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            "abstractNote": "While originally characterized as a collection of related syndromes, cystic fibrosis (CF) is now recognized as a single disease whose diverse symptoms stem from the wide tissue distribution of the gene product that is defective in CF, the ion channel and regulator, cystic fibrosis transmembrane conductance regulator (CFTR). Defective CFTR protein impacts the function of the pancreas and alters the consistency of mucosal secretions. The latter of these effects probably plays an important role in the defective resistance of CF patients to many pathogens. As the modalities of CF research have changed over the decades from empirical histological studies to include biophysical measurements of CFTR function, the clinical management of this disease has similarly evolved to effectively address the ever-changing spectrum of CF-related infectious diseases. These factors have led to the successful management of many CF-related infections with the notable exception of chronic lung infection with the gram-negative bacterium Pseudomonas aeruginosa. The virulence of P. aeruginosa stems from multiple bacterial attributes, including antibiotic resistance, the ability to utilize quorum-sensing signals to form biofilms, the destructive potential of a multitude of its microbial toxins, and the ability to acquire a mucoid phenotype, which renders this microbe resistant to both the innate and acquired immunologic defenses of the host.",
            "publicationTitle": "Clinical Microbiology Reviews",
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            "title": "Frequency and molecular diversity of Pseudomonas aeruginosa upon admission and during hospitalization: a prospective epidemiologic study",
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                    "creatorType": "author",
                    "firstName": "Dominique S.",
                    "lastName": "Blanc"
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                {
                    "creatorType": "author",
                    "firstName": "Christiane",
                    "lastName": "Petignat"
                },
                {
                    "creatorType": "author",
                    "firstName": "Béatrice",
                    "lastName": "Janin"
                },
                {
                    "creatorType": "author",
                    "firstName": "Jacques",
                    "lastName": "Bille"
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                    "firstName": "Patrick",
                    "lastName": "Francioli"
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            "abstractNote": "Objective\nTo assess the molecular epidemiology and risk factors for Pseudomonas aeruginosa colonization and infection in hospitalized patients.\nMethods\nIn a 1000-bed university hospital, newly admitted patients were assessed prospectively for colonization and infection with P. aeruginosa. Anal swabs were obtained upon admission and at discharge. Ribotyping was used for the typing of isolates. Epidemiologic and clinical data were recorded prospectively. Independent risk factors were assessed using multivariate analysis.\nResults\nThe recovery rate of patients with P. aeruginosa from anal specimens on admission was 6.7% (42/628). Infection due to P. aeruginosa was observed in 20 of 628 (3.2%) patients, of whom 10 (1.6%) were already infected on admission. Independent risk factors for colonization/infection on admission were age, indwelling urinary catheter, the presence of wound and seropositivity for HIV. Independent risk factors for nosocomial infection were anal colonization on admission, alcoholism, indwelling urinary catheter and antibiotic treatment during hospitalization.\n\nRibotyping revealed that 27 patients were colonized or infected with a unique ribotype, whereas 24 shared one or more ribotypes with other patients. Analysis of epidemiologic and molecular typing data revealed that transmission from patients to patients or from patients to environment was documented on only three occasions.\nConclusions\nA great many P. aeruginosa strains were isolated from patients and the environment, and most environmental strains were different from those recovered in patients, suggesting a low rate of hospital acquisition of P. aeruginosa from the environment. The main risk factors for hospital-acquired infection were detectable colonization on admission, antibiotic treatment and urinary catheter.",
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            "publicationTitle": "Pediatric pulmonology",
            "publisher": "",
            "place": "",
            "date": "Apr 2010",
            "volume": "45",
            "issue": "4",
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            "partNumber": "",
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            "pages": "356-362",
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