compared with full prophylaxis, partial prophylaxis was not associated with ARI occurrence (odds ratio OR 1.3, 95% confidence interval CI 0.9-1.9) but was significantly associated with ARI-related hospital admission during the RSV epidemic (OR 1.9, 95% CI 1.2-2.9).Conclusion During the 2011-2012 RSV epidemic, hospital admission rates were higher for preterm children with partial than full RSV prophylaxis. Improving compliance could help alleviate the burden of RSV on healthcare systems