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Biomedical subjects

E Bouvet

Publications and source records attributed to E Bouvet.

At least 91 records · Page 5Linked to original sources
PubMed1990

[HIV infection and "malignant" strongyloidiasis].

Disseminated Strongyloides stercoralis infection occurs in immunocompromised patients. Despite the epidemiological overlap of HIV infection and strongyloidiasis observed in certain parts of the world, only six cases of dissemination have been reported in AIDS patients. The clinical presentation has no special features, except for the frequency of other opportunistic infections. The prognosis is poor. This lack of association between disseminated strongyloidiasis and HIV infection had led to the exclusion of extra-intestinal forms of this paraistosis from the revised classification of AIDS.

HIV Infections↗
PubMed1988

Attitudes towards HIV-antibody testing among general practitioners and their patients.

A study was conducted by the French Communicable Diseases Network to evaluate the use of HIV-antibody testing by general practitioners. The study was aimed at determining the type of patient being tested and why. Data from two periods, Nov-Dec 86 and March-April 87, were compared. The percentages of subjects spontaneously asking for the test were about 50% in both studied periods. During the first period, tested patients were mainly male subjects (82%) and belonged to high risk groups (66%), whereas during the second period male subjects represented 47% and subjects belonging to high risk groups 27% of those tested. During the four months between the 2 study periods, an information campaign on AIDS was begun. During the second study period, in fact, the number of women being tested had increased, the number of patients with clinical symptoms had decreased and more patients were tested because of past or present STDs. In addition, fewer seropositive subjects were found during the second period. Only one subject with no known risk factor was found to be seropositive but she did have clinical symptoms of HIV infection.

Acquired Immunodeficiency Syndrome↗
PubMed1988

The prevention of sexually transmitted diseases which affect fertility: methodological problems and initial results.

Sexually transmitted diseases and their consequences for fertility are currently a major preoccupation in public health. A joint research project is being carried out in France to develop an STD prevention program and then to implement it experimentally to evaluate its efficiency. It includes 2 phases: a feasibility phase, currently concluded, and an active phase, a community randomized trial. The aim of the feasibility phase was to test the research methods and tools and to act as a basis for the design of the prevention program. It measured the incidence of discharge (men and women) at a one-year interval and patient characteristics. Participating physicians were GPs in a French administrative department near Paris. Between the two measurements, information and sensitization actions were carried out in the same department among health professionals and the general public. The results show that the incidence of discharge (chosen here as indicators of STDs) in daily general medical practice is low, of the order of 6 cases per 1000 consultations. The community randomized trial will now be conducted in 6 French administrative departments, randomly divided into 3 treated departments, benefiting from a prevention campaign, and 3 controls, where no actions will be undertaken, and its results will be used in a national STD prevention campaign.

Adult↗
PubMed1987

[Sexually transmitted diseases in free sexual practice. Epidemiological aspects].

One of the major public health preoccupations at present is the incidence of sexually transmissible diseases and their consequences for fertility. At present there is a programme of combined research by the National Institute of Health and the Medical Research (INSERM U 292) and the Director-General of Health (DGS) and the French Committee for Education in Health Matters (CFES). The object of the exercise is to produce a programme for preventing sexually transmissible diseases and then to put in into action in order to find out how practical it is. The programme consists of two phases, the first which has already been completed was to assess how practical the exercise is, and the second phase which is the active pursuit of the enquiry in a random attempt to change things, and this started in November 1986. The first phase tried to test the methods and see whether they were useful forms of research, and also to serve as a base for the programme of prevention. This consists in looking twice a year at the incidence of discharges in men and in women and the characteristics of the patients who are affected. The consultants were a representative sample of general practitioners who work in the Hauts-de-Seine Department. They gave the information voluntarily. There were two measures carried out in the same region of France. The first was informing the public and making the professionals aware of the situation.(ABSTRACT TRUNCATED AT 250 WORDS)

Age Factors↗
PubMed1986

A computer network for the surveillance of communicable diseases: the French experiment.

The description and first results of the French Communicable diseases Network are reported. The network, initiated in November 1984, currently includes the National Department of Health, the local health offices and various clinical, biological, and epidemiological partners. Surveillance of influenza, viral hepatitis, acute urethritis, measles, and mumps is based upon reports from sentinel general practitioners throughout France who are equipped with terminals and can communicate their data on a 24-hour basis. The network distributes electronic bulletins summarizing the surveillance data, the regional statistics concerning other diseases, and epidemiological and administrative news. Electronic mail is used for data validation and enhances communication between the parties of the network.

Communicable Diseases↗
PubMed1985

The in-vitro activity of pristinamycin against Haemophilus influenzae and Neisseria meningitidis.

The in-vitro activity of erythromycin, oleandomycin, spiramycin, josamycin and pristinamycin was tested by a plate-dilution method against strains of Haemophilus influenzae and Neisseria meningitidis. Pristinamycin was the most active product tested with minimal inhibitory concentrations (MIC) ranging between 0.5 and 4 mg/l for H. influenzae (modal value 1 mg/l) and between 0.03 and 0.12 mg/l for N. meningitidis (modal value 0.06 mg/l).

Anti-Bacterial Agents↗
PubMed1984

[Chronic endocarditis on valve prosthesis. 6 cases].

Six cases of chronic endocarditis (more than 1 year duration) have been extracted from a series of 72 cases of endocarditis (delayed in 49) associated with intracardiac prosthesis observed over a 15-year period. In these 6 cases endocarditis developed 6 months to 2 years after valve replacement. The prosthetic material included 3 Starr-Edward's valves, 2 Hancock's valves and 1 intracardiac patch. The micro-organism isolated were Streptococcus in 3 cases, Serratia and Corynebacterium in 1 case each. The 18-month to 5-year course of the disease was marked by 2 to 5 relapses separated by long periods of apyrexia. The most significant complications were dysimmune syndrome (5 cases), embolic accidents (2 cases) and prosthesis disinsertion (4 cases). Five patients benefited from antibiotic therapy; 4 were operated upon with recurrent disinsertion in 2 cases. Two patients died, one of repeated disinsertion, the other of myocardial dysfunction. Bacteriostatic antibiotics were administered continuously to 3 patients whose endocarditis persisted or relapsed, with satisfactory results in two cases followed-up for more than 2 years.

Adult↗
PubMed1984

[Precautions and recommended attitudes for hospital personnel and the patient's environment].

A transmissible agent especially a retrovirus (HTLV, LAV), is now widely considered in AIDS etiology. Similarities do exist between the epidemiology of AIDS and hepatitis B virus infections. Therefore, recommendations for preventing potential transmissions of AIDS are similar to those for preventing hepatitis B transmission. Nevertheless, the full blown disease called AIDS is probably one of the clinical expressions of the disease. Other clinical manifestations and healthy carriers should be eventually taken into consideration in respect of transmission. At the present time, there have been no documented cases of AIDS in medical care workers that can be to specific occupational exposures. In fact, transmissibility of AIDS seens very low.

Acquired Immunodeficiency Syndrome↗