Hydrogen Fuel Cells and Electro-Mobility in European Regions

Le rôle de l’infectiologue est de proposer à la patiente enceinte qui vit avec le virus de l’immunodéficience humaine un traitement antirétroviral adapté à la grossesse, sûr pour elle et le fœtus, avec la meilleure compliance possible. Le suivi immunovirologique, qui conditionne le choix du mode d’accouchement, la possibilité d’allaiter et le traitement prophylactique du nouveau-né, doit être renforcé. The role of the infectiologist is to offer pregnant patients living with the human immunodeficiency virus an antiretroviral treatment that is appropriate for pregnancy, safe for them and their fetus, and as compliant as possible. Immunovirological monitoring, which determines the choice of delivery method, the possibility of breast-feeding and the prophylactic treatment of the newborn, must be reinforced.

Background and ImportanceAntibiotic prophylaxis in surgical environment is an essential step in the fight against surgical site infections (SSI). Our hospital pharmacists are involved in the proper use of antibiotics.Aim and ObjectivesThe objective of this study is to determine whether pharmacists’ actions have improved antibiotic prophylaxis in surgical environment and resulted in a reduction in the number SSI.Material and MethodsPatients who underwent surgery in the operating room were included in this retrospective study. Pharmacist and hygienist doctor analysed 11 items in patient‘s files operated on in 2022 and then a comparison was made from new files of patients operated on in 2023 after the implementation of corrective actions. A comparison test of means (n≥30; α = 0.05) comparing each item before and after the implementation of improvement actions was carried out. SSI rate 2022 was compared to SSI rate 2023.ResultsA pharmacist specialising in antibiotic therapy joined hospital’s antibiotic committee. A specific antibiotic prophylaxis protocol for surgical procedures performed in our institution was defined. These guidelines were presented to anaesthesiologists and nurses during awareness sessions. This retrospective study was conducted on 60 patients who received antibiotic prophylaxis, 43% had undergone orthopaedic surgery, 34% digestive surgery, 13% urological surgery and 10% gynaecological surgery. Results show a statistically significant improvement on certain criteria: antibiotic prophylaxis scheduled during anaesthesia consultation 3% VS 63%; surgical incision time recorded 47% VS 100%; antibiotic compliant with protocol 67% vs 100%; dose compliant with protocol 57% vs 100%. However, there was no statistically significant improvement for other criteria: patient background reported 100% vs 100%; time of antibiotic prophylaxis injection recorded 100% vs 100%; dose of antibiotic prophylaxis recorded 93% vs 100%; duration of antibiotic prophylaxis < 48 hours 93% vs 100%. The proportion of deep SSIs is higher in 2023 (p = 0.0008), increasing from 0.02% in 2022 to 0.39% in 2023. The majority of SSIs (62.5%) are caused by Staphylococcus aureus.Conclusion and RelevanceIn our hospital overall compliance increasing from 63% to 93%. Awareness-raising actions have also improved the reporting of ISOs. Pharmacists play a vital role in raising awareness and alerting prescribers in the event of a discrepancy with the recommendations.References and/or AcknowledgementsConflict of InterestNo conflict of interest

Hepatitis C virus (HCV) was transmitted from a chronic carrier to his female partner during unprotected anal and vaginal intercourse. Based on HVR1 and phylogenetic tree analysis, the couple had closely related isolates. These findings confirm sexual transmission of HCV without other risk factors.

Urban V.'S family name Get access W. F. Prideaux W. F. Prideaux 1Hyéres Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s11-V, Issue 118, 30 March 1912, Page 255, https://doi.org/10.1093/nq/s11-V.118.255a Published: 30 March 1912

Camelian Get access Edward Nicholson Edward Nicholson 1Hyères (Var) Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s10-VIII, Issue 208, 21 December 1907, Page 494, https://doi.org/10.1093/nq/s10-VIII.208.494a Published: 21 December 1907