PubMed Health⌕ Search

Biomedical subjects

C Pradier

Publications and source records attributed to C Pradier.

77 records · Page 5Linked to original sources

[Effect of fibronectin on the adhesion of staphylococci and interaction with pefloxacin's anti-adherence properties].

Fibronectin (Fn) is recognized for its ability to mediate Staphylococcus aureus (SA) adhesion. The number of Fn receptors is dependent on the phase of growth, and type of media. Furthermore, it was of interest to examine SA and Staphylococcus epidermidis (SE) adherence to porcine Fn (IBF 10 ng/ml) immobilized on tissue culture plates. The aim of our study was to examine if removal of FN receptors by growing bacteria in an antibiotic containing medium decreased the ability to adhere and of pefloxacin (P) anti-adhesive properties were medium dependent. As SE usually lack Fn binding capabilities, it seemed of interest to investigate if the effects of subinhibitory concentrations of P were modified by medium or Fn. We found: a) For SA: whether Fn coated onto plastic substrata promoted adherence of strains, P's anti-adhesive properties were saved, non medium or phase of growth dependent. b) For SE: adherence properties were decreased if Fn was coated onto plates. P's anti-adhesive properties were not modified and non medium dependent. The number of Fn receptors on clinical isolates of SA correlates with the invasiveness of the isolates. As P reduced the binding of SA to Fn coated plates, this observation may have important implications for antimicrobial prophylaxis.

Bacterial Adhesion↗

[Study of incidence and risk factors of nosocomial urinary tract infection in patients with indwelling urinary catheter in intensive care units].

A prospective study was carried out in a medical and surgical ICU to determine the incidence of nosocomial urinary tract infection (NUTI) and to identify the most important risk factors. Over a 6 month period, 180 patients were included. All had an indwelling catheter. Six risk factors were studied: age, sex, illness (medical, surgical, trauma), hospital or extra-hospital origin, simplified acute physiology score and length of bladder catheterization. Forty three patients developed a NUTI. Length of bladder catheterization was the only significant different risk factor in infected and non-infected patients. Kaplan Meir analysis was used to determine time to development of NUTI. The risk rose from 19% for 5 day long catheterization to 50% for 14 day long catheterization.

Adult↗

Non invasive prediction of severe fibrosis in patients with alcoholic liver disease.

OBJECTIVES: The aim of this study was to assess the diagnostic accuracy of noninvasive markers of liver fibrosis in alcoholic liver disease. PATIENTS AND METHODS: Fifty-four clinical and biochemical parameters including serum fibrosis markers (hyaluronate and transforming growth factor beta1) were analyzed in 146 consecutive heavy drinkers (106 men, 40 women; mean age 49.2 years). Following liver biopsy, fibrosis was evaluated using a semi-quantitative scoring system (no fibrosis (0) to severe fibrosis (3 + )). Multivariate analysis was performed to determine the markers that were best correlated with the fibrosis score. RESULTS: Fifty-nine patients (40.4 %) had severe fibrosis (3 +) while 87 (59.6 %) had no fibrosis or moderate fibrosis (0 to 2 +). In multivariate analysis, serum hyaluronate and the prothrombin index were the best markers for the prediction of severe fibrosis. Hyaluronate and the prothrombin index had a diagnostic accuracy of 91.1 % and 89.7 %, respectively in the whole population. Finally, a significant negative correlation was found between hyaluronate and the prothrombin index (r =- 0.86, P <0.0001). CONCLUSIONS: Using only hyaluronate and the prothrombin index, 9 out of 10 alcoholic patients can be correctly classified according to the severity of liver fibrosis.

Adult↗

[Community-acquired and nosocomial septicemias in patients with human immunodeficiency virus infection].

OBJECTIVES: Study the characteristics of community and nosocomial-acquired bacteremia in HIV-infected patients in order to improve curative, and if possible, preventive therapy. METHODS: We analyzed retrospectively 47 cases of community-acquired and 31 cases of nosocomial bacteremia identified in 63 of 436 patients hospitalized between January 1992 and December 1993 with HIV infection (53 men, 10 women, mean age 34.3 years, stage A: 1, stage B: 20, stage C: 42). The portal was identified for 68 episodes (40 in the community acquired and 28 in the nosocomial groups). The main portal was pulmonary infection (42.5% vs 17.8%; p = 0.03) and digestive tract infection due to Streptococcus pneumoniae (70%) and Salmonella spp (60%). Nosocomial bacteremia following intravenous infusions included Staphylococcus epidermidis (oxacillin-resistant in 57%) and Staphylococcus (oxacillin-sensitive) infections. Bacteremia was the immediate cause of death in 18% of the deaths occurring in the 436 patients hospitalized during the study period. CONCLUSION: These findings confirm the gravity of community-acquired and nosocomial bacteremia in advanced stage HIV-infected patients. Antibiotics should be adapted on the basis of probability of the infectious agent obtained from epidemiologic data and the effectiveness of prophylaxis measures validated.

Adult↗