BaladoCritique : Club de lecture médical est une baladodiffusion (podcast) francophone mensuelle qui analyse et commente les études récentes d’impact majeur en médecine interne. Ces articles sont sélectionnés par un groupe d’experts en lecture critique de l’Université de Sherbrooke et de l’Université Laval en fonction du potentiel de changement de pratique en médecine familiale/médecine interne. Nous espérons que cet outil facilitera le transfert de nouvelles connaissances médicales aux professionnels de la santé et améliorera ainsi votre pratique médicale.

Épisode 27 : Traitement antibiotique guidé par la protéine C-réactive dans l’exacerbation aiguë de MPOC (étude PACE)

Diffusé le 19 septembre 2019

Dans cette 27e baladodiffusion, les Drs Luc Lanthier et Gabriel Huard discutent d’antibiothérapie guidée par la protéine C-réactive dans l’exacerbation aiguë de MPOC avec l’étude PACE, en plus de réviser la littérature médicale de juillet et août 2019.

Quiz clinique (2 min 17), article principal (2 min 42), critique (26 min 10), autres articles (31 min 32), réponse au quiz clinique (36 min 33)

Référence principale

Butler CC, Gillespie D, White P, Bates J, Lowe R, Thomas-Jones E, et al. C-Reactive Protein Testing to Guide Antibiotic Prescribing for COPD Exacerbations. N Engl J Med. 2019;381(2):111-20. PubMed PMID: 31291514.

http://www.pace-study.co.uk

Infographie

Articles associés

Brett AS, Al-Hasan MN. COPD Exacerbations - A Target for Antibiotic Stewardship. N Engl J Med. 2019;381(2):174-175. PubMed PMID: 31291521.

Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. GOLD, 2019 (http://www.goldcopd.org).

O'Donnell DE, Aaron S, Bourbeau J, Hernandez P, Marciniuk DD, Balter M, Ford G, et al. Canadian Thoracic Society recommendations for management of chronic obstructive pulmonary disease - 2007 update. Can Respir J. 2007;14 Suppl B:5B-32B. PubMed PMID: 17885691.

Anthonisen NR, Manfreda J, Warren CP, Hershfield ES, Harding GK, Nelson NA. Antibiotic therapy in exacerbations of chronic obstructive pulmonary disease. Ann Intern Med. 1987; 106(2):196-204. PubMed PMID: 3492164.

Sator L, Horner A, Studnicka M, Lamprecht B, Kaiser B, McBurnie MA, et al. Overdiagnosis of COPD in Subjects With Unobstructed Spirometry: A BOLD Analysis. Chest. 2019;156(2):277-88. PubMed PMID: 30711480.

Sivapalan P, Lapperre TS, Janner J, Laub RR, Moberg M, Bech CS, et al. Eosinophil-guided corticosteroid therapy in patients admitted to hospital with COPD exacerbation (CORTICO-COP): a multicentre, randomised, controlled, open-label, non-inferiority trial. Lancet Respir Med. 2019;7(8):699-709. PubMed PMID : 31122894.

https://www.cdc.gov/media/releases/2019/s0821-cdc-fda-states-e-cigarettes.html

Layden JE, Ghinai I, Pray I, Kimball A, Layer M, Tenforde M, et al. Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin - Preliminary Report. N Engl J Med. 2019. doi: 10.1056/NEJMoa1911614. PubMed PMID: 31491072.

Capsule méthodologique

Norton EC, Dowd BE, Maciejewski ML. Odds Ratios-Current Best Practice and Use. JAMA. 2018;320(1):84-85. PubMed PMID: 29971384.

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Vascular Events in Noncardiac Surgery Patients Cohort Evaluation Study I. Association between complications and death within 30 days after noncardiac surgery. CMAJ. 2019;191(30):E830-E7. PubMed PMID: 31358597.

Moayyedi P, Eikelboom JW, Bosch J, Connolly SJ, Dyal L, Shestakovska O, et al. Pantoprazole to Prevent Gastroduodenal Events in Patients Receiving Rivaroxaban and/or Aspirin in a Randomized, Double-Blind, Placebo-Controlled Trial. Gastroenterology. 2019;157(2):403-12. PubMed PMID: 31054846.

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Roshandel G, Khoshnia M, Poustchi H, Hemming K, Kamangar F, Gharavi A, et al. Effectiveness of polypill for primary and secondary prevention of cardiovascular diseases (PolyIran): a pragmatic, cluster-randomised trial. Lancet. 2019;394(10199):672-83. PubMed PMID: 31448738.

Coupland CAC, Hill T, Dening T, Morriss R, Moore M, Hippisley-Cox J. Anticholinergic Drug Exposure and the Risk of Dementia: A Nested Case-Control Study. JAMA Intern Med. 2019;179(8):1084-1093. PubMed PMID: 31233095.

Guide de pratique récents

Omega-3 Fatty Acids for the Management of Hypertriglyceridemia: A Science Advisory From the American Heart Association Référence

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Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR, et al. 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines, and the Heart Rhythm Society. Circulation. 2019;140(8):e333-e81. PubMed PMID: 30586771.

Référence du quiz clinique

Burch HB. Drug Effects on the Thyroid. N Engl J Med. 2019;381(8):749-61. PubMed PMID: 31433922.