Mycobacterium tuberculosis lineages and anti-tuberculosis drug resistance in reference hospitals across Viet Nam
Identifieur interne : 002510 ( Main/Exploration ); précédent : 002509; suivant : 002511Mycobacterium tuberculosis lineages and anti-tuberculosis drug resistance in reference hospitals across Viet Nam
Auteurs : Van Anh Thi Nguyen [Viêt Nam] ; Anne-Laure Ba Uls [Viêt Nam, France] ; Thanh Hoa Thi Tran [Viêt Nam] ; Kim Lien Thi Pham [Viêt Nam] ; Thai Son Nguyen [Viêt Nam] ; Hung Van Nguyen [Viêt Nam] ; Ngoc Lan Thi Nguyen [Viêt Nam] ; Nam Lien Thi Nguyen [Viêt Nam] ; Duc Anh Dang [Viêt Nam] ; Guy B. Marks [Australie] ; Marc Choisy [France, Viêt Nam]Source :
- BMC Microbiology [ 1471-2180 ] ; 2016.
Descripteurs français
- KwdFr :
- ADN bactérien (génétique), Adolescent, Adulte, Adulte d'âge moyen, Antituberculeux (pharmacologie), Enfant, Enfant d'âge préscolaire, Facteurs de l'âge, Facteurs sexuels, Femelle, Génotype, Humains, Hôpitaux, Jeune adulte, Mycobacterium tuberculosis (), Mycobacterium tuberculosis (génétique), Mycobacterium tuberculosis (isolement et purification), Mâle, Nourrisson, Nouveau-né, Phylogénie, Sujet âgé, Sujet âgé de 80 ans ou plus, Tests de sensibilité microbienne, Tuberculose multirésistante (microbiologie), Tuberculose multirésistante (épidémiologie), Variation génétique, Vietnam (épidémiologie), Épidémiologie moléculaire, Études transversales.
- MESH :
- génétique : ADN bactérien, Mycobacterium tuberculosis.
- isolement et purification : Mycobacterium tuberculosis.
- microbiologie : Tuberculose multirésistante.
- pharmacologie : Antituberculeux.
- épidémiologie : Tuberculose multirésistante, Vietnam.
- Adolescent, Adulte, Adulte d'âge moyen, Enfant, Enfant d'âge préscolaire, Facteurs de l'âge, Facteurs sexuels, Femelle, Génotype, Humains, Hôpitaux, Jeune adulte, Mycobacterium tuberculosis, Mâle, Nourrisson, Nouveau-né, Phylogénie, Sujet âgé, Sujet âgé de 80 ans ou plus, Tests de sensibilité microbienne, Variation génétique, Épidémiologie moléculaire, Études transversales.
English descriptors
- KwdEn :
- Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Antitubercular Agents (pharmacology), Child, Child, Preschool, Cross-Sectional Studies, DNA, Bacterial (genetics), Female, Genetic Variation, Genotype, Hospitals, Humans, Infant, Infant, Newborn, Male, Microbial Sensitivity Tests, Middle Aged, Molecular Epidemiology, Mycobacterium tuberculosis (classification), Mycobacterium tuberculosis (drug effects), Mycobacterium tuberculosis (genetics), Mycobacterium tuberculosis (isolation & purification), Phylogeny, Sex Factors, Tuberculosis, Multidrug-Resistant (epidemiology), Tuberculosis, Multidrug-Resistant (microbiology), Vietnam (epidemiology), Young Adult.
- MESH :
- chemical , genetics : DNA, Bacterial.
- chemical , pharmacology : Antitubercular Agents.
- classification : Mycobacterium tuberculosis.
- drug effects : Mycobacterium tuberculosis.
- epidemiology : Tuberculosis, Multidrug-Resistant, Vietnam.
- genetics : Mycobacterium tuberculosis.
- isolation & purification : Mycobacterium tuberculosis.
- microbiology : Tuberculosis, Multidrug-Resistant.
- Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Child, Child, Preschool, Cross-Sectional Studies, Female, Genetic Variation, Genotype, Hospitals, Humans, Infant, Infant, Newborn, Male, Microbial Sensitivity Tests, Middle Aged, Molecular Epidemiology, Phylogeny, Sex Factors, Young Adult.
Abstract
Results showed that the most prevalent lineage was Beijing (55.4 %), followed by EAI (27.5 %), T (6.4 %), LAM (1.3 %), Haarlem (1 %) and Zero type (0.3 %). The proportion of Beijing isolates in the North (70.4 %) and the South (68 %) was higher than in the Centre (28 %) (OR = 1.7 [95 % CI: 1.4–2.0],
The findings suggest ongoing replacement of EAI lineage, which is mainly more drug-susceptible with highly drug-resistant Beijing lineage in all studied regions of Vietnam. Male patients of working ages should be the focus for better control to prevent the emergence of drug-resistant TB.
The online version of this article (doi:10.1186/s12866-016-0784-6) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12866-016-0784-6
PubMed: 27464737
PubMed Central: 4964266
Affiliations:
- Australie, France, Viêt Nam
- Languedoc-Roussillon, Nouvelle-Galles du Sud, Occitanie (région administrative)
- Montpellier, Sydney
- Université de Sydney
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Le document en format XML
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National Institute of Hygiene Epidemiology, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff10">Laboratory of Tuberculosis, Department of Bacteriology, National Institute of Hygiene and Epidemiology, Hanoi, 10000 Vietnam</nlm:aff><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Laboratory of Tuberculosis, Department of Bacteriology, National Institute of Hygiene and Epidemiology, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation></author><author><name sortKey="Ba Uls, Anne Laure" sort="Ba Uls, Anne Laure" uniqKey="Ba Uls A" first="Anne-Laure" last="Ba Uls">Anne-Laure Ba Uls</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Bacteriology, National Institute of Hygiene Epidemiology, Hanoi, Vietnam</nlm:aff><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Department of Bacteriology, National Institute of Hygiene Epidemiology, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">MIVEGEC (IRD 224-CNRS 5290-Université de Montpellier), Centre IRD, Montpellier, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>MIVEGEC (IRD 224-CNRS 5290-Université de Montpellier), Centre IRD, Montpellier</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Tran, Thanh Hoa Thi" sort="Tran, Thanh Hoa Thi" uniqKey="Tran T" first="Thanh Hoa Thi" last="Tran">Thanh Hoa Thi Tran</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Bacteriology, National Institute of Hygiene Epidemiology, Hanoi, Vietnam</nlm:aff><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Department of Bacteriology, National Institute of Hygiene Epidemiology, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation></author><author><name sortKey="Pham, Kim Lien Thi" sort="Pham, Kim Lien Thi" uniqKey="Pham K" first="Kim Lien Thi" last="Pham">Kim Lien Thi Pham</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Bacteriology, National Institute of Hygiene Epidemiology, Hanoi, Vietnam</nlm:aff><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Department of Bacteriology, National Institute of Hygiene Epidemiology, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation></author><author><name sortKey="Nguyen, Thai Son" sort="Nguyen, Thai Son" uniqKey="Nguyen T" first="Thai Son" last="Nguyen">Thai Son Nguyen</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Microbiology, Hospital 103, Military Medical University, Hanoi, Vietnam</nlm:aff><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Department of Microbiology, Hospital 103, Military Medical University, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation></author><author><name sortKey="Nguyen, Hung Van" sort="Nguyen, Hung Van" uniqKey="Nguyen H" first="Hung Van" last="Nguyen">Hung Van Nguyen</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Microbiology, National Lung Hospital, Hanoi, Vietnam</nlm:aff><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Department of Microbiology, National Lung Hospital, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation></author><author><name sortKey="Nguyen, Ngoc Lan Thi" sort="Nguyen, Ngoc Lan Thi" uniqKey="Nguyen N" first="Ngoc Lan Thi" last="Nguyen">Ngoc Lan Thi Nguyen</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Microbiology, Pham Ngoc Thach Hospital, Ho Chi Minh city, Vietnam</nlm:aff><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Department of Microbiology, Pham Ngoc Thach Hospital, Ho Chi Minh city</wicri:regionArea><wicri:noRegion>Ho Chi Minh city</wicri:noRegion></affiliation></author><author><name sortKey="Nguyen, Nam Lien Thi" sort="Nguyen, Nam Lien Thi" uniqKey="Nguyen N" first="Nam Lien Thi" last="Nguyen">Nam Lien Thi Nguyen</name><affiliation wicri:level="1"><nlm:aff id="Aff6">Department of Microbiology, Hue Central Hospital, Hue, Vietnam</nlm:aff><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Department of Microbiology, Hue Central Hospital, Hue</wicri:regionArea><wicri:noRegion>Hue</wicri:noRegion></affiliation></author><author><name sortKey="Dang, Duc Anh" sort="Dang, Duc Anh" uniqKey="Dang D" first="Duc Anh" last="Dang">Duc Anh Dang</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Bacteriology, National Institute of Hygiene Epidemiology, Hanoi, Vietnam</nlm:aff><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Department of Bacteriology, National Institute of Hygiene Epidemiology, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation></author><author><name sortKey="Marks, Guy B" sort="Marks, Guy B" uniqKey="Marks G" first="Guy B." last="Marks">Guy B. Marks</name><affiliation wicri:level="4"><nlm:aff id="Aff7">Woolcock Institute of Medical Research, University of Sydney, Sydney, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Woolcock Institute of Medical Research, University of Sydney, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region><settlement type="city">Sydney</settlement></placeName><orgName type="university">Université de Sydney</orgName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff8">South Western Sydney Clinical School, UNSW, Sydney, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>South Western Sydney Clinical School, UNSW, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Choisy, Marc" sort="Choisy, Marc" uniqKey="Choisy M" 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(microbiologie)</term><term>Tuberculose multirésistante (épidémiologie)</term><term>Variation génétique</term><term>Vietnam (épidémiologie)</term><term>Épidémiologie moléculaire</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="genetics" xml:lang="en"><term>DNA, Bacterial</term></keywords><keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en"><term>Antitubercular Agents</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Mycobacterium tuberculosis</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Mycobacterium tuberculosis</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Tuberculosis, Multidrug-Resistant</term><term>Vietnam</term></keywords><keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Mycobacterium tuberculosis</term></keywords><keywords scheme="MESH" qualifier="génétique" xml:lang="fr"><term>ADN bactérien</term><term>Mycobacterium tuberculosis</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Mycobacterium tuberculosis</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Mycobacterium tuberculosis</term></keywords><keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Tuberculose multirésistante</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Tuberculosis, Multidrug-Resistant</term></keywords><keywords scheme="MESH" qualifier="pharmacologie" xml:lang="fr"><term>Antituberculeux</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Tuberculose multirésistante</term><term>Vietnam</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Child, Preschool</term><term>Cross-Sectional Studies</term><term>Female</term><term>Genetic Variation</term><term>Genotype</term><term>Hospitals</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Male</term><term>Microbial Sensitivity Tests</term><term>Middle Aged</term><term>Molecular Epidemiology</term><term>Phylogeny</term><term>Sex Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs de l'âge</term><term>Facteurs sexuels</term><term>Femelle</term><term>Génotype</term><term>Humains</term><term>Hôpitaux</term><term>Jeune adulte</term><term>Mycobacterium tuberculosis</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Phylogénie</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tests de sensibilité microbienne</term><term>Variation génétique</term><term>Épidémiologie moléculaire</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p><italic>Mycobacterium tuberculosis</italic>, the tuberculosis (TB) pathogen, despite a low level of genetic diversity, has revealed a high variety of biological and epidemiological characteristics linked to their lineages, such as transmissibility, fitness and propensity to acquire drug resistance. This has important implications for the epidemiology of TB. We conducted this first countrywide cross-sectional study to identify the prevalent <italic>M. tuberculosis</italic> lineages and to assess their epidemiological associations and their relation to drug resistance. The study was conducted among isolates acquired in reference hospitals across Vietnam. Isolates with drug susceptibility testing profiles were identified for their lineages by spoligotyping. Logistic regression was used to investigate the association of <italic>M. tuberculosis</italic> lineages with location, age and sex of the patients and drug resistance levels.</p></sec><sec><title>Results</title><p>Results showed that the most prevalent lineage was Beijing (55.4 %), followed by EAI (27.5 %), T (6.4 %), LAM (1.3 %), Haarlem (1 %) and Zero type (0.3 %). The proportion of Beijing isolates in the North (70.4 %) and the South (68 %) was higher than in the Centre (28 %) (OR = 1.7 [95 % CI: 1.4–2.0], <italic>p</italic> < 0.0001), whereas the proportion of EAI isolates in the North (7.1 %) and the South (17 %) was much lower compared with the Centre (59 %) (OR = 0.5 [95 % CI: 0.4–0.6], <italic>p</italic> < 0.0001). Overall, Beijing isolates were the most likely to be drug-resistant and EAI isolates were the least likely to be drug-resistant, except in the South of Vietnam where EAI is also highly drug-resistant. The proportion of Beijing isolates was significantly higher (<italic>p</italic> < 0.01), and the proportion of EAI isolates was significantly lower (<italic>p</italic> < 0.05) in younger patients. The proportion of drug-resistance was higher in isolates collected from male patients and from patients in the middle age groups.</p></sec><sec><title>Conclusions</title><p>The findings suggest ongoing replacement of EAI lineage, which is mainly more drug-susceptible with highly drug-resistant Beijing lineage in all studied regions of Vietnam. Male patients of working ages should be the focus for better control to prevent the emergence of drug-resistant TB.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12866-016-0784-6) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Zignol, M" uniqKey="Zignol M">M Zignol</name></author><author><name sortKey="Van Gemert, W" uniqKey="Van Gemert W">W van Gemert</name></author><author><name sortKey="Falzon, D" uniqKey="Falzon D">D Falzon</name></author><author><name sortKey="Sismanidis, C" uniqKey="Sismanidis C">C Sismanidis</name></author><author><name sortKey="Glaziou, P" uniqKey="Glaziou P">P Glaziou</name></author><author><name sortKey="Floyd, K" uniqKey="Floyd K">K Floyd</name></author><author><name sortKey="Raviglione, M" uniqKey="Raviglione M">M 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uniqKey="Cobelens F">FG Cobelens</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nhung, Nv" uniqKey="Nhung N">NV Nhung</name></author><author><name sortKey="Hoa, Nb" uniqKey="Hoa N">NB Hoa</name></author><author><name sortKey="Sy, Dn" uniqKey="Sy D">DN Sy</name></author><author><name sortKey="Hennig, Cm" uniqKey="Hennig C">CM Hennig</name></author><author><name sortKey="Dean, As" uniqKey="Dean A">AS Dean</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vashakidze, L" uniqKey="Vashakidze L">L Vashakidze</name></author><author><name sortKey="Salakaia, A" uniqKey="Salakaia A">A Salakaia</name></author><author><name sortKey="Shubladze, N" uniqKey="Shubladze N">N Shubladze</name></author><author><name sortKey="Cynamon, M" uniqKey="Cynamon M">M Cynamon</name></author><author><name sortKey="Barbakadze, K" uniqKey="Barbakadze K">K Barbakadze</name></author><author><name sortKey="Kikvidze, M" uniqKey="Kikvidze M">M Kikvidze</name></author><author><name sortKey="Papitashvili, L" uniqKey="Papitashvili L">L Papitashvili</name></author><author><name sortKey="Nonikashvili, M" uniqKey="Nonikashvili M">M Nonikashvili</name></author><author><name sortKey="Solomonia, N" uniqKey="Solomonia N">N Solomonia</name></author><author><name sortKey="Bejanishvili, N" uniqKey="Bejanishvili N">N Bejanishvili</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Uplekar, Mw" uniqKey="Uplekar M">MW Uplekar</name></author><author><name sortKey="Rangan, S" uniqKey="Rangan S">S Rangan</name></author><author><name sortKey="Weiss, Mg" uniqKey="Weiss M">MG Weiss</name></author><author><name sortKey="Ogden, J" uniqKey="Ogden J">J Ogden</name></author><author><name sortKey="Borgdorff, Mw" uniqKey="Borgdorff M">MW Borgdorff</name></author><author><name sortKey="Hudelson, P" uniqKey="Hudelson P">P Hudelson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gandhi, Nr" uniqKey="Gandhi N">NR Gandhi</name></author><author><name sortKey="Nunn, P" uniqKey="Nunn P">P Nunn</name></author><author><name sortKey="Dheda, K" uniqKey="Dheda K">K Dheda</name></author><author><name sortKey="Schaaf, Hs" uniqKey="Schaaf H">HS Schaaf</name></author><author><name sortKey="Zignol, M" uniqKey="Zignol M">M Zignol</name></author><author><name sortKey="Van Soolingen, D" uniqKey="Van Soolingen D">D van Soolingen</name></author><author><name sortKey="Jensen, P" uniqKey="Jensen P">P Jensen</name></author><author><name sortKey="Bayona, J" uniqKey="Bayona J">J Bayona</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li><li>France</li><li>Viêt Nam</li></country><region><li>Languedoc-Roussillon</li><li>Nouvelle-Galles du Sud</li><li>Occitanie (région administrative)</li></region><settlement><li>Montpellier</li><li>Sydney</li></settlement><orgName><li>Université de Sydney</li></orgName></list><tree><country name="Viêt Nam"><noRegion><name sortKey="Nguyen, Van Anh Thi" sort="Nguyen, Van Anh Thi" uniqKey="Nguyen V" first="Van Anh Thi" last="Nguyen">Van Anh Thi Nguyen</name></noRegion><name sortKey="Ba Uls, Anne Laure" sort="Ba Uls, Anne Laure" uniqKey="Ba Uls A" first="Anne-Laure" last="Ba Uls">Anne-Laure Ba Uls</name><name sortKey="Choisy, Marc" sort="Choisy, Marc" uniqKey="Choisy M" first="Marc" last="Choisy">Marc Choisy</name><name sortKey="Dang, Duc Anh" sort="Dang, Duc Anh" uniqKey="Dang D" first="Duc Anh" last="Dang">Duc Anh Dang</name><name sortKey="Nguyen, Hung Van" sort="Nguyen, Hung Van" uniqKey="Nguyen H" first="Hung Van" last="Nguyen">Hung Van Nguyen</name><name sortKey="Nguyen, Nam Lien Thi" sort="Nguyen, Nam Lien Thi" uniqKey="Nguyen N" first="Nam Lien Thi" last="Nguyen">Nam Lien Thi Nguyen</name><name sortKey="Nguyen, Ngoc Lan Thi" sort="Nguyen, Ngoc Lan Thi" uniqKey="Nguyen N" first="Ngoc Lan Thi" last="Nguyen">Ngoc Lan Thi Nguyen</name><name sortKey="Nguyen, Thai Son" sort="Nguyen, Thai Son" uniqKey="Nguyen T" first="Thai Son" last="Nguyen">Thai Son Nguyen</name><name sortKey="Nguyen, Van Anh Thi" sort="Nguyen, Van Anh Thi" uniqKey="Nguyen V" first="Van Anh Thi" last="Nguyen">Van Anh Thi Nguyen</name><name sortKey="Pham, Kim Lien Thi" sort="Pham, Kim Lien Thi" uniqKey="Pham K" first="Kim Lien Thi" last="Pham">Kim Lien Thi Pham</name><name sortKey="Tran, Thanh Hoa Thi" sort="Tran, Thanh Hoa Thi" uniqKey="Tran T" first="Thanh Hoa Thi" last="Tran">Thanh Hoa Thi Tran</name></country><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Ba Uls, Anne Laure" sort="Ba Uls, Anne Laure" uniqKey="Ba Uls A" first="Anne-Laure" last="Ba Uls">Anne-Laure Ba Uls</name></region><name sortKey="Choisy, Marc" sort="Choisy, Marc" uniqKey="Choisy M" first="Marc" last="Choisy">Marc Choisy</name></country><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Marks, Guy B" sort="Marks, Guy B" uniqKey="Marks G" first="Guy B." last="Marks">Guy B. Marks</name></region><name sortKey="Marks, Guy B" sort="Marks, Guy B" uniqKey="Marks G" first="Guy B." last="Marks">Guy B. Marks</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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