References of "MELIN, Pierrette"
     in
Bookmark and Share    
Full Text
Peer Reviewed
See detailDisseminated Penicillium marneffei infection contrated in China
Hayette, Marie-Pierre ULg; Mukeba Tschialala, Didier; Meex, Cécile ULg et al

Poster (2007)

Penicillium marneffei infection is a rare fungal disease that cause significant disease in immunosuppressed patients. The geographical distribution of this dimorphic fungus is restricted to Asia ... [more ▼]

Penicillium marneffei infection is a rare fungal disease that cause significant disease in immunosuppressed patients. The geographical distribution of this dimorphic fungus is restricted to Asia, Southeast and Far East, where the disease is considered as an indicator of acquired immunodeficiency syndrome (AIDS). Case report. A 42-year old Congolese woman living in Lubumbashi was admitted at the university hospital of Liège for exploration of a general status impairment. She experienced for three months spiking fever, weight loss, productive cough with bloody expectorations and progressive dyspnoea. She reported also to have non-bloody mild diarrhoea with abdominal pain. The HIV antibody status was positive with a low CD4 T lymphocytes count (28/µl). Pulmonary infiltrates were visualized on chest radiography and the computed tomography revealed the presence of a severe pneumopathy characterised by bilateral micronodular lesions. Mediastinal polyadenopathies associated with hepato- and splenomegaly were also highlighted. Bronchoscopy was performed and bronchial aspirations revealed the presence of numerous leucocytes with the presence of intracellular Gram positive organisms suggestive of yeasts. Ziehl, Giemsa and Gomori-Grocott staining were also performed. Ziehl staining was negative. The morphological aspect given by Giemsa staining excluded infection and the PCR specific for T. gondii B1 gene was negative. However, Gomori-Grocott staining revealed the presence of intracellular oval, elongated, sausage-shaped cells with a single transverse septum (3 to 5 µm). Penicillium marneffei was isolated from blood culture and respiratory samples. Intraveinous amphotericin B treatment was administrated during 15 days followed by itraconazole oral administration (200 mg/j). The antimycotic treatment improved the patient condition and despite other clinical troubles she was prematurely discharged because of financial problems. Conclusion. Opportunistic agents involved in HIV-infected patients differ in Africa and Asia and it is important to be able to make a rapid diagnosis with the aid of an experienced laboratory. [less ▲]

Detailed reference viewed: 64 (2 ULg)
Full Text
See detailStreptococcus agalactiae (dans rapport de surveillance des maladies infectieuses par un réseau de laboratoires de microbilogie 2005 + Tendances épidémiologiques 1983-2004)
MELIN, Pierrette ULg

in Ducoffre, Geneviève (Ed.) Rapport de surveillance des maladies infectieuses par un réseau de laboratoires de microbiologie 2005 + Tendances épidémiologiques 1983-2004 - IPH/EPI REPORT 2005 (2006)

Detailed reference viewed: 10 (3 ULg)
See detailPrévention des infections périnatales à streptocoques du groupe B : Recommandations
MELIN, Pierrette ULg

Conference (2006, September 08)

Detailed reference viewed: 6 (3 ULg)
Full Text
Peer Reviewed
See detailEarly onset neonatal sepsis or meningitis, in Belgium, in the era of prevention for perinatal group B streptococcal diseases
MELIN, Pierrette ULg; Hayette, Marie-Pierre; Ducoffre, Geneviève et al

in ASM (Ed.) Program and Abstracts of the 46th Intersciences Conference on Antimicrobial Agents and Chemotherapy (2006, September)

Detailed reference viewed: 18 (1 ULg)
Peer Reviewed
See detailMolecular epidemiology of extended-spectrum beta-lactamase-producing Enterobacteriaceae colonizing the digestive tract of patients admitted to intensive care units in a Belgian university hospital
CHRISTIAENS, Geneviève ULg; Damas, Pierre ULg; Docquier, J. D. et al

in American Society of Microbiology (Ed.) Program and Abstracts of the 46th Intersciences Conference on Antimicrobial Agents and Chemotherapy (2006, September)

Detailed reference viewed: 24 (5 ULg)
See detailThe GBS: pro screening
MELIN, Pierrette ULg

Conference (2006, June 21)

Detailed reference viewed: 7 (0 ULg)
Full Text
Peer Reviewed
See detailEvaluation of the Strepto B ID agar for the detection of group B streptococci from vaginal and recto-vaginal specimens
MELIN, Pierrette ULg; Bonafe, S.; HAYETTE, Marie-Pierre ULg et al

in ASM (Ed.) Program and Abstracts of the 106th General Meeting of the American Society for Microbiology (2006, May)

Detailed reference viewed: 23 (1 ULg)
Full Text
See detailThe GBS: pro screening
MELIN, Pierrette ULg

Conference (2006, March 11)

Detailed reference viewed: 4 (0 ULg)
See detailPerinatal Group B Streptococcal Disease : Prevention strategies
Melin, Pierrette ULg

Conference (2006, February)

Detailed reference viewed: 4 (0 ULg)
Full Text
Peer Reviewed
See detailSelection of resistance during sequential use of preferential antibiotic classes
Damas, Pierre ULg; Canivet, Jean-Luc ULg; Ledoux, Didier ULg et al

in Intensive Care Medicine (2006), 32

OBJECTIVE: To determine the effect of antibiotic class pressure on the susceptibility of bacteria during sequential periods of antibiotic homogeneity. DESIGN AND SETTING: Prospective study in a mixed ICU ... [more ▼]

OBJECTIVE: To determine the effect of antibiotic class pressure on the susceptibility of bacteria during sequential periods of antibiotic homogeneity. DESIGN AND SETTING: Prospective study in a mixed ICU with three separated subunits of eight, eight, and ten beds. PATIENTS AND PARTICIPANTS: The study examined the 1,721 patients with a length of stay longer than 2 days. INTERVENTIONS: Three different antibiotic regimens were used sequentially over 2 years as first-choice empirical treatment: cephalosporins, fluoroquinolone, or a penicillin-beta-lactamase inhibitor combination. Each regimen was applied for 8 months in each subunits of the ICU, using "latin square" design. RESULTS: We treated 731 infections in 546 patients (32% of patients staying more than 48 h). There were 25.5 ICU-acquired infections per 1,000 patient-days. Infecting pathogens and colonizing bacteria were found in 2,739 samples from 1,666 patients (96.8%). No significant change in global antibiotic susceptibility was observed over time. However, a decrease in the susceptibility of several species was observed for antibiotics used as the first-line therapy in the unit. Selection pressure of antibiotics and occurrence of resistance during treatment was documented within an 8-month rotation period. CONCLUSIONS: Antibiotic use for periods of several months induces bacterial resistance in common pathogens [less ▲]

Detailed reference viewed: 10 (0 ULg)
Full Text
Peer Reviewed
See detailKilling Kinetics of Group B Streptococci for Penicillin in Combination with Gentamicin
Melin, Pierrette ULg; Lorquet, Sophie ULg; Hayette, Marie-Pierre ULg et al

in Sriprakash, Kabada S (Ed.) "Streptococci: New Insights into an Old Enemy", Proceedings of the XVI Lancefield International Symposium on Streptococci and Streptococcal Diseases (2006)

In vitro synergism and killing kinetics studies of penicillin in combination with gentamicin were performed with group B streptococci recently isolated in Belgium. The expected accelerated killing was not ... [more ▼]

In vitro synergism and killing kinetics studies of penicillin in combination with gentamicin were performed with group B streptococci recently isolated in Belgium. The expected accelerated killing was not observed when compared with penicillin alone. D 2005 Elsevier B.V. All rights reserved. [less ▲]

Detailed reference viewed: 29 (2 ULg)
Full Text
Peer Reviewed
See detailSérologie infectieuse: interprétation des résultats et pièges à éviter
Huynen, Pascale ULg; Hayette, Marie-Pierre ULg; Melin, Pierrette ULg et al

in Revue Médicale de Liège (2006), 61(12), 827-833

In Medical Microbiology, in addition to the direct methods of indentification of infectious agentss, the serologic indirect techniques by quantification of antibodies have extremely useful in infectiology ... [more ▼]

In Medical Microbiology, in addition to the direct methods of indentification of infectious agentss, the serologic indirect techniques by quantification of antibodies have extremely useful in infectiology, for the diagnosis and the therapeutic or vaccination follow-up as well as for epidemiologic enquiries, serodiagnosis methods have significantly improved. Meanwhile, results may reveal hard to interpret, especially when are tries to specify the time of the beginning of an infection. The results require in the majority of the cases to be compared on two subsequent serum samples, to observe a possible increase in antibodies level. In addition, the infectious serology results may not be considered as the only element of final diagnosis. In all cases, they have to be interpreted and challenged against the clinical context. [less ▲]

Detailed reference viewed: 65 (8 ULg)
Full Text
Peer Reviewed
See detailProspective survey of digestive tract colonization with enterobacteriaceae that produce ESBLs in intensive care units
Christiaens, Geneviève ULg; Ciccarella, Y.; Damas, Pierre ULg et al

in Journal of Hospital Infection (2006), 62(3), 386-388

Detailed reference viewed: 19 (4 ULg)
Full Text
Peer Reviewed
See detailComparison of the Sensititre YeastOne and Fungitest methods with the NCCLS M27-A2 reference method for antifungal susceptibility testing of yeasts
Hayette, Marie-Pierre ULg; Kondarowski, E.; Melin, Pierrette ULg et al

Poster (2005, December)

Background: The recent introduction of Sensititre YeastOne, a colorimetric microdilution method that includes new antifungal agents has opened the field to MIC’s determination by an easy-to-perform method ... [more ▼]

Background: The recent introduction of Sensititre YeastOne, a colorimetric microdilution method that includes new antifungal agents has opened the field to MIC’s determination by an easy-to-perform method. The aim of this study was to compare this test with the NCCLS M27-A protocol and with Fungitest, a current routine method for yeasts susceptibility testing. Methods: Sensititre YeastOne method (Trek diagnostic), and the NCCLS M27-A2 were performed on 300 yeasts clinical isolates distributed as follow: 125 C. albicans, 273 non-albicans species. Four antifungal agents were tested by the reference method: amphotericine B (AmB), fluconazole (FZ), itraconazole (ITZ), and voriconazole (VOR). The reading of the Sensititre and NCCLS results was visually performed after 24 and 48 h respectively. The Fungitest (Biorad) method was applied on 121 among the 300 isolates and the reading was made after 24 to 48 h incubation time according to the positive control growth. Results: By the NCCLS method, the MICs50/MICs90 (µg/ml) were as follows: 1/2 (AmB); 16/64 (FZ); 0.25/4 (ITZ) and 0.125/2 (VOR). Sensititre vs. NCCLS: The overall agreement within 2 dilutions for AmB, FZ, ITZ and VOR was respectively 54, 82, 80 and 78%. The MICs50/MICs90 were in absolute concordance for VOR by both techniques. Very major errors (%) were recorded as follows: 0.01/0 (AmB with a MIC ≥ 4/8µg/ml for resistant strains respectively), 1.6 (FZ), 3.6 (ITZ) and 2.3 (VOR with a MIC ≥ 8µg/ml for resistant strains). Fungitest vs. NCCLS: The agreement between both methods including minor discrepancies was 98% (AmB), 88% (FZ) and 98% (ITZ). Following the breakpoints given by the manufacturer, very major errors were 6.3% for FZ, 0.03% for ITZ and none for AmB. Conclusions: Sensititre is a convenient alternative to the NCCLS method for yeast susceptibility testing. Fungitest in spite of good correlations must change the breakpoints and include new antifungal agents to be competitive. [less ▲]

Detailed reference viewed: 91 (1 ULg)
Full Text
See detailPrevention of perinatal group B streptococcak diseases: update and guidelines
MELIN, Pierrette ULg

in Ducoffre, Geneviève (Ed.) Program and Abstracts book of 2005 Symposium of ISP (2005, November 17)

Face à l’importance et à la gravité des infections périnatales à streptocoques du groupe B (GBS), depuis dix ans, différentes approches préventives ont été proposées. Le point commun est l’administration ... [more ▼]

Face à l’importance et à la gravité des infections périnatales à streptocoques du groupe B (GBS), depuis dix ans, différentes approches préventives ont été proposées. Le point commun est l’administration intraveineuse d’antibiotiques pendant le travail et l’accouchement aux patientes identifiées « à risque » soit par un dépistage de colonisation maternelle pendant la grossesse, soit par la présence de facteurs de risque définis. En 2002, après quelques années d’implémentation et d’adoption des recommandations éditées par le CDC (Centers for Diseases Control and Prevention, Atlanta, USA) en 1996, différentes études ont évalué l’efficacité des alternatives et ont démontré pour différentes raisons, la supériorité du dépistage pendant la grossesse pour l’identification des mères « à risque ». C’est pourquoi, en août 2002, le CDC publiait une version révisée des recommandations en proposant un dépistage universel, c'est-àdire de TOUTES les femmes enceintes. Parallèlement d’autres pays, notamment la France et la Belgique, évaluaient aussi l’efficacité et la faisabilité de différentes stratégies plus ou moins proches de celles du CDC. Depuis juillet 2003, les recommandations belges « Prevention of Perinatal Group B streptococcal Infections. Guidelines from the Belgium Health Council . (SHC. 721) » sont disponibles sur le site du CSH : (http://www.health.fgov.be/CSH_HGR/Francais/Brochures/GBS_2003.pdf et http://www.health.fgov.be/CSH_HGR/Nederlands/Brochures/GBS_2003.pdf). Ces recommandations sont très proches de celles du CDC moyennant quelques adaptations techniques et de prises en charge des nouveau-nés et, qui devraient en améliorer l’efficacité. Ces recommandations belges seront présentées et discutées. L’efficacité optimale attendue de ces recommandations est une réduction de 75% des cas d’infection néonatale précoce confirmés par culture. Pour atteindre cet objectif, la communication et une coordination multidisciplinaires sont indispensables entre le service de gynécologie-obstétrique, le laboratoire, le bloc d’accouchement et le service de néonatologie. [less ▲]

Detailed reference viewed: 4 (0 ULg)