8 research outputs found
L'extrême droite en France et en Belgique
Depuis quelques années, le vote d'extrême droite progresse dans de nombreux pays européens. Si dans certains d'entre eux, il s'agit d'une manifestation récente, dans d'autres pays, l'extrême droite a connu un enracinement certain. Ainsi, en Belgique, en France ou en Autriche, les partis d'extrême droite font désormais partie de l'échiquier politique. Ces formations influencent profondément les débats politiques et pèsent sur les orientations gouvernementales. Cela est particulièrement vrai sur des thèmes tels que l'identité nationale, la sécurité intérieure, les politiques sociales, l'intégration des étrangers et les flux migratoires. L'extrême droite en France et en Belgique Le présent ouvrage aborde l'extrême droite en France et en Belgique de manière comparative, ce qui constitue sa principale originalité. En effet, cinq sujets identiques guident les analyses réalisées respectivement sur le Front national en France, le Vlaams Blok en Flandre et le Front national dans la partie francophone de la Belgique. La première question a trait aux étapes de la formation de ces partis, à leur identité politique, à leur organisation et leur personnel politique et, enfin, à leur enracinement progressif.Le deuxième sujet, qui est très souvent oublié mais qui nous renseigne sur leur filiation idéologique, porte sur leur programme économique et social. Le troisième thème concerne l'électorat des partis d'extrême droite et vise à donner une analyse nuancée, capable de restituer l'hétérogénéité des groupes qui votent pour les partis d'extrême droite. Le quatrième champ analyse les effets de la progression des partis d'extrême droite sur les autres formations politiques. Enfin, la cinquième problématique évoque la situation de deux villes sous l'emprise des partis d'extrême droite, Toulon à l'heure du Front national et Anvers à portée de main du Vlaams Blok. Ces deux monographies nous montrent aussi ce que signifie ou peut signifier l'administration de la collectivité par des partis d'extrême droite.info:eu-repo/semantics/publishe
Candida bloodstream infections in intensive care units: analysis of the extended prevalence of infection in intensive care unit study
Item does not contain fulltextOBJECTIVES: To provide a global, up-to-date picture of the prevalence, treatment, and outcomes of Candida bloodstream infections in intensive care unit patients and compare Candida with bacterial bloodstream infection. DESIGN: A retrospective analysis of the Extended Prevalence of Infection in the ICU Study (EPIC II). Demographic, physiological, infection-related and therapeutic data were collected. Patients were grouped as having Candida, Gram-positive, Gram-negative, and combined Candida/bacterial bloodstream infection. Outcome data were assessed at intensive care unit and hospital discharge. SETTING: EPIC II included 1265 intensive care units in 76 countries. PATIENTS: Patients in participating intensive care units on study day. INTERVENTIONS: None. MEASUREMENT AND MAIN RESULTS: Of the 14,414 patients in EPIC II, 99 patients had Candida bloodstream infections for a prevalence of 6.9 per 1000 patients. Sixty-one patients had candidemia alone and 38 patients had combined bloodstream infections. Candida albicans (n = 70) was the predominant species. Primary therapy included monotherapy with fluconazole (n = 39), caspofungin (n = 16), and a polyene-based product (n = 12). Combination therapy was infrequently used (n = 10). Compared with patients with Gram-positive (n = 420) and Gram-negative (n = 264) bloodstream infections, patients with candidemia were more likely to have solid tumors (p < .05) and appeared to have been in an intensive care unit longer (14 days [range, 5-25 days], 8 days [range, 3-20 days], and 10 days [range, 2-23 days], respectively), but this difference was not statistically significant. Severity of illness and organ dysfunction scores were similar between groups. Patients with Candida bloodstream infections, compared with patients with Gram-positive and Gram-negative bloodstream infections, had the greatest crude intensive care unit mortality rates (42.6%, 25.3%, and 29.1%, respectively) and longer intensive care unit lengths of stay (median [interquartile range]) (33 days [18-44], 20 days [9-43], and 21 days [8-46], respectively); however, these differences were not statistically significant. CONCLUSION: Candidemia remains a significant problem in intensive care units patients. In the EPIC II population, Candida albicans was the most common organism and fluconazole remained the predominant antifungal agent used. Candida bloodstream infections are associated with high intensive care unit and hospital mortality rates and resource use
Candida bloodstream infections in intensive care units: analysis of the extended prevalence of infection in intensive care unit study
To provide a global, up-to-date picture of the prevalence, treatment, and outcomes of Candida bloodstream infections in intensive care unit patients and compare Candida with bacterial bloodstream infection.
DESIGN:
A retrospective analysis of the Extended Prevalence of Infection in the ICU Study (EPIC II). Demographic, physiological, infection-related and therapeutic data were collected. Patients were grouped as having Candida, Gram-positive, Gram-negative, and combined Candida/bacterial bloodstream infection. Outcome data were assessed at intensive care unit and hospital discharge.
SETTING:
EPIC II included 1265 intensive care units in 76 countries.
PATIENTS:
Patients in participating intensive care units on study day.
INTERVENTIONS:
None.
MEASUREMENT AND MAIN RESULTS:
Of the 14,414 patients in EPIC II, 99 patients had Candida bloodstream infections for a prevalence of 6.9 per 1000 patients. Sixty-one patients had candidemia alone and 38 patients had combined bloodstream infections. Candida albicans (n = 70) was the predominant species. Primary therapy included monotherapy with fluconazole (n = 39), caspofungin (n = 16), and a polyene-based product (n = 12). Combination therapy was infrequently used (n = 10). Compared with patients with Gram-positive (n = 420) and Gram-negative (n = 264) bloodstream infections, patients with candidemia were more likely to have solid tumors (p < .05) and appeared to have been in an intensive care unit longer (14 days [range, 5-25 days], 8 days [range, 3-20 days], and 10 days [range, 2-23 days], respectively), but this difference was not statistically significant. Severity of illness and organ dysfunction scores were similar between groups. Patients with Candida bloodstream infections, compared with patients with Gram-positive and Gram-negative bloodstream infections, had the greatest crude intensive care unit mortality rates (42.6%, 25.3%, and 29.1%, respectively) and longer intensive care unit lengths of stay (median [interquartile range]) (33 days [18-44], 20 days [9-43], and 21 days [8-46], respectively); however, these differences were not statistically significant.
CONCLUSION:
Candidemia remains a significant problem in intensive care units patients. In the EPIC II population, Candida albicans was the most common organism and fluconazole remained the predominant antifungal agent used. Candida bloodstream infections are associated with high intensive care unit and hospital mortality rates and resource use