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Vodovar D, Langrand J, Caré W, Tournoud C, Evrard M, Dridi I, Le Visage L, Dufayet L, Puskarczyk E, Laborde-Casterot H. Short message service as a tool for mass follow-up of patients requesting a poison centre: a retrospective comparative study in France. Clin Toxicol (Phila) 2023; 61:982-989. [PMID: 37955599 DOI: 10.1080/15563650.2023.2276032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 10/23/2023] [Indexed: 11/14/2023]
Abstract
INTRODUCTION The short message service is an alternative to telephone follow-up of exposure cases reported to poison centres. The aim of this study was to compare the proportion of exposure cases successfully followed up and the respective cost of telephone and short message service follow-up between two poison centres, one using both methods of follow-up (Paris centre) and the other using telephone follow-up only (Nancy centre). METHODS In 2021, we included cases eligible for short message service follow-up at both centres. Eligibility criteria were calls from the public reporting non-toxic or minor toxic exposure not requiring medical consultation. We collected the follow-up type (telephone/short message service) and outcome (success/failure). The cost of each type of follow-up was estimated. RESULTS In 2021, 16,867 and 11,107 exposure cases were eligible for short message service follow-up at the Paris and Nancy centres, respectively. The Paris centre followed up 86.2 per cent of cases by short message service, and the remainder by telephone, while the Nancy centre followed up all cases by telephone. The Paris centre had a greater follow-up rate compared to the Nancy centre (93.0 per cent versus 43.6 per cent; P < 0.0001). Overall, the success rates were similar between the two centres (P = 0.06), with short message service and telephone follow-up showing comparable success rates (88.1 per cent versus 88.7 per cent; P = 0.25). On average, telephone follow-up took almost twice as long (1.51 min versus 0.85 min) and cost 1.3 times more (0.59 euros versus 0.45 euros) than short message service follow-up. DISCUSSION Short message service follow-up allows more patients to be successfully followed up at a lower cost compared to telephone-only follow-up, albeit with potential differences in information quality. CONCLUSIONS Short message service follow-up is a promising tool for poison centres to follow up with patients. Further studies are needed to assess the quality of the data collected and caller satisfaction.
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Affiliation(s)
- Dominique Vodovar
- Centre Antipoison de Paris - Hôpital Fernand Widal/AP-HP.Nord Université Paris Cité, Paris, France
- Inserm UMRS 1144 - Faculté de Pharmacie, Paris, France
- Université Paris Cité - UFR de médecine, Paris, France
| | - Jérôme Langrand
- Centre Antipoison de Paris - Hôpital Fernand Widal/AP-HP.Nord Université Paris Cité, Paris, France
- Inserm UMRS 1144 - Faculté de Pharmacie, Paris, France
| | - Weniko Caré
- Centre Antipoison de Paris - Hôpital Fernand Widal/AP-HP.Nord Université Paris Cité, Paris, France
- Inserm UMRS 1144 - Faculté de Pharmacie, Paris, France
- Service de médecine interne - Hôpital d'instruction des armées Bégin, Saint-Mandé, France
| | - Christine Tournoud
- Centre Antipoison de Nancy - Hôpital Central/CHRU de Nancy, Nancy, France
| | - Marion Evrard
- Centre Antipoison de Nancy - Hôpital Central/CHRU de Nancy, Nancy, France
| | - Inesse Dridi
- Centre Antipoison de Paris - Hôpital Fernand Widal/AP-HP.Nord Université Paris Cité, Paris, France
| | - Laurine Le Visage
- Centre Antipoison de Paris - Hôpital Fernand Widal/AP-HP.Nord Université Paris Cité, Paris, France
| | - Laurène Dufayet
- Centre Antipoison de Paris - Hôpital Fernand Widal/AP-HP.Nord Université Paris Cité, Paris, France
- Inserm UMRS 1144 - Faculté de Pharmacie, Paris, France
- Université Paris Cité - UFR de médecine, Paris, France
- Urgences Médico Judiciaires - Hôtel Dieu/APHP, Paris, France
| | | | - Hervé Laborde-Casterot
- Centre Antipoison de Paris - Hôpital Fernand Widal/AP-HP.Nord Université Paris Cité, Paris, France
- Inserm UMR 1153/CRESS/HERA/Université Paris Cité - Faculté de Pharmacie, Paris, France
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Labadie M, Vaucel JA, Courtois A, Nisse P, Legeay M, Medernach C, Patat AM, Von Fabeck K, Gallart JC, Tournoud C, Puskarczyk E. Button Battery Ingestion in Children (PilBouTox®): A Prospective Study Describing the Clinical Course and Identifying Factors Related to Esophageal Impaction or Severe Cases. Dysphagia 2023; 38:446-456. [PMID: 35841456 DOI: 10.1007/s00455-022-10485-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Accepted: 06/13/2022] [Indexed: 01/27/2023]
Abstract
In this study, we aimed to identify the factors related to esophageal impaction following button battery (BB) ingestion in children. PilBouTox, a prospective multicentric observational cohort study, was conducted from French Poison Control Centers between June 1, 2016 and May 31, 2018. Children (0-12 years old) with BB ingestion were included. After ingestion, patients were monitored for 21 days or more if they remained symptomatic (maximum 1 year). Causes of ingestion, clinical manifestations, medical management, and the outcomes were recorded. In total, 415 patients were included; among them, 35 had esophageal impaction and 14 had severe complications or died. Seven symptoms were closely related (relative risk (RR) > 30) to esophageal impaction: anorexia, drooling, dyspnea, fever, hemodynamic instability, pallor, and pain. Furthermore, BBs > 15 mm were related to esophageal impaction (RR = 19, CI95% [4.1; 88]). The absence of initial symptoms was a protective factor for esophageal impaction (RR = 0.013, CI95% [0.002; 0.1]). Nine symptoms were closely related (RR > 30) to major effects and death: dyspnea, cough, dysphagia, drooling, fever, hemodynamic instability, pain, pallor, and vomiting. Seven symptoms were related to esophageal impaction and their rapid recognition could help to ensure that the patient is taken to a health care facility. Nine factors were related to the major effects of BB ingestion. We recommended an X-ray as soon as possible to determine the position of the BB.Trial Registry: Clinical Trial ID: NCT03708250, https://clinicaltrials.gov/ct2/show/NCT03708250.
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Affiliation(s)
- Magali Labadie
- Centre Hospitalier et Universitaire de Bordeaux, Centre Antipoison Nouvelle Aquitaine [Nouvelle Aquitaine Poison Control Center], 1 Place Amélie Rabat Léon, 33000, Bordeaux, Aquitaine, France.
| | - Jules-Antoine Vaucel
- Centre Hospitalier et Universitaire de Bordeaux, Centre Antipoison Nouvelle Aquitaine [Nouvelle Aquitaine Poison Control Center], 1 Place Amélie Rabat Léon, 33000, Bordeaux, Aquitaine, France
| | - Arnaud Courtois
- Centre Hospitalier et Universitaire de Bordeaux, Centre Antipoison Nouvelle Aquitaine [Nouvelle Aquitaine Poison Control Center], 1 Place Amélie Rabat Léon, 33000, Bordeaux, Aquitaine, France
| | - Patrick Nisse
- Centre Antipoison [Lille Poison Control Center], Centre Hospitalier et Universitaire de Lille, 59000, Lille, France
| | - Marion Legeay
- Centre Antipoison [Angers Poison Control Center], Centre Hospitalier et Universitaire de Angers, 49000, Angers, Pays de la Loire, France
| | - Chantal Medernach
- Centre Antipoison de Paris [Paris Poison Control Center]-Fédération de Toxicologie, Groupe Hospitalier Lariboisière Fernand-Widal, 75000, Paris, Île-de-France, France
| | - Anne-Marie Patat
- Centre Antipoison [Lyon Poison Control Center], Centre Hospitalier et Universitaire de Lyon, 69000, Lyon, Auvergne-Rhône-Alpes, France
| | - Katharina Von Fabeck
- Centre Antipoison [Marseille Poison Control Center], Centre Hospitalier et Universitaire de Marseille, 13000, Marseille, France
| | - Jean-Christophe Gallart
- Centre Antipoison-SAMU 31 [Toulouse Poison Control Center], Centre Hospitalier et Universitaire de Toulouse, 31000, Toulouse, Midi-Pyrénées, France
| | | | - Christine Tournoud
- Centre Antipoison [East Poison Control Center], Centre Hospitalier et Universitaire de Nancy, 54000, Nancy, Lorraine, France
| | - Emmanuel Puskarczyk
- Centre Antipoison [East Poison Control Center], Centre Hospitalier et Universitaire de Nancy, 54000, Nancy, Lorraine, France
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Vaucel JA, Enaud N, Paradis C, Bragança C, Courtois A, Lan M, Gil-Jardine C, Enaud R, Labadie M, Deguigne M, Roux GL, Descatha A, Azzouz R, Nisse P, Patat AM, Paret N, Blanc-Brisset I, Nardon A, Haro LD, Simon N, Delcourt N, Pelissier F, Tournoud C, Puskarczyk E, Langrand J, Laborde-Casterot H, Care W, Vodovar D. Poison control centres and alternative forms of communication: comparison of response rates between text message and telephone follow-up. Clin Toxicol (Phila) 2022; 60:947-953. [PMID: 35311427 DOI: 10.1080/15563650.2022.2051537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
INTRODUCTION In recent years, the number of patients managed by poison control centres (PCCs) has increased without a proportional increase in the number of physicians. To improve efficiency without neglecting patient follow-up, some PCCs have begun using text messages. We evaluated the difference in response rates between text messaging and traditional telephone follow-up. MATERIALS AND METHODS This retrospective, monocentric, non-randomised cohort study was conducted using data from calls made by the New Aquitaine PCC between February 27, 2019, and March 31, 2019. Patients were contacted up to three times by a phone call or short message service (SMS). RESULTS For the analysis, 823 patients were included. At the end of follow-up, the response rates were similar in the phone call and SMS group (94 vs. 94%; p = 0.76) with median [interquartile range] response times of 0 min [0; 27 min] and 29 min [6; 120 min], respectively. The response rates did not differ in subgroups stratified according to sex, self-poisoning vs. relative response, age class, and solicitation during working hours vs. outside of working hours (all p > 0.5). Moreover, health practitioners required 2.4-fold more time to call than to send text messages (p < 0.001), and all practitioners were satisfied or very satisfied with text messaging implementation. CONCLUSION Patients had good adherence to text messages. Text messages are easy to use, rapid, and allow the physician to easily prioritise follow-up without occupying the emergency line. Additionally, the costs of installation and maintenance are low for text message systems; these low costs facilitate the implementation of such services in various medical situations.
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Affiliation(s)
- Jules-Antoine Vaucel
- Service des Urgences Adulte [Emergency Department], Centre Hospitalier et Universitaire Pellegrin, Bordeaux, France.,Centre Antipoison Nouvelle Aquitaine [Nouvelle Aquitaine Poison Control Center], Centre Hospitalier et Universitaire Pellegrin, Bordeaux Cedex, France
| | - Nicolas Enaud
- Service des Urgences [Emergency Department], Centre Hospitalier d'Arcachon, La Teste de Buch, France
| | - Camille Paradis
- Centre Antipoison Nouvelle Aquitaine [Nouvelle Aquitaine Poison Control Center], Centre Hospitalier et Universitaire Pellegrin, Bordeaux Cedex, France
| | - Coralie Bragança
- Centre Antipoison Nouvelle Aquitaine [Nouvelle Aquitaine Poison Control Center], Centre Hospitalier et Universitaire Pellegrin, Bordeaux Cedex, France
| | - Arnaud Courtois
- Centre Antipoison Nouvelle Aquitaine [Nouvelle Aquitaine Poison Control Center], Centre Hospitalier et Universitaire Pellegrin, Bordeaux Cedex, France
| | - Maxime Lan
- Centre Antipoison Nouvelle Aquitaine [Nouvelle Aquitaine Poison Control Center], Centre Hospitalier et Universitaire Pellegrin, Bordeaux Cedex, France
| | - Cédric Gil-Jardine
- Service des Urgences Adulte [Emergency Department], Centre Hospitalier et Universitaire Pellegrin, Bordeaux, France.,Bordeaux Population Health Research Center, IETO Team, Université de Bordeaux, Bordeaux, France
| | | | - Raphaël Enaud
- Service d'Hépato Gastroentérologie Pédiatrique [Pediatric Hepato Gastroenterology Department], Centre Hospitalier et Universitaire Pellegrin, Bordeaux Cedex, France
| | - Magali Labadie
- Centre Antipoison Nouvelle Aquitaine [Nouvelle Aquitaine Poison Control Center], Centre Hospitalier et Universitaire Pellegrin, Bordeaux Cedex, France
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Bourzeix C, Bayle E, Goffinet L, Adetu SA, Tournoud C, Puskarczyk E. Brûlure grave par exposition cutanée à une colle cyanoacrylate pour faux ongles. Toxicologie Analytique et Clinique 2021. [DOI: 10.1016/j.toxac.2021.06.072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Descatha A, Le Roux G, Sinno-Tellier S, Puskarczyk E, Labadie M, Von Fabeck K, Pelissier F, Nisse P, Paret N, Vodovar D. Analyse rétrospective des expositions enregistrée par les centres antipoison français pendant la première vague de COVID-19. Toxicologie Analytique et Clinique 2021. [PMCID: PMC8449835 DOI: 10.1016/j.toxac.2021.06.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
Objectifs Le contexte inédit de la pandémie de COVID-19,des mesures barrières et du confinement a entraîné des bouleversements dans la population. L’objectif était d’évaluer l’impact de la pandémie COVID-19 sur les caractéristiques des appels aux centres antipoison français (CAP) entre les années 2018–2019 et 2020. Méthode Les cas d’exposition enregistrés du 1er mars au 1er mai en 2018, 2019 et 2020 ont été extraits de la base de données nationale française des intoxications. Les données recueillies comprenaient les caractéristiques des appels, des patients et des expositions à certaines catégories de produits considérées a priori comme sentinelles et qui auraient pu être utilisées plus fréquemment pendant la pandémie COVID-19 : désinfectants, détergents, dont l’eau de javel, solutions hydroalcooliques, huiles essentielles et médicaments psychotropes. Les cas de 2020 ont été comparés aux expositions de 2018–2019 en utilisant des modèles logistiques simples et une évaluation de la taille d’effet significative (défini sur un p < 0,0001 et un odds ratio > 1,3). Résultats De mars à avril 2020, 32 182 expositions ont été rapportées aux CAP français, soit une augmentation globale de 5,6 % par rapport aux expositions de la même période en 2018–2019. Une augmentation similaire des appels a été observée dans les zones COVID-19 moins fortement épidémiques et plus fortement épidémiques et était liée à une augmentation des appels du public (+13,6 %) et une diminution des appels des professionnels de la santé (−7,5 %). Malgré l’augmentation des cas d’exposition, l’incidence des intoxications symptomatiques est restée stable (−0,4 %) avec une diminution de la gravité « modérée/grave » (−17,2 %). Une augmentation significative des expositions aux produits d’entretien ménager contenant des biocides (+74,9 %) et de la javel (+91,5 %), des huiles essentielles (+66,5 %) et des solutions hydroalcooliques (+239,5 %) a été observée (p < 0,0001). Conclusion La première vague de pandémie de COVID-19 a modifié le nombre et la typologie des appels aux CAP français avec une légère augmentation des appels pendant la période d’étude. Ces changements reflètent peut-être les conséquences indirectes de la pandémie de COVID-19, à savoir un accès limité aux soins primaires, la peur de contracter la COVID-19, le respect des mesures barrières et l’anxiété liée à l’isolement à domicile.
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Vodovar D, Tournoud C, Boltz P, Paradis C, Puskarczyk E. Severe intentional sodium nitrite poisoning is also being seen in France. Clin Toxicol (Phila) 2021; 60:272-274. [PMID: 33988068 DOI: 10.1080/15563650.2021.1919695] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Dominique Vodovar
- Centre Antipoison et de Toxicovigilance de Paris - Fédération de Toxicologie de l'APHP, Hôpital Fernand Widal, Paris, France.,INSERM UMRS 1144, Paris, France.,Université de Paris, UFR de médecine, Paris, France
| | - Christine Tournoud
- Centre Antipoison et de Toxicovigilance Est, CHRU de Nancy, Nancy, France
| | - Patricia Boltz
- Centre Antipoison et de Toxicovigilance Est, CHRU de Nancy, Nancy, France
| | - Camille Paradis
- Centre antipoison et de Toxicovigilance de Bordeaux, CHRU de Bordeaux, Bordeaux, France
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Tournoud C, Pasquier L, Bourzeix C, Puskarczyk E. Cigarette électronique : quels accidents décrits nécessitent une prise en charge en urgence ? Toxicologie Analytique et Clinique 2021. [DOI: 10.1016/j.toxac.2020.10.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Boels D, Hamel J, Le Roux G, Labadie M, Paret N, Delcourt N, Langrand J, Puskarczyk E, Nisse P, Sinno-Tellier S, de Haro L. Envenimations vipérines en France métropolitaine en 2017-2018 : comparaison de deux antivenins Viperfav® et Viperatab® à partir des cas enregistrés par les Centres antipoison. Toxicologie Analytique et Clinique 2021. [DOI: 10.1016/j.toxac.2020.10.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Gomes E, Bouteldja J, de Haro L, Puskarczyk E. Dermatite du baigneur… en mer : description d’un cas de dermatozoonose parasitaire ubiquitaire. Toxicologie Analytique et Clinique 2021. [DOI: 10.1016/j.toxac.2020.10.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Tournebize J, Gibaja V, Grossenbacher F, Plenier Y, Medhioub Y, Batisse A, Le Boisselier R, Gillet P, Puskarczyk E, Gaulier JM, Djerada Z. Le mésusage de la cigarette électronique : une centaine de jeunes hospitalisés après avoir vapoté dans le nord-est de la France. Therapie 2021. [DOI: 10.1016/j.therap.2021.01.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Le Roux G, Sinno-Tellier S, Puskarczyk E, Labadie M, von Fabeck K, Pélissier F, Nisse P, Paret N, Descatha A, Vodovar D. Poisoning during the COVID-19 outbreak and lockdown: retrospective analysis of exposures reported to French poison control centres. Clin Toxicol (Phila) 2021; 59:832-839. [DOI: 10.1080/15563650.2021.1874402] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
- Gaël Le Roux
- Centre antipoison et de Toxicovigilance Grand Ouest, CHU Angers, Angers Cedex 9, France
| | - Sandra Sinno-Tellier
- Agence nationale de sécurité sanitaire de l’alimentation, de l’environnement et du travail (ANSES), Maisons-Alfort Cedex, France
| | - Emmanuel Puskarczyk
- Centre antipoison et de Toxicovigilance Grand Est et Base Nationale Produits et Compositions, CHRU de Nancy, Nancy Cedex, France
| | - Magali Labadie
- Centre antipoison et de Toxicovigilance de Bordeaux, CHU Pellegrin Tripode, Place Amélie Raba Léon, Bordeaux Cedex, France
| | - Katharina von Fabeck
- Centre antipoison et de Toxicovigilance de Marseille, Hôpital Sainte Marguerite, Marseille Cedex 09, France
| | - Fanny Pélissier
- Centre Antipoison et de Toxicovigilance de Toulouse, Hôpital Purpan, Pavillon Louis Lareng, Toulouse Cedex, France
| | - Patrick Nisse
- Centre antipoison et de Toxicovigilance de Lille, CHU de Lille, Lille Cedex, France
| | - Nathalie Paret
- Centre antipoison et de Toxicovigilance de Lyon, Hospices Civils de Lyon, Lyon Cedex 03, France
| | - Alexis Descatha
- Centre antipoison et de Toxicovigilance Grand Ouest, CHU Angers, Angers Cedex 9, France
- UNIV Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) – UMR_S1085, Angers, France
| | - Dominique Vodovar
- Centre antipoison et de Toxicovigilance de Paris, Assistance Publique des Hôpitaux de Paris – Hôpital Fernand Widal, Paris, France
- Université de Paris, UFR de médecine, Paris, France
- Faculté de Pharmacie de Paris, INSERM UMRS 1144, Paris, France
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Garnier R, Nouyrigat E, Benoit P, Goullé JP, Granon C, Manel J, Manouchehri N, Mathieu-Huart A, Nisse P, Normand JC, Ronga-Pézeret S, Roulet A, Simon F, Gabach P, Tournoud C, Augé G, Barbillon A, Boudet C, Bourgeat M, Droissart-Long A, El Balkhi S, Franchitto N, Glaizal M, Glorennec P, Gnansia E, Haufroid V, Breurec JY, Cambier P, Carlier P, Carretier J, Chanaud D, Charrière A, Clinard F, Dereure O, Kleinlogel S, Labadie M, Laporte R, Heilier JF, Javelaud B, Lefranc A, Lelièvre B, Lucas D, Marot F, Mathieu O, Nesslany F, Nikolova-Pavageau N, Nisse C, Peronnet K, Puskarczyk E, Quénel P, Rauzier-Jaoul MC, Roussel H, Sadeg N, Sapori JM, Sauvant-Rochat MP, Verdun-Esquer C, Veyer K, Villa A, Vircondelet S. Dépistage, prise en charge et suivi des personnes potentiellement surexposées à l’arsenic inorganique du fait de leur lieu de résidence. ARCH MAL PROF ENVIRO 2020. [DOI: 10.1016/j.admp.2020.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Le Roux G, Buisset A, Leruez S, Puskarczyk E, Gohier P, Descatha A. Agents Involved and Severity of Acute Ocular Exposure Reported at a Poison Control Center. Ophthalmic Epidemiol 2020; 27:468-476. [PMID: 32500787 DOI: 10.1080/09286586.2020.1773871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
PURPOSE The aim was to identify severity factors useful in the initial management of patients with acute ocular exposure while considering both categories of products involved and circumstances of exposure. METHODS A retrospective study over a one-year period that included patients who benefited from the poison center services for eye exposure to a chemical substance. RESULTS Within a year, 1582 patients were identified. The sex ratio (M/F) was 0.8. The mean age was 28.5 ± 20.3 years. Among children, those under 4 years represented the most significant age category (n = 277; 50.1%). Exposure to chemicals were mild (n = 1342, 84.8%). Adults over 65 years appeared to be more likely to have severe ocular damage (OR: 4.75; [2.26; 9.98]). Unintentional exposures were the most frequent (n = 1548; 97.8%). Ocular exposure primarily occurred at home (n = 937; 59.2%), and at the workplace (n = 396; 25%) which was associated with a higher risk of severe injury (OR: 2.93 [2.16; 3.97]). Cleaning products accounted for 31.2% of exposure cases (n = 457). Exposure to disinfectants is a risk factor of more severe injuries (OR: 1.48 [1.002; 2.19] p = .0472) whereas pH and severity of injuries were not statistically significant. CONCLUSIONS Our study showed the very wide variety of products involved in ocular exposures. Clinicians should pay attention to factors associated with severe injury, including young and old age, work-related injury, substances such as disinfectants, in addition to previously known factors such as acids and bases.
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Affiliation(s)
- Gaël Le Roux
- Grand Ouest Poison Control and Toxicovigilance Center, University Hospital , Angers, France
| | - Adrien Buisset
- Ophthalmology Department, University Hospital , Angers, France
| | | | - Emmanuel Puskarczyk
- Est Poison Control and Toxicovigilance Center, French National Database of Products and Compositions, University Hospital , Nancy, France
| | - Philippe Gohier
- Ophthalmology Department, University Hospital , Angers, France
| | - Alexis Descatha
- Grand Ouest Poison Control and Toxicovigilance Center, University Hospital , Angers, France.,Irset (Institut De Recherche En Santé, Environnement Et Travail) - UMR_S1085, University Angers, CHU Angers, University Rennes, Inserm, EHESP , Angers, France
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Boels D, Hamel JF, Le Roux G, Labadie M, Paret N, Delcourt N, Langrand J, Puskarczyk E, Nisse P, Sinno-Tellier S, de Haro L. Snake bites by European vipers in Mainland France in 2017-2018: comparison of two antivenoms Viperfav ® and Viperatab ®. Clin Toxicol (Phila) 2020; 58:1050-1057. [PMID: 32134691 DOI: 10.1080/15563650.2020.1726377] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Context: Today, immunotherapy with Fab or F(ab')2 fragments is considered as a gold standard treatment for patients bitten by vipers. We compared the efficiency of two antivenoms, Viperfav® and Viperatab®, in mainland France in 2017-2018 with data provided by the French poison control centre (PCC).Methods: Patients with a moderate (2a and 2b) or severe (3) envenomation after a European viper bite and treated with immunotherapy were included and the markers chosen were the risk of post-antivenom treatment worsening, duration of hospital stay and persistent functional discomfort on day 15. Statistical studies were based on multivariate data analysis.Results: Two hundred and ninety-seven cases were recorded. One hundred and eighty-two (61.3%) patients received Viperfav® and 115 (38.7%) received Viperatab®. Compared to Viperfav®, use of Viperatab® significantly increased the risk of post-antivenom treatment worsening (OR* 12.05; 95%CI [3.11; 46.70]; p < .001). No significant difference between these antivenoms was recorded with respect to the duration of hospital stay and persistent functional discomfort on day 15. Viperfav® and Viperatab® have a similar tolerance (p > .21). Otherwise, duration of hospitalisation was significantly increased by a delay of immunotherapy infusion of more than 12 h (OR 2.70; 95%CI [1.45-5.06]; p = .002) or a preventive administration of LMWH (OR 6.55; 95%CI [1.58-27.13]; p=.02).Discussion: While Viperfav® and Viperatab® have a similar tolerance, our data show that Viperatab® was associated with a higher risk of post-antivenom treatment worsening compared to Viperfav®. Furthermore, this study confirms that the antivenom should be used as soon as possible. Indeed, patients receiving the immunotherapy infusion from the grade 2b presented significantly more frequent exacerbated symptoms (OR 3.99; 95%CI [1.16-13.73]; p=.028) after the antivenom infusion compared to grade 2a group.Conclusions: Whereas no significant difference between these antivenoms was recorded with respect to the duration of hospital stay and persistent functional discomfort on day 15, use of Viperatab®, compared to Viperfav®, significantly increased the risk of post-antivenom treatment worsening (OR* 12.05; 95%CI [3.11; 46.70]; p < .001). Taken together, these data show that Viperfav® is the treatment of choice for the management of snake bites in France.
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Affiliation(s)
- David Boels
- Pharmacology and Toxicology Department, Nantes University Hospital, Nantes, France, and Inserm UMRS 1144, University of Paris, France
| | - Jean François Hamel
- Representative of Clinical Research and Innovation, Angers University Hospital, Angers, France
| | - Gaël Le Roux
- Poison Control Centre, Angers University Hospital, Angers, France
| | - Magali Labadie
- Poison Control Centre, Bordeaux University Hospital, Bordeaux, France
| | - Nathalie Paret
- Poison Control Centre, Lyon University Hospital, Lyon, France
| | - Nicolas Delcourt
- Poison Control Centre, Toulouse University Hospital, Toulouse, France
| | - Jérôme Langrand
- Poison Control Centre, Paris University Hospital, Paris, France
| | | | - Patrick Nisse
- Poison Control Centre, Lille University Hospital, Lille, France
| | - Sandra Sinno-Tellier
- ANSES, French Agency for Food, Environmental and Occupational Health Safety, Maisons-Alfort, France
| | - Luc de Haro
- Poison Control Centre, Marseille University Hospital, Marseille, France
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Langrand J, Blanc-Brisset I, Boucaud-Maitre D, Puskarczyk E, Nisse P, Garnier R, Pulce C. Increased severity associated with tallowamine in acute glyphosate poisoning. Clin Toxicol (Phila) 2020; 58:201-203. [PMID: 31169038 DOI: 10.1080/15563650.2019.1623406] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Revised: 05/13/2019] [Accepted: 05/14/2019] [Indexed: 10/26/2022]
Abstract
Context: During the re-approval process of glyphosate in Europe, it was mentioned that glyphosate-based products (GBF) were more toxic than glyphosate alone. This phenomenon was attributed to the surfactants and among them, polyethoxylated tallowamine (POEA) has been suspected to significantly contribute to the toxicity of glyphosate products. In animal data acute oral toxicity of POEA has been suggested to be greater than glyphosate toxicity in animal studies. There are no data, however, comparing the clinical signs and severity of acute human poisoning with tallowamine-containing GBF (TA) and non-tallowamine-containing GBF (NTA). The aim of this study was to compare the severity of oral poisoning between TA and NTA cases, reported to the French Poison Control Centres (PCC) over 7 years.Methods: This is a retrospective study of cases of oral exposure to GBF reported to French PCCs between January 1st, 2008 and December 12th, 2014. The formulation of every GBF was reviewed using the PCC national database of products and compositions, to identify cases involving TA, NTA, or GBF with unknown co-formulants.Results: Between 2008 and 2014, 1362 cases of GBF ingestion were registered in the PCC national database of poisoning cases. Among them, 429 were symptomatic acute cases of ingestion of GBF. There were 235 exposures to TA, 105 to NTA, and 89 to unknown GBF. There were more severe cases in the TA group than in the NTA group (p = 0.037).Discussion: The present study shows that POEA rather than other co-formulants leads to more severe symptoms in those patients ingesting GBF. The acute toxicity of POEA might be explained by its irritating properties; in experimental studies, it caused skin irritation and severe eye and mucous membranes irritation.Conclusion: In this study, severe respiratory symptoms were also more frequently reported in the TA group. The surfactant properties of POEA are likely to cause aspiration pneumonitis which is a plausible explanation for the respiratory failure complicating severe GBF poisoning cases.
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Affiliation(s)
- Jerome Langrand
- Centre Antipoison de Paris, Fédération de toxicologie, Inserm UMR-S 1144, APHP Lariboisière-Fernand Widal, Paris, France
| | - Ingrid Blanc-Brisset
- Centre Antipoison de Paris, Fédération de toxicologie, Inserm UMR-S 1144, APHP Lariboisière-Fernand Widal, Paris, France
- Centre Antipoison de Bordeaux, CHU de Bordeaux, Bordeaux, France
| | - Denis Boucaud-Maitre
- Direction de la Recherche Clinique et de l'Innovation, CHU Guadeloupe, Pointe-à-Pitre, France
| | | | - Patrick Nisse
- Centre Antipoison de Lille, Centre hospitalier régional universitaire de Lille, Lille, France
| | - Robert Garnier
- Centre Antipoison de Paris, Fédération de toxicologie, Inserm UMR-S 1144, APHP Lariboisière-Fernand Widal, Paris, France
| | - Corine Pulce
- Centre Antipoison de Lyon, Hospices Civils de Lyon, Lyon, France
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Boucaud-Maitre D, Rambourg MO, Sinno-Tellier S, Puskarczyk E, Pineau X, Kammerer M, Bloch J, Langrand J. Human exposure to banned pesticides reported to the French Poison Control Centers: 2012-2016. Environ Toxicol Pharmacol 2019; 69:51-56. [PMID: 30953934 DOI: 10.1016/j.etap.2019.03.017] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Accepted: 03/16/2019] [Indexed: 06/09/2023]
Abstract
In 2008, 30 active substances from plant protection products were banned from marketing in France. Nevertheless, the French Poison Control Centers continue to see cases of poisoning caused by these active substances that are no longer approved. The aim of this study was to describe the characteristics of the reported cases in mainland France and in overseas French territories, over the period 2012-2016. A total of 408 cases of human exposure were reported during the study period. The most commonly reported substances were dichlorvos (24.8%, n = 108), paraquat (23.8%, n = 97), aldicarb (14.7%, n = 60), diuron (9.6%, n = 39), dinocap (5.1%, n = 21), methomyl (4.2%, n = 17), carbofuran (3.9%, n = 16), anthraquinone (2.9%, n = 12) and carbendazim (2.7%, n = 11). The number of cases of intoxication dropped sharply between 2012 (n = 119) and 2016 (n = 47), except in the overseas French territories. Among the 72 serious cases (severe or life-threatening or with a fatal outcome), the most common substances involved were paraquat (n = 34), aldicarb (n = 24) and carbofuran (n = 7). This study suggests persistent use of carbamate insecticides, the existence of illegal imports of dichlorvos or paraquat-based products, and the use of certain banned fungicides in the professional agricultural sector. Information and collection campaigns are therefore essential after the withdrawal of marketing authorization for the plant protection products.
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Affiliation(s)
- Denis Boucaud-Maitre
- Dispositif de toxicovigilance Antilles, Centre Hospitalier de Basse-Terre, Basse-Terre, Guadeloupe; Direction de la Recherche Clinique et de l'Innovation, Centre Hospitalo-Universitaire de Guadeloupe, Pointe-à-Pitre, Guadeloupe.
| | | | | | | | - Xavier Pineau
- Centre National d'Informations Toxicologiques Vétérinaires, Vet Agro Sup, Marcy l'Etoile, France
| | - Martine Kammerer
- Centre Antipoison Animal et Environnemental de l'Ouest, Oniris, Nantes, France
| | - Juliette Bloch
- Direction Alertes et Veille sanitaires, ANSES, Maisons-Alfort, France
| | - Jérôme Langrand
- Centre antipoison de Paris, hôpital Fernand-Widal, Fédération de toxicologie FeTox, hôpital Lariboisière/Fernand-Widal, AP-HP, Inserm UMRS 1144, Paris, France
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17
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Tournoud C, Puskarczyk E, Bretaudeau-Deguigne M, Labadie M, Nisse P, Patat AM, Simon N, Langrand J, Franchitto N, Manel J. Méthémoglobinémies d’origine toxique chez l’enfant. Toxicologie Analytique et Clinique 2019. [DOI: 10.1016/j.toxac.2019.03.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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18
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Labadie M, Rebouissoux L, Viala J, Nisse P, Vodovar D, Courtois A, Gallart JC, Glaizal M, Denoyelle F, Franchitto N, Manel J, Lamireau T, Puskarczyk E. Regarding pH-neutralizing esophageal irrigations as a novel mitigation strategy for button battery injury. Laryngoscope 2019; 129:E123-E124. [PMID: 30618049 DOI: 10.1002/lary.27728] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2018] [Accepted: 10/10/2018] [Indexed: 11/11/2022]
Affiliation(s)
- Magali Labadie
- Centre Hospitalier Universitaire de Bordeaux, Centre Antipoison, Bordeaux, Aquitaine, France
| | - Laurent Rebouissoux
- Centre Hospitalier Universitaire de Bordeaux, Gastroentérologie et nutrition pédiatrique, Bordeaux, Aquitaine, France
| | - Jerome Viala
- Hopital Universitaire Robert-Debre, Gastroentérologie, Paris, Île-de-France, France
| | - Patrick Nisse
- Centre hospitalier Universitaire, Centre Antipoison, Lille, France
| | - Dominique Vodovar
- Groupe hospitalier Lariboisiere Fernand-Widal, Centre Antipoison de Paris-Fédération de Toxicologie, Paris, Île-de-France, France.,INSERM UMRS 1144, Paris, France
| | - Arnaud Courtois
- Centre Hospitalier Universitaire de Bordeaux, Centre Antipoison, Bordeaux, Aquitaine, France.,Universite de Bordeaux College Sciences de la Sante, UFR Sciences pharmaceutiques: Laboratoire de Toxicologie, Bordeaux, Aquitaine, France
| | - Jean-Christophe Gallart
- Centre Hospitalier Universitaire de Toulouse, Centre Antipoison-SAMU 31 Toulouse, Midi-Pyrénées, France
| | - Mathieu Glaizal
- Centre Hospitalier Universitaire de Marseille, Centre Antipoison, Marseille, France
| | - Françoise Denoyelle
- Hopital universitaire Necker-Enfants malades, Service d'ORL, pédiatrique et de chirurgie cervicofaciale, centre de références des malformations ORL rares, Paris, Île-de-France, France.,Universite Paris Descartes, Paris, Île-de-France, France
| | - Nicolas Franchitto
- Centre Hospitalier Universitaire de Toulouse, Centre Antipoison-SAMU 31 Toulouse, Midi-Pyrénées, France.,Universite Toulouse III Paul Sabatier, INSERM UMR 1027, Toulouse, Midi-Pyrénées, France
| | - Jacques Manel
- Centre Hospitalier Universitaire de Nancy, Centre Antipoison, Nancy, Lorraine, France
| | - Thierry Lamireau
- Centre Hospitalier Universitaire de Bordeaux, Gastroentérologie et nutrition pédiatrique Bordeaux, Aquitaine, France.,Universite de Bordeaux College Sciences de la Sante, INSERM U897, Epidemiology of nutrition, ISPED, Bordeaux, Aquitaine, France
| | - Emmanuel Puskarczyk
- Centre Hospitalier Universitaire de Nancy, Centre Antipoison, Nancy, Lorraine, France
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Pape E, Collin C, Camelot F, Javot L, Petitpain N, Puskarczyk E, Anastasio D, Gerard E, Gambier N, Scala-Bertola J, Clement C. Paracetamol Misuse and Dental Pain: Results from the French Observational DAntaLor Study. J Oral Facial Pain Headache 2019; 33:123-129. [PMID: 30703177 DOI: 10.11607/ofph.1861] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
AIMS To evaluate the risk of hepatotoxicity due to unintentional paracetamol misuse in patients with acute dental pain. METHODS A prospective multicenter observational survey was performed in patients consulting, without appointment, the odontology departments of three main French hospitals in the Lorraine region over a 3-month period. Patients were asked to fill out a medical questionnaire while seated in the waiting room. Those who completed the questionnaire, had dental pain, and took paracetamol were included in the DAntaLor study. Misuse was defined as a daily dose of more than 4 g of paracetamol per day. The risk of hepatotoxicity was considered high if the supposed ingested dose was above the threshold of 150 mg.kg-1.24h-1, 125 mg.kg-1.24h-1, or 100 mg.kg1.24h-1 over periods of 24, 48, and 72 hours, respectively. Hepatotoxicity was suspected in the presence of clinical symptoms. RESULTS Of the 1,810 patients consulting the odontology departments, 741 were included in the study. Painkillers were used in 74.4% of the cases, and paracetamol was taken by 81.7%. Paracetamol was self-medicated in 85.5% of the patients and misused by 6.0%. Clinical symptoms were observed in 1.6% of the patients with no paracetamol misuse. For patients consuming more than 4 g per day and experiencing mild unspecific clinical symptoms of hepatotoxicity, the suspected ingested dose category was below one of the three previously defined thresholds for 11.8% and was above for 40.0%. CONCLUSION Patients with dental pain are at risk of paracetamol overdose and hepatotoxicity.
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Barberot P, Puskarczyk E, Tournebize J, Gibaja V, Gillet P, Manel J, Kahn JP. Coordination des vigilances « produits » au CHRU de Nancy : expérimentation de la transmission des cas du centre antipoison au centre d’addictovigilance de Nancy. Therapie 2018. [DOI: 10.1016/j.therap.2018.09.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Nisse P, Puskarczyk E, Tison J, Danila E, Mathieu M. Comment un selfie peut s’avérer dangereux ! À propos d’une morsure de vipère au visage. Toxicologie Analytique et Clinique 2018. [DOI: 10.1016/j.toxac.2018.07.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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22
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Bourgeois N, Bruneau C, Courtois A, Nisse P, Sapori JM, de Haro L, Puskarczyk E, Tournoud C, Franchitto N, Villa AF. La Mycoliste : un outil d’aide à l’identification des champignons impliqués dans les intoxications humaines en France. Bilan de fonctionnement 2014–2015. Toxicologie Analytique et Clinique 2017. [DOI: 10.1016/j.toxac.2017.03.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Pelissier F, de Haro L, Cardona F, Picot C, Puskarczyk E, Sapori JM, Tournoud C, Franchitto N. Self-poisoning with baclofen in alcohol-dependent patients: national reports to French Poison Control Centers, 2008–2013. Clin Toxicol (Phila) 2017; 55:275-284. [DOI: 10.1080/15563650.2017.1284330] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Fanny Pelissier
- Poison Control Center, Toulouse-Purpan University Hospital, Toulouse, France
| | - Luc de Haro
- Poison Control Center, Clinical Pharmacology Department, Sainte Marguerite Hospital, Marseille, France
- Groupe de Travail Toxicovigilance des Médicaments, ANSM, Saint Denis, France
- Comité de Coordination de Toxicovigilance, Institut de Veille Sanitaire (InVS), Saint Maurice, France
| | - Florence Cardona
- Groupe de Travail Toxicovigilance des Médicaments, ANSM, Saint Denis, France
- French National Agency for Medicines and Health Products Safety (ANSM), Saint Denis, France
| | - Cyndie Picot
- Groupe de Travail Toxicovigilance des Médicaments, ANSM, Saint Denis, France
- Comité de Coordination de Toxicovigilance, Institut de Veille Sanitaire (InVS), Saint Maurice, France
- French National Agency for Medicines and Health Products Safety (ANSM), Saint Denis, France
| | - Emmanuel Puskarczyk
- Comité de Coordination de Toxicovigilance, Institut de Veille Sanitaire (InVS), Saint Maurice, France
- Poison Information and Toxicovigilance Center, Nancy University Medical Center, Nancy, France
| | - Jean-Marc Sapori
- Comité de Coordination de Toxicovigilance, Institut de Veille Sanitaire (InVS), Saint Maurice, France
- Toxicovigilance and Poison Control Center, Hospices Civils de Lyon, Lyon, France
| | - Christine Tournoud
- Groupe de Travail Toxicovigilance des Médicaments, ANSM, Saint Denis, France
- Comité de Coordination de Toxicovigilance, Institut de Veille Sanitaire (InVS), Saint Maurice, France
- Poison Information and Toxicovigilance Center, Hôpital Civil, Strasbourg, France
| | - Nicolas Franchitto
- Poison Control Center, Toulouse-Purpan University Hospital, Toulouse, France
- Groupe de Travail Toxicovigilance des Médicaments, ANSM, Saint Denis, France
- Comité de Coordination de Toxicovigilance, Institut de Veille Sanitaire (InVS), Saint Maurice, France
- Department of Addiction Medicine, Toulouse-Purpan University Hospital, Toulouse, France
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Tournebize J, Gibaja V, Puskarczyk E, Popovic B, Kahn JP. Myocardite et cannabis : une association inhabituelle. Therapie 2017. [DOI: 10.1016/j.therap.2016.11.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Gomes E, Bourgeois L, Bertin S, Puskarczyk E, Manel J. Intérêt de la base médicaments du Centre antipoison et de toxicovigilance de Nancy lors de la dispensation médicamenteuse : étude du contexte des demandes d’identification de 2013 à 2015. Toxicologie Analytique et Clinique 2016. [DOI: 10.1016/j.toxac.2016.05.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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26
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Creusat G, Berthelon L, Boulamery A, Bruneau C, Labadie M, Puskarczyk E. Syndrome de sevrage opiacé sous nalméfène : comprendre les mécanismes pour mieux prescrire ! Toxicologie Analytique et Clinique 2016. [DOI: 10.1016/j.toxac.2016.05.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Tournebize J, Gibaja V, Puskarczyk E, Popovic B, Kahn JP. Myocarditis associated with cannabis use in a 15-year-old boy: A rare case report. Int J Cardiol 2016; 203:243-4. [DOI: 10.1016/j.ijcard.2015.10.161] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2015] [Accepted: 10/18/2015] [Indexed: 11/29/2022]
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28
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Jollivet V, Hamel JF, de Haro L, Labadie M, Sapori JM, Cordier L, Villa A, Nisse P, Puskarczyk E, Berthelon L, Harry P, Boels D. European viper envenomation recorded by French poison control centers: A clinical assessment and management study. Toxicon 2015; 108:97-103. [PMID: 26454165 DOI: 10.1016/j.toxicon.2015.09.039] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2015] [Revised: 08/20/2015] [Accepted: 09/29/2015] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Immunotherapy is the gold standard treatment for patients bitten by European vipers in France; it significantly decreases morbidity, frequency and severity of complications and length of stay. A national prospective study was performed by all Poison Control Centers (PCC) to validate the emergency protocol for viper envenomations. METHODS This prospective study included all cases of viper bites in France, treated or not with Viperfav(®) in 2013. RESULTS In 2013, 277 cases of viper bites were collected: ratio M/F 2.1; mean aged 43 years (<15 years 25% 15-65 63% > 65 12%). The final severity was divided into 68 grades 0, 58 grades I, 62 grades IIA, 71 grades IIB and 18 grades III. One death was reported. Five patients had neurological signs. For the 114 patients who received Viperfav(®), all systemic signs disappeared in 5 h and in 24 h for biological and neurological signs. No severe anaphylactic reaction with Viperfav(®) was reported. Late Viperfav(®) administration increased the risk of functional impairment 15 days after the bite (OR = 3.21 p = 0.043). The administration of Low Molecular Weight Heparin (LMWH) increased the frequency of functional impairment to 15 days after the bite (OR = 6.38 p = 0.064), although Viperfav(®) was given in the first 18 h. DISCUSSION This study confirms the efficiency, safety and recommendation of an early administration of a single dose of Viperfav(®), LMWH should not be used. It also shows the extension of neurotoxic venom of vipers in France.
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Affiliation(s)
- V Jollivet
- Poison Control Center, Angers University Hospital, France
| | - J F Hamel
- Clinical Research Center, Angers University Hospital, France
| | - L de Haro
- Poison Control Center, Marseille University Hospital, France
| | - M Labadie
- Poison Control Center, Bordeaux University Hospital, France
| | - J M Sapori
- Poison Control Center, Lyon University Hospital, France
| | - L Cordier
- Poison Control Center, Toulouse University Hospital, France
| | - A Villa
- Poison Control Center, Paris University Hospital, France
| | - P Nisse
- Poison Control Center, Lille University Hospital, France
| | - E Puskarczyk
- Poison Control Center, Nancy University Hospital, France
| | - L Berthelon
- Poison Control Center, Strasbourg University Hospital, France
| | - P Harry
- Poison Control Center, Angers University Hospital, France
| | - D Boels
- Poison Control Center, Angers University Hospital, France.
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Pulce C, Langrand J, Boels D, Nisse P, Pineau X, Puskarczyk E, Boucaud-Maître D, Marcotullio E, Blanc I, Sinno-Tellier S, Rambourg MO. Expositions aux rodonticides à base d’alphachloralose (AC) : étude rétrospective des observations enregistrées par les centres antipoison (CAPTV) français de 1999 à 2012. Toxicologie Analytique et Clinique 2015. [DOI: 10.1016/j.toxac.2015.03.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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30
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Boltz P, Pape E, Scarfone S, Scala-Bertola J, Berthelon L, Poussel M, Gambier N, Puskarczyk E. Naturel pour maigrir ? La preuve…. Toxicologie Analytique et Clinique 2015. [DOI: 10.1016/j.toxac.2015.03.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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31
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Boels D, Jollivet V, Hamel J, de Haro L, Labadie M, Sapori J, Cordier L, Villa A, Nisse P, Puskarczyk E, Berthelon L, Harry P. Prise en charge des envenimations vipérines en France : étude prospective nationale 2013 des CAPTV. Toxicologie Analytique et Clinique 2014. [DOI: 10.1016/j.toxac.2014.09.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Fillol C, Dor F, Labat L, Boltz P, Le Bouard J, Mantey K, Mannschott C, Puskarczyk E, Viller F, Momas I, Seta N. Urinary arsenic concentrations and speciation in residents living in an area with naturally contaminated soils. Sci Total Environ 2010; 408:1190-1194. [PMID: 20004003 DOI: 10.1016/j.scitotenv.2009.11.046] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2009] [Revised: 11/13/2009] [Accepted: 11/20/2009] [Indexed: 05/28/2023]
Abstract
A cross sectional study was carried out to evaluate arsenic exposure of residents living in an area with a soil naturally rich in arsenic (As), through urinary measurements. During the summer of 2007, 322 people aged over 7 years and resident in the study area for at least 4 days prior to the investigation were recruited. The sum of urinary inorganic arsenic and metabolites (iAs+MMA+DMA) and speciation were determined by graphite furnace atomic absorption spectrometry and high performance liquid chromatography coupled to inductively coupled plasma mass spectrometry, respectively. Geometric means levels of iAs+MMA+DMA were 3.6 microg/L or 4.4 microg/g creatinine. The percent of DMA, As(III) and MMA contribution to urinary arsenic concentrations was respectively 84.2%, 12% and 3.7%. We found significant associations between urinary arsenic concentrations and the consumption of seafood (p=0.03), the consumption of wine (p=0.03) and beer (p=0.001), respectively 3 and 4 days before the investigation. When we focus on the various species, As(V) was rarely detected and DMA is the predominant metabolite composing the majority of measurable inorganic-related As in the urine. Considering the percent of DMA contribution to iAs+MMA+DMA urinary concentrations, almost half of the subjects had 100% of DMA contribution whatever the concentration of urinary As whereas the others had a lower DMA contribution, between 39 and 90%. Arsenic levels reported in this original study in France were between 2 and 4 times lower than in other studies dealing with iAs+MMA+DMA levels associated with soil arsenic exposure. Arsenic levels were similar to those observed in unexposed individuals in European countries, although 10% were above the French guideline values for the general population.
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Affiliation(s)
- Clémence Fillol
- Université Paris Descartes, Laboratoire Santé Publique et Environnement - EA 4064, Paris, France.
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