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Bigot W, Forzy L, Nassarmadji K, Champion K, Asesio N, Mouly S, Sène D, Comarmond C, Brenac G, Chaudot F, Gasparini S, Leghima L. Une anémie dans les chaussettes mon cher Michel. Rev Med Interne 2023; 44:676-678. [PMID: 37419730 DOI: 10.1016/j.revmed.2023.06.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Accepted: 06/19/2023] [Indexed: 07/09/2023]
Affiliation(s)
- W Bigot
- Département de médecine interne et immunologie clinique, hôpital Lariboisière, AP-HP, université Paris Citém, Paris, France.
| | - L Forzy
- Département de médecine interne et immunologie clinique, hôpital Lariboisière, AP-HP, université Paris Citém, Paris, France
| | - K Nassarmadji
- Département de médecine interne et immunologie clinique, hôpital Lariboisière, AP-HP, université Paris Citém, Paris, France
| | - K Champion
- Département de médecine interne et immunologie clinique, hôpital Lariboisière, AP-HP, université Paris Citém, Paris, France
| | - N Asesio
- Service de gastro-entérologie, GH Lariboisière - St Louis, AP-HP, université Paris Cité, Paris, France
| | - S Mouly
- Département de médecine interne et immunologie clinique, hôpital Lariboisière, AP-HP, université Paris Citém, Paris, France
| | - D Sène
- Département de médecine interne et immunologie clinique, hôpital Lariboisière, AP-HP, université Paris Citém, Paris, France
| | - C Comarmond
- Département de médecine interne et immunologie clinique, hôpital Lariboisière, AP-HP, université Paris Citém, Paris, France
| | - G Brenac
- Service de médecine interne, CHU de Dijon, 14, rue Paul-Gaffarel, BP 77908, 21079 Dijon Cedex, France
| | - F Chaudot
- Service de médecine interne, Hospices Civils de Lyon, université Claude-Bernard Lyon 1, Lyon, France
| | - S Gasparini
- Service de médecine interne, CHU de Poitiers, CHU de Poitiers, 2 rue de la Milétrie, CS 90577, 86000 Poitiers, France
| | - L Leghima
- Service de médecine interne, CHU d'Amiens-Picardie, Site Sud, 1, rond-point du Professeur Christian Cabrol, 80054 Amiens Cedex 1, France
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Hasnaoui B, Bérenger JM, Delaunay P, Diarra AZ, Ndiaye EHI, M'madi SA, Masotti N, Sevestre J, Parola P. Survey of bed bug infestations in homeless shelters in southern France. Sci Rep 2023; 13:12557. [PMID: 37532686 PMCID: PMC10397270 DOI: 10.1038/s41598-023-38458-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 07/08/2023] [Indexed: 08/04/2023] Open
Abstract
Bed bug has become a major public health pest worldwide. Infestation may result in numerous negative health effects. Homeless shelters are one of the most habitats that can be infested with bed bugs, a few studies have focused on bed bug infestations in these settings. We conducted a survey of infestations of bed bugs in a homeless shelter in southern France, using an innovative seven-level scale (0-6) to assess the degree of infestation, MALDI TOF-MS to identify bed bugs, and a biomolecular tool to detect bacteria. Bed bug infestations were documented in 13% (9/68) of investigated rooms. A total of 184 bed bugs were collected and morphologically identified as Cimex lectularius. MALDI TOF-MS analysis allowed us to obtain high-quality MS spectra for all 184 specimens, to correctly identify all specimens, and included 178/184 (97%) Log Score Values higher than 1.8. Among the bacteria tested, Wolbachia sp. DNA was found in 149/184 (81%) of the bed bugs, and one sample was positive for Coxiella burnetii, the agent of Q fever. Our study is the first of its kind that offers new perspectives for increasing public awareness of the conditions in homeless shelters.
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Affiliation(s)
- Bouthaina Hasnaoui
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
- IHU-Méditerranée Infection, Marseille, France
| | - Jean Michel Bérenger
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
- IHU-Méditerranée Infection, Marseille, France
| | - Pascal Delaunay
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
- Laboratory of Parasitology Mycology, Nice University Hospital, Nice, France
| | - Adama Zan Diarra
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
- IHU-Méditerranée Infection, Marseille, France
| | - El Hadji Ibrahima Ndiaye
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
- IHU-Méditerranée Infection, Marseille, France
| | - Saidou Ahamada M'madi
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
- IHU-Méditerranée Infection, Marseille, France
| | - Noelle Masotti
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
| | - Jacques Sevestre
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
- IHU-Méditerranée Infection, Marseille, France
| | - Philippe Parola
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France.
- IHU-Méditerranée Infection, Marseille, France.
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Sheele JM. Analysis of Patients With Bed Bugs in the Emergency Department. Adv Emerg Nurs J 2022; 44:229-241. [PMID: 35900244 DOI: 10.1097/tme.0000000000000406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The objective was to evaluate the clinical characteristics, triage information, diagnostic evaluation, and disposition for emergency department patients with and without bed bug infestation. A retrospective case-control study of patients with and without bed bugs was performed from February 1, 2011, through February 1, 2017. Cases (n = 332) and controls (n = 4,952) were matched by age, sex, and emergency department location. Patient characteristics and clinical information were compared between groups. On univariable and multivariable analysis, patients with bed bugs had higher heart rate, lower systolic blood pressure, higher pain scores, and more frequent tobacco use in the past year. They were also more likely to screen positive in triage for an unsafe home; require an abuse consultation; be diagnosed in the emergency department or inpatient setting with malnutrition, marasmus, and/or cachexia; have more emergency department and hospital visits; and have longer hospital encounter lengths of stay (all p ≤ 0.02). On univariable analysis, patients with bed bugs were also more likely than uninfested controls to be single, be Black, come to the emergency department from home, arrive to the emergency department by ambulance, and not be discharged back to their homes from the hospital.
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Gressier A, Galakhoff N, Thuillier P, Kerlan V, Cogulet V, Cosse M, Daniel L, Canevet M, Cabon S, Le Grand A, Baron R, Saliou P. Bed bugs infestation in a French university hospital: control strategy, financial impact and perspectives. J Hosp Infect 2022; 126:81-86. [PMID: 35623470 DOI: 10.1016/j.jhin.2022.05.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 05/11/2022] [Accepted: 05/12/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND With the increase of international travel and development of insecticide resistance, a reemergence of the bed bug has been observed since the 2000's and becoming a worldwide public health problem. Hospital and other medical settings haven't been spared while the cases reported remains limited. However, there is no specific recommendation for the healthcare settings emanating from learned society. AIMS We report our experience with a bed bug infestation of a medical unit, in the French University Hospital Center of Brest, caused by the admission of a patient carrier in October 2020. We described the practical methods we used to control bed bugs infestation, we evaluated the cost of this episode and we created a specific procedure to take care of the patients at risk or known carrier of bed bugs. FINDINGS The decision to close the unit for a global treatment was taken after the investigations using a sniffing dog revealed that 4 rooms were infested. The closure lasted 24 days. We estimated the total cost of the infestation to approximately 400 000 US dollars. No other wave of infestation occurred. We created a specific protocol of care for patient known carrier or at risk of carriage of bed bug to graduate strategy of control. CONCLUSION Bed bugs infestation in Health facilities has a major impact on the care of patients and relevant economic consequences. Prevention and education policies are an essential starting point to response to the scale of the phenomenon.
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Affiliation(s)
| | | | - Philippe Thuillier
- Université de Bretagne Occidentale, Brest, France; Endocrinology unit, Brest Teaching Hospital, Brest, France
| | - Véronique Kerlan
- Université de Bretagne Occidentale, Brest, France; Endocrinology unit, Brest Teaching Hospital, Brest, France
| | | | - Morgane Cosse
- Infection control unit, Brest Teaching Hospital, Brest, France
| | - Lénaïg Daniel
- Infection control unit, Brest Teaching Hospital, Brest, France
| | | | - Solène Cabon
- Infection control unit, Brest Teaching Hospital, Brest, France
| | - Anne Le Grand
- Infection control unit, Brest Teaching Hospital, Brest, France
| | - Raoul Baron
- Infection control unit, Brest Teaching Hospital, Brest, France
| | - Philippe Saliou
- Infection control unit, Brest Teaching Hospital, Brest, France; Université de Bretagne Occidentale, Brest, France; Univ Brest, Inserm, EFS, UMR 1078, GGB, F-29200 Brest, France.
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Sheele JM. Respiratory diseases in patients with bed bugs. CLINICAL RESPIRATORY JOURNAL 2021; 16:27-34. [PMID: 34498401 PMCID: PMC9060000 DOI: 10.1111/crj.13447] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Revised: 06/22/2021] [Accepted: 09/05/2021] [Indexed: 12/19/2022]
Abstract
INTRODUCTION Some arthropods such as cockroaches can exacerbate asthma, but it is unknown is this is true of bed bugs. OBJECTIVES The objective of this work is to determine if bronchospastic diseases like asthma and chronic obstructive pulmonary disease (COPD) would be higher for ED patients who have bed bug infestation compared with patients who do not have bed bug infestation. METHODS A case-control study was performed with 332 adult emergency department (ED) patients with bed bug infestation and 4952 without infestation. Univariable and multivariable regression analysis was performed. RESULTS AND CONCLUSION Patients with bed bug infestation were not more likely to have a past history of or an ED diagnosis of asthma or chronic obstructive pulmonary disease (COPD). However, bed bug infested patients were significantly more likely to undergo chest radiography, be admitted to the hospital, and receive albuterol in the ED (P < 0.05). Infested patients receiving albuterol in the ED were more likely to be admitted to the hospital compared with uninfested patients receiving albuterol (P < 0.001). Patients with an ED or inpatient diagnosis of asthma or COPD and bed bugs (compared with those without bed bugs) had significantly more ED visits during the study (P < 0.03). Bed bug infestations may be associated with respiratory pathology, which requires further investigation.
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Affiliation(s)
- Johnathan M Sheele
- Department of Emergency Medicine, Mayo Clinic, Jacksonville, Florida, USA
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Abstract
Background Bed bugs are common urban pests associated with stress, anxiety, depression, and some reports of suicidality. The emergency department (ED) treats patients with both acute mental illness and bed bug infestations. There have been few studies examining associations between bed bug infestations and mental illness. Methods A case-control study involving 332 adult ED patients infested with bed bugs and 4,952 uninfested control patients matched on sex, age (±1 year at the time of the ED visit), and the specific ED was completed. All clinic encounters occurred in northeast Ohio between February 1, 2011, and February 1, 2017, from a single health system. Univariable and multivariable regression analysis looked for associations between bed bug infestation and different psychiatric diagnoses and medications. Results Bed bug infested patients were more likely than uninfested patients to screen positive for an unsafe home and needing an abuse consult at ED triage (P≤.03 for both). ED psychiatric evaluations were not significantly more common among those with (2.4%) and without (1.3%) bed bugs (P=.14). Bed bug infested patients were significantly more likely to have an ED or inpatient diagnosis of alcohol abuse and psychosis (P≤.03 for both), but not for depression or suicidality. On univariable analysis, among ED patients not admitted to the hospital, bed bug infested patients were more likely to be diagnosed with psychosis or schizophrenia/schizoaffective disease (P≤.02) than uninfested patients. Among ED patients that received an ED or inpatient psychiatric evaluation and were admitted to the hospital, bed bug infested patients were significantly less likely to be diagnosed with depression and suicidality (P≤.03 for both). However, they were not significantly more likely to have insomnia or anxiety. Discussion Among ED patients, bed bug infestations were not associated with an ED or inpatient diagnosis of depression or suicidality. On univariable analysis, some mental health diagnoses such as anxiety and insomnia were more common among ED patients with bed bugs, but these associations were no longer significant on multivariable analysis. These associations likely reflect the complex relationships between socioeconomic factors, health disparities, mental illness, and having a bed bug infestation.
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