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583 results on '"Arlet, G."'

1. Initial Laparotomy Versus Peritoneal Drainage in Extremely Low Birthweight Infants With Surgical Necrotizing Enterocolitis or Isolated Intestinal Perforation: A Multicenter Randomized Clinical Trial.

Author

Blakely, Martin L, Tyson, Jon E, Lally, Kevin P, Hintz, Susan R, Eggleston, Barry, Stevenson, David K, Besner, Gail E, Das, Abhik, Ohls, Robin K, Truog, William E, Nelin, Leif D, Poindexter, Brenda B, Pedroza, Claudia, Walsh, Michele C, Stoll, Barbara J, Geller, Rachel, Kennedy, Kathleen A, Dimmitt, Reed A, Carlo, Waldemar A, Cotten, C Michael, Laptook, Abbot R, Van Meurs, Krisa P, Calkins, Kara L, Sokol, Gregory M, Sanchez, Pablo J, Wyckoff, Myra H, Patel, Ravi M, Frantz, Ivan D, Shankaran, Seetha, D'Angio, Carl T, Yoder, Bradley A, Bell, Edward F, Watterberg, Kristi L, Martin, Colin A, Harmon, Carroll M, Rice, Henry, Kurkchubasche, Arlet G, Sylvester, Karl, Dunn, James CY, Markel, Troy A, Diesen, Diana L, Bhatia, Amina M, Flake, Alan, Chwals, Walter J, Brown, Rebeccah, Bass, Kathryn D, St Peter, Shawn D, Shanti, Christina M, Pegoli, Walter, Skarda, David, Shilyansky, Joel, Lemon, David G, Mosquera, Ricardo A, Peralta-Carcelen, Myriam, Goldstein, Ricki F, Vohr, Betty R, Purdy, Isabell B, Hines, Abbey C, Maitre, Nathalie L, Heyne, Roy J, DeMauro, Sara B, McGowan, Elisabeth C, Yolton, Kimberly, Kilbride, Howard W, Natarajan, Girija, Yost, Kelley, Winter, Sarah, Colaizy, Tarah T, Laughon, Matthew M, Lakshminrusimha, Satyanarayana, and Higgins, Rosemary D

Subjects
Perinatal Period - Conditions Originating in Perinatal Period, Clinical Research, Infant Mortality, Rare Diseases, Digestive Diseases, Preterm, Low Birth Weight and Health of the Newborn, Pediatric, Clinical Trials and Supportive Activities, Good Health and Well Being, Drainage, Enterocolitis, Necrotizing, Feasibility Studies, Female, Humans, Infant, Extremely Low Birth Weight, Infant, Newborn, Infant, Premature, Infant, Premature, Diseases, Intestinal Perforation, Laparotomy, Male, Neurodevelopmental Disorders, Survival Rate, Treatment Outcome, isolated intestinal perforation, neonatal surgery, premature infant, randomized clinical trial, surgical necrotizing enterocolitis, Eunice Kennedy Shriver National Institute of Child Health, Human Development Neonatal Research Network, Medical and Health Sciences, Surgery
Abstract

ObjectiveThe aim of this study was to determine which initial surgical treatment results in the lowest rate of death or neurodevelopmental impairment (NDI) in premature infants with necrotizing enterocolitis (NEC) or isolated intestinal perforation (IP).Summary background dataThe impact of initial laparotomy versus peritoneal drainage for NEC or IP on the rate of death or NDI in extremely low birth weight infants is unknown.MethodsWe conducted the largest feasible randomized trial in 20 US centers, comparing initial laparotomy versus peritoneal drainage. The primary outcome was a composite of death or NDI at 18 to 22 months corrected age, analyzed using prespecified frequentist and Bayesian approaches.ResultsOf 992 eligible infants, 310 were randomized and 96% had primary outcome assessed. Death or NDI occurred in 69% of infants in the laparotomy group versus 70% with drainage [adjusted relative risk (aRR) 1.0; 95% confidence interval (CI): 0.87-1.14]. A preplanned analysis identified an interaction between preoperative diagnosis and treatment group (P = 0.03). With a preoperative diagnosis of NEC, death or NDI occurred in 69% after laparotomy versus 85% with drainage (aRR 0.81; 95% CI: 0.64-1.04). The Bayesian posterior probability that laparotomy was beneficial (risk difference

Published
2021

2. Molecular epidemiology of ESBL-producing E. coli and K. pneumoniae: establishing virulence clusters

Author

Surgers L, Boersma P, Girard PM, Homor A, Geneste D, Arlet G, Decré D, and Boyd A

Subjects
ESBL, virulence, mortality, E. coli, K. pneumoniae, Infectious and parasitic diseases, RC109-216
Abstract

Laure Surgers,1,2 Peter Boersma,3 Pierre-Marie Girard,1,4 Audrey Homor,5 Delphine Geneste,2 Guillaume Arlet,2,5 Dominique Decré,2,5 Anders Boyd4 1Infectious Diseases Department, Saint-Antoine Hospital, APHP, Paris, France; 2Sorbonne University, INSERM, U1135, Centre d’Immunologie et des Maladies Infectieuses, CIMI Team 13, Paris, France; 3Department of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA; 4INSERM, Sorbonne Université, Institut Pierre Louis d’Épidémiologie et de Santé Publique, Paris, France; 5Bacteriology Department, Saint-Antoine Hospital, APHP, Paris, France Objective: To genetically characterize clusters of virulence factors (VFs) among extended spectrum β-lactamase (ESBL)-producing Escherichia coli and Klebsiella pneumoniae and assess whether these clusters are associated with genetic determinants or clinical outcomes. Methods: One hundred forty-eight E. coli and 82 K. pneumoniae clinical isolates were obtained from 213 patients in Paris, France. Isolates underwent ESBL characterization, MultiLocus Sequence Typing (MLST) typing and phylogenetic group identification. Detection of ten E. coli and seven K. pneumoniae VF-encoding genes were assessed, from which a k-medians partition algorithm with Jaccard similarity measure was used to construct clusters. Results: CTX-M was the predominant ESBL and susceptibility to trimethoprim–sulfamethoxazole (32%), ciprofloxacin (22%) and aminoglycosides (32%) was low. In E. coli, there were five identified clusters, with significantly different distributions of ESBL-sequence type (P

Published
2018

5. Detection of extended-spectrum beta-lactamases in Gramnegative bacilli from seawater in Algiers port (Algeria).

Author

Alouache, S., Messai, Y., Anssour, L., Iabadene, H., Arlet, G., and Bakour, R.

Subjects
BETA lactamases, GRAM-negative bacteria, AEROMONAS hydrophila, SEAWATER, CITROBACTER freundii, DRUG resistance in bacteria
Abstract

The antibiotics resistance of aquatic environmental bacteria is an established fact; however, in order to understand its origin and development, it is necessary to elucidate its mechanisms. Basing on the importance of beta-lactams in therapy and extendedspectrum beta-lactamases (ESBLs) as a resistance mechanism, the objective of this work was to investigate ESBLs in Gram negative bacilli recovered from seawaters of Algiers port. Twelve isolates, identified as Citrobacter freundii (n=4), Escherichia coli (n=1), Aeromonas hydrophila (n=2), Vibrio fluvialis (n=4) and Bordetella sp (n=1), were found producers of ESBLs CTX-M-3, CTX-M-15, PER-1, VEB-1, SHV2a and oxacillinase OXA-101. blaCTX-M and blaPER-1 genes were transferred in association with self-transferable plasmids of approximately >70kb and 138 kb, respectively. The class - integrons were present in 7 isolates and were transferable from 3 isolates. The insertion sequence ISEcp1B was found genetically linked to blaCTX-M genes. This study described different types of ESBLs in marine water which is related to anthropogenic inputs. This is an emerging concern around the world and requires implementation of serious resistance monitoring in environment. [ABSTRACT FROM AUTHOR]

Published
2023

7. Acquired Abdominal Conditions

Author

Kurkchubasche, Arlet G., Luks, Francois I., Tracy, Thomas F., Jr, Elzouki, Abdelaziz Y., editor, Harfi, Harb A., editor, Nazer, Hisham M., editor, Stapleton, F. Bruder, editor, Oh, William, editor, and Whitley, Richard J., editor

Published
2012
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8. Vascular and Lymphatic malformations

Author

Kurkchubasche, Arlet G., Elzouki, Abdelaziz Y., editor, Harfi, Harb A., editor, Nazer, Hisham M., editor, Stapleton, F. Bruder, editor, Oh, William, editor, and Whitley, Richard J., editor

Published
2012
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10. Initial Laparotomy Versus Peritoneal Drainage in Extremely Low Birthweight Infants With Surgical Necrotizing Enterocolitis or Isolated Intestinal Perforation

Author

Michele C. Walsh, Rachel Geller, Ivan D. Frantz, David E. Skarda, Claudia Pedroza, Seetha Shankaran, Leif D. Nelin, Shawn D. St. Peter, Henry E. Rice, Isabell B. Purdy, Kara L. Calkins, Walter J. Chwals, Kimberly Yolton, Troy A. Markel, Brenda B. Poindexter, Christina M Shanti, Gail E. Besner, David K. Stevenson, Pablo J. Sánchez, William E Truog, Barry Eggleston, Myriam Peralta-Carcelen, Krisa P. Van Meurs, Nathalie L. Maitre, James C.Y. Dunn, R.A. Mosquera, Rebeccah L. Brown, Bradley A. Yoder, Howard W. Kilbride, Satyanarayana Lakshminrusimha, Carroll M. Harmon, Robin K. Ohls, Ricki F. Goldstein, Barbara J. Stoll, Kristi L. Watterberg, Abbey C. Hines, Ravi Mangal Patel, Matthew M. Laughon, Jon E. Tyson, Karl G. Sylvester, Kathryn D. Bass, Alan W. Flake, Carl T. D'Angio, Rosemary D. Higgins, Martin L. Blakely, Reed A. Dimmitt, Arlet G. Kurkchubasche, Colin A. Martin, Girija Natarajan, C. Michael Cotten, David G Lemon, Sarah Winter, Elisabeth C. McGowan, Edward F. Bell, Abhik Das, Diana L. Diesen, Kevin P. Lally, Waldemar A. Carlo, Kelley Yost, Walter Pegoli, Amina M. Bhatia, Susan R. Hintz, Tarah T. Colaizy, Myra H. Wyckoff, Gregory M Sokol, Betty R. Vohr, Sara B. DeMauro, Kathleen A. Kennedy, Abbot R. Laptook, Roy J. Heyne, and Joel Shilyansky

Subjects
Male, medicine.medical_specialty, medicine.medical_treatment, Perforation (oil well), Infant, Premature, Diseases, Article, law.invention, Randomized controlled trial, Enterocolitis, Necrotizing, law, Laparotomy, medicine, Humans, Survival rate, Enterocolitis, business.industry, Infant, Newborn, medicine.disease, Confidence interval, Surgery, Survival Rate, Treatment Outcome, Infant, Extremely Low Birth Weight, Intestinal Perforation, Neurodevelopmental Disorders, Relative risk, Necrotizing enterocolitis, Drainage, Feasibility Studies, Female, medicine.symptom, business, Infant, Premature
Abstract

OBJECTIVE: To determine which initial surgical treatment results in the lowest rate of death or neurodevelopmental impairment (NDI) in premature infants with necrotizing enterocolitis (NEC) or isolated intestinal perforation (IP). SUMMARY BACKGROUND DATA: The impact of initial laparotomy versus peritoneal drainage for NEC or IP on the rate of death or NDI in extremely low birth weight infants is unknown. METHODS: We conducted the largest feasible randomized trial in 20 US centers, comparing initial laparotomy versus peritoneal drainage. The primary outcome was a composite of death or NDI at 18–22 months corrected age, analyzed using prespecified frequentist and Bayesian approaches. RESULTS: Of 992 eligible infants, 310 were randomized and 96% had primary outcome assessed. Death or NDI occurred in 69% of infants in the laparotomy group versus 70% with drainage (adjusted relative risk [aRR] = 1.0; 95% confidence interval [CI]: 0.87–1.14). A preplanned analysis identified an interaction between preoperative diagnosis and treatment group (p = 0.03). With a preoperative diagnosis of NEC, death or NDI occurred in 69% after laparotomy versus 85% with drainage (aRR=0.81; 95% CI: 0.64 to 1.04). The Bayesian posterior probability that laparotomy was beneficial (risk difference

Published
2021

13. Incidence rates of carbapenemase-producing Enterobacteriaceae clinical isolates in France: a prospective nationwide study in 2011–12

Author

Robert, Jérôme, Pantel, Alix, Mérens, Audrey, Lavigne, Jean-Philippe, Nicolas-Chanoine, Marie-Hélène, Brieu, N., Vrain, A., Scanvic, A., Porcheret, H., Garnier, P., Bertrand, X., Descamps, D., Hombrouck, C., Soullié, B., Heym, B., de Montclos, H., Garrec, H., Levast, M., Mendes-Martins, L., Decousser, J. W., Huet, C., Bert, F., Herzig, V., Klein, J. P., Nebbad, B., Hendricx, S., Verhaeghe, A., Lafaurie, C., Lanselle, C., Elsayed, F., Carrer, A., Drieux-Rouzet, L., Evreux, F., Varache, C., Wallet, F., Martin, C., Le-Bris, J. M., Moulhade, M. C., Deville, E., Menouni, O., Jean-Pierre, H., Pierrot, P., Delarbre, J. M., Coude, B., Foca, M., Degand, N., Prots, L., Pantel, A., Adam, M. N., Laurens, E., Raskine, L., Laouira, S., Arlet, G., Sanchez, R., Peuchant, O., Grau, V., Laurent, C., De-Champs, C., Vachée, A., Harriau, P., Mérens, A., Belmonte, O., Michel, G., Henry, C., Picot, S., Glatz, I., Gueudet, T., Honderlick, P., Cavalié, L., Galinier, J. L., Patoz, P., van-der-Mee-Marquet, N., Haguenoer, E., Canis, F., Kassis-Chikhany, N., and Le-Garrec, Y.

Published
2014
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17. Necrotizing Enterocolitis and Spontaneous Intestinal Perforation: A Spatiotemporal Case Cluster Analysis

Author

Arlet G. Kurkchubasche, Samuel Yang, Richard Tucker, Thomas Murphy, Hillary Collyer, and Jesse Bender

Subjects
Pediatrics, medicine.medical_specialty, Neonatal intensive care unit, business.industry, Incidence (epidemiology), Building and Construction, medicine.disease, Individual QI Projects from Single Institutions, Chart review, Necrotizing enterocolitis, Spontaneous Intestinal Perforation, medicine, Cluster (physics), Referral center, Small for gestational age, business
Abstract

Objective To expand existing statistical methods to identify clusters of necrotizing enterocolitis (NEC) and spontaneous intestinal perforation (SIP) cases in the neonatal intensive care unit. Methods In an academic, tertiary referral center, possible NEC or SIP clusters were identified using a binomial distribution scan test. The incidence-density rate (IDR) was calculated as the number of cases per 1,000 patient-days during each possible cluster and compared with the baseline IDR. A structured chart review compared cluster and noncluster cases. Spatial clustering analyzed the physical distribution of cases using the Grimson Test. Repeat analysis included only SIP cases. Result The initial scan identified 3 suspected temporal clusters. IDR comparison confirmed only 1 cluster. Analysis of SIP only cases revealed similar results. Physical proximity was not a significant factor. Chart review of the SIP and NEC cases revealed significant increases during the confirmed cluster of small for gestational age infant births and indomethacin treatment. Chart review of the SIP only cases in the confirmed cluster revealed no significant differences. Conclusion Statistical methods distinguish whether suspected case clusters represent a significant increase in baseline incidence. True clusters warrant detailed investigation including spatial analysis and chart review. This approach may have application in other disease processes and populations.

Published
2019

30. Patient-centered outcomes research in appendicitis in children: Bridging the knowledge gap

Author

Sean Ciullo, Debra Watson-Smith, Thomas H. Chun, Danielle B. Chau, Arlet G. Kurkchubasche, and Francois I. Luks

Subjects
Adult, Male, Parents, Health Knowledge, Attitudes, Practice, medicine.medical_specialty, Pediatrics, Adolescent, Perforation (oil well), Disease, 03 medical and health sciences, 0302 clinical medicine, Patient Education as Topic, 030225 pediatrics, medicine, Appendectomy, Humans, Prospective Studies, Child, business.industry, Patient-centered outcomes, Mortality rate, General Medicine, Odds ratio, Emergency department, Appendicitis, medicine.disease, Anti-Bacterial Agents, Patient Outcome Assessment, Elective Surgical Procedures, Child, Preschool, 030220 oncology & carcinogenesis, Family medicine, Acute Disease, Pediatrics, Perinatology and Child Health, Female, Surgery, Outcomes research, Emergency Service, Hospital, business
Abstract

Patient-centered outcomes research (PCOR) aims to give patients a better understanding of the treatment options to enable optimal decision-making. As nonoperative alternatives are now being evaluated in children for acute appendicitis, we surveyed patients and their families regarding their knowledge of appendicitis and evaluated whether providing basic medical information would affect their perception of the disease and allow them to more rationally consider the treatment alternatives.Families of children aged 5-18 presenting to the Emergency Department with suspected appendicitis were recruited for a tablet-based interactive educational survey. One hundred subjects (caregivers and patients ≥ 15 years) were questioned before and after an education session about their understanding of appendicitis, including questions on three hypothetical treatment options: urgent appendectomy, antibiotics alone, or initial antibiotics followed by elective appendectomy. Subjects were clearly informed that urgent appendectomy is currently the standard of care.Only 14% of respondents correctly identified the mortality rate of appendicitis (17 deaths/year according to the 2010 US census) when compared with other extremely rare causes of death. Fifty-four and 31% thought it was more common than death from lightning (40/year) and hunting-associated deaths (44/year), respectively. Eighty-two percent of respondents believed it "likely" or "very likely" that the appendix would rupture if operation was at all delayed, and 81% believed that rupture of the appendix would rapidly lead to severe complications and death. In univariate analysis, this perception was significantly more prevalent for mothers (odds ratio, (OR) 5.19, confidence interval (CI) 1.33-21.15), and subjects who knew at least one friend or relative who had a negative experience with appendicitis (OR 5.53, CI 1.40-25.47). Following education, these perceptions changed significantly (53% still believed that immediate operation was necessary, and 47% believed perforation led to great morbidity and potential mortality, P0.001). In a survey of potential appendicitis treatment options, urgent appendectomy was considered a "good" or "very good" option by 74% of subjects, compared with 68% for antibiotics only without appendectomy and 49% for initial antibiotic therapy followed by elective outpatient appendectomy.There was a striking knowledge gap in the participant perception of appendicitis. Appropriate education can correct anecdotally supported misconceptions. Adequate education may empower patients to make better-informed decisions about their medical care and may be important for future studies in alternative treatments for appendicitis in children.

Published
2016

32. Unusual Sertoli Cell Tumor Associated With Sex Cord Tumor With Annular Tubules in Peutz-Jeghers Syndrome

Author

Robert H. Young, Arlet G. Kurkchubasche, Shamlal Mangray, Sanjita Ravishankar, and Evgeny Yakirevich

Subjects
0301 basic medicine, Pathology, medicine.medical_specialty, Gonadal cord, Peutz-Jeghers Syndrome, Peutz–Jeghers syndrome, Ovary, Biology, Pathology and Forensic Medicine, Neoplasms, Multiple Primary, 03 medical and health sciences, Ovarian tumor, 0302 clinical medicine, medicine, Humans, Sex Cord-Gonadal Stromal Tumors, Child, Ovarian Neoplasms, Ovarian sex cord tumors, Anatomy, medicine.disease, 030104 developmental biology, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Sertoli Cell Tumor, Female, Surgery, Calcification
Abstract

We report the case of an 11-year-old girl with Peutz-Jeghers syndrome and a unilateral ovarian tumor most consistent with Sertoli cell tumor associated with sex cord tumor with annular tubules. The ovary was replaced by a lobular, solid, yellow tumor. Microscopic examination showed 2 components that focally merged. The first was composed of uniform, cytologically bland cells arranged mostly in diffuse sheets and focally in tubules. The second showed typical sex cord tumor with annular tubules with extensive calcification. The predominant component of the tumor clearly fell in the sex cord category and most closely resembled Sertoli cell tumor. This case adds to the limited information on ovarian sex cord tumors, other than typical sex cord tumor with annular tubules, arising in association with Peutz-Jeghers syndrome, a topic reviewed herein.

Published
2015

36. ACKNOWLEDGEMENT OF REVIEWERS

Author

Adams, NG, Adekambi, T, Afeltra, J, Aguado, J, Aires de Sousa, M, Akiyoshi, K, Al Hasan, M, Ala-Kokko, T, Albert, M, Alfandari, S, Allen, D, Allerberger, F, Almyroudis, N, Alp, E, Amin, R, Anderson-Berry, A, Andes, DR, Andremont, A, Andreu, A, Angelakis, M, Antachopoulos, C, Antoniadou, A, Arabatzis, M, Arlet, G, Arnez, M, Arnold, C, Asensio, A, Asseray, N, Ausiello, C, Avni, T, Ayling, R, Baddour, L, Baguelin, M, Bányai, K, Barbour, A, Basco, LK, Bauer, D, Bayston, R, Beall, B, Becker, K, Behr, M, Bejon, P, Belliot, G, Benito-Fernandez, J, Benjamin, D, Benschop, K, Berencsi, G, Bergeron, MG, Bernard, K, Berner, R, Beyersmann, J, Bille, J, Bizzini, A, Bjarnsholt, T, Blanc, D, Blanco, J, Blot, S, Bohnert, J, Boillat, N, Bonomo, R, Bonten, M, Bordon, JM, Borel, N, Boschiroli, ML, Bosilkovski, M, Bosso, JA, Botelho-Nevers, E, Bou, G, Bretagne, S, Brouqui, P, Brun-Buisson, C, Brunetto, M, Bucher, H, Buchheidt, D, Buckling, A, Bulpa, P, Cambau, E, Canducci, F, Cantón, R, Capobianchi, M, Carattoli, A, Carcopino, X, Cardona-Castro, N, Carling, PC, Carrat, F, Castilla, J, Castilletti, C, Cavaco, L, Cavallo, R, Ceccherini-Silberstein, F, Centrón, D, Chappuis, F, Charrel, R, Chen, M, Chevaliez, S, Chezzi, C, Chomel, B, Chowers, M, Chryssanthou, E, Ciammaruconi, A, Ciccozzi, M, Cid, J, Ciofu, O, Cisneros, D, Ciufolini, MG, Clark, C, Clarke, SC, Clayton, R, Clementi, M, Clemons, K, Cloeckaert, Ael, Cloud, J, Coenye, T, Cohen Bacri, S, Cohen, R, Coia, J, Colombo, A, Colson, P, Concerse, P, Cordonnier, C, Cormican, M, Cornaglia, G, Cornely, O, Costa, S, Cots, F, Craxi, A, Creti, R, Crnich, C, Cuenca Estrella, M, Cusi, MG, d'Ettorre, G, da Cruz Lamas, C, Daikos, G, Dannaoui, E, De Barbeyrac, B, De Grazia, S, de Jager, C, de Lamballerie, X, de Marco, F, del Palacio, A, Delpeyroux, F, Denamur, E, Denis, O, Depaquit, J, Deplano, A, Desenclos, J-C, Desjeux, P, Deutch, S, Di Luca, D, Dianzani, F, Diep, B, Diestra, K, Dignani, C, Dimopoulos, G, Divizia, M, Doi, Y, Dornbusch, HJ, Dotis, J, Drancourt, M, Drevinek, P, Dromer, F, Dryden, M, Dubreuil, L, Dubus, J-C, Dumitrescu, O, Dumke, R, DuPont, H, Edelstein, M, Eggimann, P, Eis-Huebinger, A-M, El Atrouni, WI, Entenza, J, Ergonul, O, Espinel-Ingroff, A, Esteban, J, Etienne, J, Fan, X-G, Fenollar, F, Ferrante, P, Ferrieri, P, Ferry, T, Feuchtinger, T, Finegold, S, Fingerle, V, Fitch, M, Fitzgerald, R, Flori, P, Fluit, A, Fontana, R, Fournier, PE, François, M, Francois, P, Freedman, DO, Friedrich, A, Gallego, L, Gallinella, G, Gangneux, J-P, Gannon, V, Garbarg-Chenon, A, Garbino, J, Garnacho-Montero, J, Gatermann, Soeren, Gautret, P, Gentile, G, Gerlich, W, Ghannoum, M, Ghebremedhin, B, Ghigo, E, Giamarellos-Bourboulis, E, Girgis, R, Giske, C, Glupczynski, Y, Gnarpe, J, Gomez-Barrena, E, Gorwitz, RJ, Gosselin, R, Goubau, P, Gould, E, Gradel, K, Gray, J, Gregson, D, Greub, G, Grijalva, CG, Groll, A, Groschup, M, Gutiérrez, J, Hackam, DG, Hall, WA, Hallett, R, Hansen, S, Harbarth, S, Harf-Monteil, C, Hasanjani, Roushan MR, Hasler, P, Hatchette, T, Hauser, P, He, Q, Hedges, A, Helbig, J, Hennequin, C, Herrmann, B, Hezode, C, Higgins, P, Hoesli, I, Hoiby, N, Hope, W, Houvinen, P, Hsu, LY, Huard, R, Humphreys, H, Icardi, M, Imoehl, M, Ivanova, K, Iwamoto, T, Izopet, J, Jackson, Y, Jacobsen, K, Jang, TN, Jasir, A, Jaulhac, B, Jaureguy, F, Jefferies, JM, Jehl, F, Johnstone, J, Joly-Guillou, M-L, Jonas, M, Jones, M, Joukhadar, C, Kahl, B, Kaier, K, Kaiser, L, Kato, H, Katragkou, A, Kearns, A, Kern, W, Kerr, K, Kessin, R, Kibbler, C, Kimberlin, D, Kittang, B, Klaassen, C, Kluytmans, J, Ko, W-C, Koh, W-J, Kostrzewa, M, Kourbeti, I, Krause, R, Krcmery, V, Krizova, P, Kuijper, E, Kullberg, B-J, Kumar, G, Kunin, CM, La Scola, B, Lagging, M, Lagrou, K, Lamagni, T, Landini, P, Landman, D, Larsen, A, Lass-Floerl, C, Laupland, K, Lavigne, JP, Leblebicioglu, H, Lee, B, Lee, CH, Leggat, P, Lehours, P, Leibovici, Lonard, Leon, L, Leonard, N, Leone, M, Lescure, X, Lesprit, P, Levy, PY, Lew, D, Lexau, CA, Li, S-Y, Li, W, Lieberman, D, Lina, B, Lina, G, Lindsay, JA, Livermore, D, Lorente, L, Lortholary, O, Lucet, J-C, Lund, B, Lütticken, R, MacLeod, C, Madhi, S, Maertens, J, Maggi, F, Maiden, M, Maillard, J-Y, Maira-Litran, T, Maltezou, H, Manian, FA, Mantadakis, E, Maragakis, L, Marcelin, A-G, Marchaim, D, Marchetti, O, Marcos, M, Markotic, A, Martina, B, Martínez, J, Martinez, J-L, Marty, F, Maurin, M, McGee, L, Mediannikov, O, Meersseman, W, Megraud, F, Meletiadis, J, Mellmann, A, Meyer, E, Meyer, W, Meylan, P, Michalopoulos, A, Micol, R, Midulla, F, Mikami, Y, Miller, RF, Miragaia, M, Miriagou, V, Mitchell, TJ, Miyakis, S, Mokrousov, I, Monecke, S, Mönkemüller, K, Monno, L, Monod, M, Morales, G, Moriarty, F, Morosini, I, Mortensen, E, Mubarak, K, Mueller, B, Mühlemann, K, Muñoz Bellido, JL, Murray, P, Muscillo, M, Mylotte, J, Naessens, A, Nagy, E, Nahm, MH, Nassif, X, Navarro, D, Navarro, F, Neofytos, D, Nes, I, Ní Eidhin, D, Nicolle, L, Niederman, MS, Nigro, G, Nimmo, G, Nordmann, P, Nougairède, A, Novais, A, Nygard, K, Oliveira, D, Orth, D, Ortiz, JR, Osherov, N, Österblad, M, Ostrosky-Zeichner, L, Pagano, L, Palamara, AT, Pallares, R, Panagopoulou, P, Pandey, P, Panepinto, J, Pappas, G, Parkins, M, Parola, P, Pasqualotto, A, Pasteran, F, Paul, M, Pawlotsky, J-M, Peeters, M, Peixe, L, Pepin, J, Peralta, G, Pereyre, S, Perfect, JR, Petinaki, E, Petric, M, Pettigrew, M, Pfaller, M, Philipp, M, Phillips, G, Pichichero, M, Pierangeli, A, Pierard, D, Pigrau, C, Pilishvili, T, Pinto, F, Pistello, M, Pitout, J, Poirel, L, Poli, G, Poppert, S, Posfay-Barbe, K, Pothier, P, Poxton, I, Poyart, C, Pozzetto, B, Pujol, M, Pulcini, C, Punyadeera, C, Ramirez, M, Ranque, S, Raoult, D, Rasigade, J-P, Re, MC, Reilly, JS, Reinert, R, Renaud, B, Rice, L, Rich, S, Richet, H, Rigouts, L, Riva, E, Rizzo, C, Robotham, J, Rodicio, MR, Rodriguez, J, Rodriguez-Bano, J, Rogier, C, Roilides, E, Rolain, J-M, Rooijakkers, S, Rooney, P, Rossi, F, Rotimi, V, Rottman, M, Roux, V, Ruhe, J, Russo, G, Sadowy, E, Sagel, U, Said, SI, Saijo, M, Sak, B, Sa-Leao, R, Sanders, EAM, Sanguinetti, M, Sarrazin, C, Savelkoul, P, Scheifele, D, Schmidt, W-P, Schønheyder, H, Schönrich, G, Schrenzel, J, Schubert, S, Schwarz, K, Schwarz, S, Sefton, A, Segondy, M, Seifert, H, Seng, P, Senneville, E, Sexton, D, Shafer, RW, Shalit, I, Shankar, N, Shata, TM, Shields, J, Sibley, C, Sicinschi, L, Siljander, T, Simitsopoulou, M, Simoons-Smit, AM, Sissoko, D, Sjögren, J, Skiada, A, Skoczynska, A, Skov, R, Slack, M, Sogaard, M, Sola, C, Soriano, A, Sotto, A, Sougakoff, W, Souli, M, Spelberg, B, Spelman, D, Spiliopoulou, I, Springer, B, Stefani, S, Stein, A, Steinbach, WJ, Steinbakk, M, Strakova, L, Strenger, V, Sturm, P, Sullivan, P, Sutton, D, Symmons, D, Tacconelli, E, Tamalet, C, Tang, JW, Tang, Y-W, Tattevin, P, Thibault, V, Thomsen, RW, Thuny, F, Tong, S, Torres, C, Townsend, R, Tristan, A, Trouillet, J-L, Tsai, H-C, Tsitsopoulos, P, Tuerlinckx, D, Tulkens, P, Tumbarello, M, Tureen, J, Turnidge, JD, Turriziani, O, Tutuian, R, Uçkay, I, Upton, M, Vabret, A, Vamvakas, EC, van den Boom, D, Van Eldere, J, van Leeuwen, W, van Strijp, J, Van Veen, S, Vandamme, P, Vandenesch, F, Vayssier, M, Velin, D, Venditti, M, Venter, M, Venuti, A, Vergnaud, G, Verheij, T, Verhofstede, C, Viscoli, C, Vizza, CD, Vogel, U, Waller, A, Wang, YF, Warn, P, Warris, A, Wauters, G, Weidmann, M, Weill, F-X, Weinberger, M, Welch, D, Wellinghausen, N, Wheat, J, Widmer, A, Wild, F, Willems, R, Willinger, B, Winstanley, C, Witte, W, Wolff, M, Wong, F, Wootton, M, Wyllie, D, Xu, W, Yamamoto, S, Yaron, S, Yildirim, I, Zaoutis, T, Zazzi, M, Zbinden, R, Zehender, Gianguglielmo G, Zemlickova, H, Zerbini, ML, Zhang, L, Zhang, Y, Zhao, Y-D, Zhu, Z, and Zimmerli, W

Published
2011
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42. Tributes to Daniel H. Teitelbaum, MD, PhD

Author

Arlet G. Kurkchubasche, Stanley J. Dudrick, Alexis Cantwell, Allison B. Blackmer, Mary Beth Harris, Bonnie Peters, Marion F. Winkler, Charlene Compher, Mary Ann Fithian, Theresa Han-Markey, M. Luisa Partipilo, Ainsley Malone, Deb Kovacevich, John R. Wesley, Hua Yang, Meghan A. Arnold, M. Molly McMahon, Carol L. Braunschweig, Kris M. Mogensen, and Gordon S. Sacks

Subjects
Nutrition and Dietetics, History, Nutritional Support, MEDLINE, Medicine (miscellaneous), Historical Article, Biography, History, 20th Century, Child Nutritional Physiological Phenomena, History, 21st Century, Pediatrics, Intestinal Diseases, Child, Preschool, Humans, Classics
Published
2016

45. Liver transplantation for severe Amanita phalloides mushroom poisoning

Author

Pinson, C. Wright, Daya, Mohamud R., Benner, Kent G., Norton, Robert L., Deveney, Karen E., Ascher, Nancy L., Roberts, John P., Lake, John R., Kurkchubasche, Arlet G., Ragsdale, John W., Alexander, J. Preston, and Keeffe, Emmet B.

Subjects
Mushrooms, Poisonous -- Case studies, Poisoning, Accidental -- Care and treatment, Amanita phalloides -- Health aspects, Transplantation of organs, tissues, etc. -- Case studies, Liver -- Transplantation, Health
Abstract

Amanita phalloides mushroom poisoning is an increasingly common and potentially lethal problem for which liver transplantation offers definitive therapy in selected patients. When significant liver dysfunction appears, early transfer to a liver transplant center is important to identify appropriate candidates and to begin the search for a donor organ. The clinical course of five severely poisoned patients, four of whom underwent liver transplantation, is reviewed. Indications for transplantation included primarily a markedly prolonged prothrombin time that was only partially correctable and a constellation of findings including metabolic acidosis, hypoglycemia, hypofibrinogenemia, and increased serum ammonia, following a marked elevation in serum aminotransferase levels. Unlike viral fulminant hepatic failure, grade Ill or IV hepatic encephalopathy, marked elevation of the serum bilirubin level, and azotemia were not indications for transplantation. Resected livers demonstrated hepatocyte viability of 0% to 30%. Manifestations of Amanita poisoning complicating preoperative and/ or postoperative care included severe diarrhea, gastrointestinal hemorrhage, hypophosphatemia, bowel edema, and marrow suppression with lymphopenia, thrombocytopenia, and neutropenia. All five patients are well I year later. This largest experience with liver transplantation for Amanita poisoning further defines the early clinical and laboratory indications for, and the unique complicating features of, transplantation in this setting., Case reports are presented of five victims of mushroom poisoning, four of whom received liver transplants. Death resulting from eating poisonous mushrooms, especially from Amanita phalloides, has decreased in general, but the rate of poisoning has increased recently in the United States. Criteria for transplantation are presented, as is a discussion of the effects of the poisoning. The five patients had eaten mushrooms gathered near the same area on the same day. Their initial symptoms, beginning approximately seven hours after consumption of the mushrooms, were cramps, nausea, vomiting, and profuse diarrhea leading to dehydration. They were hospitalized and treated with intravenous fluid, electrolytes, and antibiotics. Gastrointestinal hemorrhage (bleeding into the digestive tract) developed in four patients, with marked abnormalities of the blood clotting process. When significant liver dysfunction became obvious on the third day, four patients became transplantation candidates. The fifth patient did not appear as seriously ill as the others. Criteria for transplantation included a prolonged prothrombin time (a measure of blood clotting); elevated levels of enzymes indicative of liver dysfunction; increased levels of ammonia; and other symptoms. Between eight and 64 hours were required to find donors. The diseased livers showed considerable pathological change, which is described. The patients received immunosuppressant drugs and other agents, and one year later, all the patients were doing well, and had resumed normal activities. Maintenance of fluid and electrolyte balance is critical in treating poisoned patients. Involvement of a transplant center early in the care of such patients requires accurate identification of patients who will have the best results. If indicated, the operation should proceed as soon as possible, before the effects of liver failure become more widespread. (Consumer Summary produced by Reliance Medical Information, Inc.)

Published
1990

46. Perioperative management of Parkinson's disease

Author

Joseph H. Friedman, Arlet G. Kurkchubasche, and Umer Akbar

Subjects
medicine.medical_specialty, Parkinson's disease, Nausea, Sedation, Disease, 03 medical and health sciences, 0302 clinical medicine, Postoperative Complications, 030202 anesthesiology, medicine, Humans, Pharmacology (medical), Gastroparesis, Intensive care medicine, Intraoperative Complications, Aged, Aged, 80 and over, Perioperative management, business.industry, General Neuroscience, Parkinson Disease, Perioperative, medicine.disease, Delirium, Neurology (clinical), medicine.symptom, business, 030217 neurology & neurosurgery
Abstract

Introduction: Guidelines for the management of Parkinson’s disease (PD) patients in the perioperative setting are lacking.Areas covered: Here we review potential problems that may arise when PD patients are undergoing an operation. We also review the literature, where available, and provide our expert opinion and recommendations based on experience.Expert commentary: Elderly patients with PD are especially prone to complications in the perioperative setting. Extreme caution must be used to ensure appropriate medication administration, transition to non-oral agents, if indicated, and early mobilization to achieve rapid recovery after surgery.

Published
2016

48. High incidence of postoperative bowel obstruction in newborns and infants

Author

Francois I. Luks, Thomas F. Tracy, Arlet G. Kurkchubasche, Janet Y. Young, Christopher S. Muratore, and Daniel S. Kim

Subjects
Male, Reoperation, Pediatrics, medicine.medical_specialty, Adolescent, medicine.medical_treatment, Postoperative Complications, Laparotomy, medicine, Humans, In patient, Child, Laparoscopy, medicine.diagnostic_test, business.industry, Incidence, Incidence (epidemiology), Age Factors, Infant, Newborn, Infant, General Medicine, medicine.disease, Nonoperative treatment, Surgery, Bowel obstruction, Treatment Outcome, Child, Preschool, Pediatrics, Perinatology and Child Health, Female, High incidence, Abdominal operations, business, Intestinal Obstruction, Follow-Up Studies
Abstract

Background Postoperative bowel obstruction (PBO) plagues patients of all ages after intraabdominal surgery. We examined the incidence, risk factors, and the need for operative intervention of PBO. Methods We reviewed all children who underwent a laparotomy or laparoscopy. Parameters included age, diagnosis, type and number of procedures, complications, time interval to PBO, treatment of PBO, morbidity, and mortality. Results From 2001 to 2005, 2187 abdominal operations were performed. Overall, 61 patients (2.8%) developed a PBO; 43 (70.5%) required reoperation. Postoperative bowel obstruction was more common in patients younger than 1 year (28/601, 4.7%) compared with older children (33/1586, 2.1%; P = .01, β = .80). In infants, PBO was not influenced by initial diagnosis ( P = .26) or whether the initial operation was clean/clean-contaminated or contaminated/dirty ( P = .12). In children older than 1 year, nonoperative treatment was more likely to be successful if PBO occurred within 12 weeks of initial operation (12/16 vs 3/14; P = .01). In contrast, all but one infant (16/17) with early PBO required reoperation. Conclusion The incidence of PBO is significantly higher in newborns and infants than in older children (who have rates comparable to those reported in adults). Infants are significantly more likely to require operative intervention, particularly if PBO occurs early after the initial operation.

Published
2007

49. Nonoperative treatment of acute appendicitis in children: A feasibility study

Author

Joseph E. Hartwich, Thomas F. Tracy, Hale Wills, Debra Watson-Smith, Arlet G. Kurkchubasche, Francois I. Luks, and Christopher S. Muratore

Subjects
Male, medicine.medical_specialty, Adolescent, Cost-Benefit Analysis, Perforation (oil well), Penicillanic Acid, Amoxicillin-Potassium Clavulanate Combination, 03 medical and health sciences, 0302 clinical medicine, Quality of life, Recurrence, 030225 pediatrics, Medicine, Appendectomy, Humans, Treatment Failure, Child, Beta-Lactamase Inhibitors, Piperacillin, Cost–utility analysis, business.industry, General Medicine, medicine.disease, Appendicitis, Nonoperative treatment, Surgery, Anti-Bacterial Agents, Piperacillin, Tazobactam Drug Combination, Recurrent appendicitis, 030220 oncology & carcinogenesis, Child, Preschool, Pediatrics, Perinatology and Child Health, Acute appendicitis, Acute Disease, Quality of Life, Feasibility Studies, Drug Therapy, Combination, Female, business, beta-Lactamase Inhibitors
Abstract

Nonoperative treatment of acute appendicitis appears to be feasible in adults. It is unclear whether the same is true for children.Children 5-18 years with48 h symptoms of acute appendicitis were offered nonoperative treatment: 2 doses of piperacillin IV, then ampicillin/clavulanate ×1 week. Treatment failure (worsening on therapy) and recurrence (after completion of therapy) were noted. Patients who declined enrollment were asked to participate as controls. Cost-utility analysis was performed using Pediatric Quality of Life Scale (PedsQL®) to calculate quality-adjusted life month (QALM) for study and control patients.Twenty-four patients agreed to undergo nonoperative management, and 50 acted as controls. At a mean follow-up of 14 months, three of the 24 failed on therapy, and 2/21 returned with recurrent appendicitis at 43 and 52 days, respectively. Two patients elected to undergo an interval appendectomy despite absence of symptoms. Appendectomy-free rate at one year was therefore 71% (C.I. 50-87%). No patient developed perforation or other complications. Cost-utility analysis shows a 0.007-0.03 QALM increase and a $1359 savings from $4130 to $2771 per nonoperatively treated patient.Despite occasional late recurrences, antibiotic-only treatment of early appendicitis in children is feasible, safe, cost-effective and is experienced more favorably by patients and parents.

Published
2015

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