Evaluation of Tuberculosis Diagnostics in Children: 1. Proposed Clinical Case Definitions for Classification of Intrathoracic Tuberculosis Disease. Consensus From an Expert Panel
Identifieur interne : 005C80 ( Main/Exploration ); précédent : 005C79; suivant : 005C81Evaluation of Tuberculosis Diagnostics in Children: 1. Proposed Clinical Case Definitions for Classification of Intrathoracic Tuberculosis Disease. Consensus From an Expert Panel
Auteurs : Stephen M. Graham [Australie, France] ; Tahmeed Ahmed [Bangladesh] ; Farhana Amanuilah [Pakistan] ; Renee Browning [États-Unis] ; Vicky Cardenas [États-Unis] ; Martina Casenghi [Suisse] ; Luis E. Cuevas [Royaume-Uni] ; Marianne Gale [Australie] ; Robert P. Gie ; Malgosia Grzemska ; Ed Handelsman ; Mark Hatherill ; Anneke C. Hesseling ; Patrick Jean-Philippe [États-Unis] ; Beate Kampmann ; Sushil Kumar Kabra ; Christian Lienhardt ; Jennifer Lighter-Fisher ; Shabir Madhi ; Mamodikoe Makhene ; Ben J. Marais ; David F. Mcneeley ; Heather Menzies ; Charles Mitchell ; Surbhi Modi ; Lynne Mofenson ; Philippa Musoke ; Sharon Nachman ; Clydette Powell ; Mona Rigaud ; Vanessa Rouzier ; Jeffrey R. Starke ; Soumya Swaminathan ; Claire WingfieldSource :
- The Journal of infectious diseases [ 0022-1899 ] ; 2012.
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English descriptors
Abstract
There is a critical need for improved diagnosis of tuberculosis in children, particularly in young children with intrathoracic disease as this represents the most common type of tuberculosis in children and the greatest diagnostic challenge. There is also a need for standardized clinical case definitions for the evaluation of diagnostics in prospective clinical research studies that include children in whom tuberculosis is suspected but not confirmed by culture of Mycobacterium tuberculosis. A panel representing a wide range of expertise and child tuberculosis research experience aimed to develop standardized clinical research case definitions for intrathoracic tuberculosis in children to enable harmonized evaluation of new tuberculosis diagnostic technologies in pediatric populations. Draft definitions and statements were proposed and circulated widely for feedback. An expert panel then considered each of the proposed definitions and statements relating to clinical definitions. Formal group consensus rules were established and consensus was reached for each statement. The definitions presented in this article are intended for use in clinical research to evaluate diagnostic assays and not for individual patient diagnosis or treatment decisions. A complementary article addresses methodological issues to consider for research of diagnostics in children with suspected tuberculosis.
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Affiliations:
- Australie, Bangladesh, France, Pakistan, Royaume-Uni, Suisse, États-Unis
- Maryland, Nouvelle-Galles du Sud, Victoria (État), Île-de-France
- Melbourne, Paris, Sydney
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Graham</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Centre for International Child Health, University of Melbourne Department of Paediatrics and Murdoch Childrens, Research Institute, Royal Children's Hospital</s1><s2>Melbourne</s2><s3>AUS</s3><sZ>1 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>International Union Against Tuberculosis and Lung Disease</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Ahmed, Tahmeed" sort="Ahmed, Tahmeed" uniqKey="Ahmed T" first="Tahmeed" last="Ahmed">Tahmeed Ahmed</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>International Centre for Diarrhoeal Disease Research</s1><s2>Dhaka</s2><s3>BGD</s3><sZ>2 aut.</sZ></inist:fA14><country>Bangladesh</country><wicri:noRegion>International Centre for Diarrhoeal Disease Research</wicri:noRegion></affiliation></author><author><name sortKey="Amanuilah, Farhana" sort="Amanuilah, Farhana" uniqKey="Amanuilah F" first="Farhana" last="Amanuilah">Farhana Amanuilah</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>The Indus Hospital</s1><s2>Karachi</s2><s3>PAK</s3><sZ>3 aut.</sZ></inist:fA14><country>Pakistan</country><wicri:noRegion>The Indus Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Browning, Renee" sort="Browning, Renee" uniqKey="Browning R" first="Renee" last="Browning">Renee Browning</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Henry Jackson Foundation-Maternal Adolescent Pediatric Research Branch, Division of AIDS, National Institute of Allergyand Infectious Diseases, National Institutes of Health</s1><s2>Bethesda</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Bethesda</wicri:noRegion></affiliation></author><author><name sortKey="Cardenas, Vicky" sort="Cardenas, Vicky" uniqKey="Cardenas V" first="Vicky" last="Cardenas">Vicky Cardenas</name><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>Aeras</s1><s2>Rockville, Maryland</s2><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Casenghi, Martina" sort="Casenghi, Martina" uniqKey="Casenghi M" first="Martina" last="Casenghi">Martina Casenghi</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Medecins sans Frontières</s1><s2>Geneva</s2><s3>CHE</s3><sZ>6 aut.</sZ></inist:fA14><country>Suisse</country><wicri:noRegion>Medecins sans Frontières</wicri:noRegion></affiliation></author><author><name sortKey="Cuevas, Luis E" sort="Cuevas, Luis E" uniqKey="Cuevas L" first="Luis E." last="Cuevas">Luis E. 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Proposed Clinical Case Definitions for Classification of Intrathoracic Tuberculosis Disease. Consensus From an Expert Panel</title><author><name sortKey="Graham, Stephen M" sort="Graham, Stephen M" uniqKey="Graham S" first="Stephen M." last="Graham">Stephen M. Graham</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Centre for International Child Health, University of Melbourne Department of Paediatrics and Murdoch Childrens, Research Institute, Royal Children's Hospital</s1><s2>Melbourne</s2><s3>AUS</s3><sZ>1 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>International Union Against Tuberculosis and Lung Disease</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Ahmed, Tahmeed" sort="Ahmed, Tahmeed" uniqKey="Ahmed T" first="Tahmeed" last="Ahmed">Tahmeed Ahmed</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>International Centre for Diarrhoeal Disease Research</s1><s2>Dhaka</s2><s3>BGD</s3><sZ>2 aut.</sZ></inist:fA14><country>Bangladesh</country><wicri:noRegion>International Centre for Diarrhoeal Disease Research</wicri:noRegion></affiliation></author><author><name sortKey="Amanuilah, Farhana" sort="Amanuilah, Farhana" uniqKey="Amanuilah F" first="Farhana" last="Amanuilah">Farhana Amanuilah</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>The Indus Hospital</s1><s2>Karachi</s2><s3>PAK</s3><sZ>3 aut.</sZ></inist:fA14><country>Pakistan</country><wicri:noRegion>The Indus Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Browning, Renee" sort="Browning, Renee" uniqKey="Browning R" first="Renee" last="Browning">Renee Browning</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Henry Jackson Foundation-Maternal Adolescent Pediatric Research Branch, Division of AIDS, National Institute of Allergyand Infectious Diseases, National Institutes of Health</s1><s2>Bethesda</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Bethesda</wicri:noRegion></affiliation></author><author><name sortKey="Cardenas, Vicky" sort="Cardenas, Vicky" uniqKey="Cardenas V" first="Vicky" last="Cardenas">Vicky Cardenas</name><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>Aeras</s1><s2>Rockville, Maryland</s2><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Casenghi, Martina" sort="Casenghi, Martina" uniqKey="Casenghi M" first="Martina" last="Casenghi">Martina Casenghi</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Medecins sans Frontières</s1><s2>Geneva</s2><s3>CHE</s3><sZ>6 aut.</sZ></inist:fA14><country>Suisse</country><wicri:noRegion>Medecins sans Frontières</wicri:noRegion></affiliation></author><author><name sortKey="Cuevas, Luis E" sort="Cuevas, Luis E" uniqKey="Cuevas L" first="Luis E." last="Cuevas">Luis E. Cuevas</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>School of Tropical Medicine, University of Liverpool</s1><s3>GBR</s3><sZ>7 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>School of Tropical Medicine, University of Liverpool</wicri:noRegion></affiliation></author><author><name sortKey="Gale, Marianne" sort="Gale, Marianne" uniqKey="Gale M" first="Marianne" last="Gale">Marianne Gale</name><affiliation wicri:level="3"><inist:fA14 i1="09"><s1>Medecins sans Frontières</s1><s2>Sydney</s2><s3>AUS</s3><sZ>8 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Gie, Robert P" sort="Gie, Robert P" uniqKey="Gie R" first="Robert P." last="Gie">Robert P. Gie</name></author><author><name sortKey="Grzemska, Malgosia" sort="Grzemska, Malgosia" uniqKey="Grzemska M" first="Malgosia" last="Grzemska">Malgosia Grzemska</name></author><author><name sortKey="Handelsman, Ed" sort="Handelsman, Ed" uniqKey="Handelsman E" first="Ed" last="Handelsman">Ed Handelsman</name></author><author><name sortKey="Hatherill, Mark" sort="Hatherill, Mark" uniqKey="Hatherill M" first="Mark" last="Hatherill">Mark Hatherill</name></author><author><name sortKey="Hesseling, Anneke C" sort="Hesseling, Anneke C" uniqKey="Hesseling A" first="Anneke C." last="Hesseling">Anneke C. Hesseling</name></author><author><name sortKey="Jean Philippe, Patrick" sort="Jean Philippe, Patrick" uniqKey="Jean Philippe P" first="Patrick" last="Jean-Philippe">Patrick Jean-Philippe</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Henry Jackson Foundation-Maternal Adolescent Pediatric Research Branch, Division of AIDS, National Institute of Allergyand Infectious Diseases, National Institutes of Health</s1><s2>Bethesda</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Bethesda</wicri:noRegion></affiliation></author><author><name sortKey="Kampmann, Beate" sort="Kampmann, Beate" uniqKey="Kampmann B" first="Beate" last="Kampmann">Beate Kampmann</name></author><author><name sortKey="Kumar Kabra, Sushil" sort="Kumar Kabra, Sushil" uniqKey="Kumar Kabra S" first="Sushil" last="Kumar Kabra">Sushil Kumar Kabra</name></author><author><name sortKey="Lienhardt, Christian" sort="Lienhardt, Christian" uniqKey="Lienhardt C" first="Christian" last="Lienhardt">Christian Lienhardt</name></author><author><name sortKey="Lighter Fisher, Jennifer" sort="Lighter Fisher, Jennifer" uniqKey="Lighter Fisher J" first="Jennifer" last="Lighter-Fisher">Jennifer Lighter-Fisher</name></author><author><name sortKey="Madhi, Shabir" sort="Madhi, Shabir" uniqKey="Madhi S" first="Shabir" last="Madhi">Shabir Madhi</name></author><author><name sortKey="Makhene, Mamodikoe" sort="Makhene, Mamodikoe" uniqKey="Makhene M" first="Mamodikoe" last="Makhene">Mamodikoe Makhene</name></author><author><name sortKey="Marais, Ben J" sort="Marais, Ben J" uniqKey="Marais B" first="Ben J." last="Marais">Ben J. Marais</name></author><author><name sortKey="Mcneeley, David F" sort="Mcneeley, David F" uniqKey="Mcneeley D" first="David F." last="Mcneeley">David F. Mcneeley</name></author><author><name sortKey="Menzies, Heather" sort="Menzies, Heather" uniqKey="Menzies H" first="Heather" last="Menzies">Heather Menzies</name></author><author><name sortKey="Mitchell, Charles" sort="Mitchell, Charles" uniqKey="Mitchell C" first="Charles" last="Mitchell">Charles Mitchell</name></author><author><name sortKey="Modi, Surbhi" sort="Modi, Surbhi" uniqKey="Modi S" first="Surbhi" last="Modi">Surbhi Modi</name></author><author><name sortKey="Mofenson, Lynne" sort="Mofenson, Lynne" uniqKey="Mofenson L" first="Lynne" last="Mofenson">Lynne Mofenson</name></author><author><name sortKey="Musoke, Philippa" sort="Musoke, Philippa" uniqKey="Musoke P" first="Philippa" last="Musoke">Philippa Musoke</name></author><author><name sortKey="Nachman, Sharon" sort="Nachman, Sharon" uniqKey="Nachman S" first="Sharon" last="Nachman">Sharon Nachman</name></author><author><name sortKey="Powell, Clydette" sort="Powell, Clydette" uniqKey="Powell C" first="Clydette" last="Powell">Clydette Powell</name></author><author><name sortKey="Rigaud, Mona" sort="Rigaud, Mona" uniqKey="Rigaud M" first="Mona" last="Rigaud">Mona Rigaud</name></author><author><name sortKey="Rouzier, Vanessa" sort="Rouzier, Vanessa" uniqKey="Rouzier V" first="Vanessa" last="Rouzier">Vanessa Rouzier</name></author><author><name sortKey="Starke, Jeffrey R" sort="Starke, Jeffrey R" uniqKey="Starke J" first="Jeffrey R." last="Starke">Jeffrey R. Starke</name></author><author><name sortKey="Swaminathan, Soumya" sort="Swaminathan, Soumya" uniqKey="Swaminathan S" first="Soumya" last="Swaminathan">Soumya Swaminathan</name></author><author><name sortKey="Wingfield, Claire" sort="Wingfield, Claire" uniqKey="Wingfield C" first="Claire" last="Wingfield">Claire Wingfield</name></author></analytic><series><title level="j" type="main">The Journal of infectious diseases</title><title level="j" type="abbreviated">J. infect. dis.</title><idno type="ISSN">0022-1899</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">The Journal of infectious diseases</title><title level="j" type="abbreviated">J. infect. dis.</title><idno type="ISSN">0022-1899</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Child</term><term>Infection</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Enfant</term><term>Infection</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Enfant</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There is a critical need for improved diagnosis of tuberculosis in children, particularly in young children with intrathoracic disease as this represents the most common type of tuberculosis in children and the greatest diagnostic challenge. There is also a need for standardized clinical case definitions for the evaluation of diagnostics in prospective clinical research studies that include children in whom tuberculosis is suspected but not confirmed by culture of Mycobacterium tuberculosis. A panel representing a wide range of expertise and child tuberculosis research experience aimed to develop standardized clinical research case definitions for intrathoracic tuberculosis in children to enable harmonized evaluation of new tuberculosis diagnostic technologies in pediatric populations. Draft definitions and statements were proposed and circulated widely for feedback. An expert panel then considered each of the proposed definitions and statements relating to clinical definitions. Formal group consensus rules were established and consensus was reached for each statement. The definitions presented in this article are intended for use in clinical research to evaluate diagnostic assays and not for individual patient diagnosis or treatment decisions. A complementary article addresses methodological issues to consider for research of diagnostics in children with suspected tuberculosis.</div></front></TEI><affiliations><list><country><li>Australie</li><li>Bangladesh</li><li>France</li><li>Pakistan</li><li>Royaume-Uni</li><li>Suisse</li><li>États-Unis</li></country><region><li>Maryland</li><li>Nouvelle-Galles du Sud</li><li>Victoria (État)</li><li>Île-de-France</li></region><settlement><li>Melbourne</li><li>Paris</li><li>Sydney</li></settlement></list><tree><noCountry><name sortKey="Gie, Robert P" sort="Gie, Robert P" uniqKey="Gie R" first="Robert P." last="Gie">Robert P. Gie</name><name sortKey="Grzemska, Malgosia" sort="Grzemska, Malgosia" uniqKey="Grzemska M" first="Malgosia" last="Grzemska">Malgosia Grzemska</name><name sortKey="Handelsman, Ed" sort="Handelsman, Ed" uniqKey="Handelsman E" first="Ed" last="Handelsman">Ed Handelsman</name><name sortKey="Hatherill, Mark" sort="Hatherill, Mark" uniqKey="Hatherill M" first="Mark" last="Hatherill">Mark Hatherill</name><name sortKey="Hesseling, Anneke C" sort="Hesseling, Anneke C" uniqKey="Hesseling A" first="Anneke C." last="Hesseling">Anneke C. Hesseling</name><name sortKey="Kampmann, Beate" sort="Kampmann, Beate" uniqKey="Kampmann B" first="Beate" last="Kampmann">Beate Kampmann</name><name sortKey="Kumar Kabra, Sushil" sort="Kumar Kabra, Sushil" uniqKey="Kumar Kabra S" first="Sushil" last="Kumar Kabra">Sushil Kumar Kabra</name><name sortKey="Lienhardt, Christian" sort="Lienhardt, Christian" uniqKey="Lienhardt C" first="Christian" last="Lienhardt">Christian Lienhardt</name><name sortKey="Lighter Fisher, Jennifer" sort="Lighter Fisher, Jennifer" uniqKey="Lighter Fisher J" first="Jennifer" last="Lighter-Fisher">Jennifer Lighter-Fisher</name><name sortKey="Madhi, Shabir" sort="Madhi, Shabir" uniqKey="Madhi S" first="Shabir" last="Madhi">Shabir Madhi</name><name sortKey="Makhene, Mamodikoe" sort="Makhene, Mamodikoe" uniqKey="Makhene M" first="Mamodikoe" last="Makhene">Mamodikoe Makhene</name><name sortKey="Marais, Ben J" sort="Marais, Ben J" uniqKey="Marais B" first="Ben J." last="Marais">Ben J. Marais</name><name sortKey="Mcneeley, David F" sort="Mcneeley, David F" uniqKey="Mcneeley D" first="David F." last="Mcneeley">David F. Mcneeley</name><name sortKey="Menzies, Heather" sort="Menzies, Heather" uniqKey="Menzies H" first="Heather" last="Menzies">Heather Menzies</name><name sortKey="Mitchell, Charles" sort="Mitchell, Charles" uniqKey="Mitchell C" first="Charles" last="Mitchell">Charles Mitchell</name><name sortKey="Modi, Surbhi" sort="Modi, Surbhi" uniqKey="Modi S" first="Surbhi" last="Modi">Surbhi Modi</name><name sortKey="Mofenson, Lynne" sort="Mofenson, Lynne" uniqKey="Mofenson L" first="Lynne" last="Mofenson">Lynne Mofenson</name><name sortKey="Musoke, Philippa" sort="Musoke, Philippa" uniqKey="Musoke P" first="Philippa" last="Musoke">Philippa Musoke</name><name sortKey="Nachman, Sharon" sort="Nachman, Sharon" uniqKey="Nachman S" first="Sharon" last="Nachman">Sharon Nachman</name><name sortKey="Powell, Clydette" sort="Powell, Clydette" uniqKey="Powell C" first="Clydette" last="Powell">Clydette Powell</name><name sortKey="Rigaud, Mona" sort="Rigaud, Mona" uniqKey="Rigaud M" first="Mona" last="Rigaud">Mona Rigaud</name><name sortKey="Rouzier, Vanessa" sort="Rouzier, Vanessa" uniqKey="Rouzier V" first="Vanessa" last="Rouzier">Vanessa Rouzier</name><name sortKey="Starke, Jeffrey R" sort="Starke, Jeffrey R" uniqKey="Starke J" first="Jeffrey R." last="Starke">Jeffrey R. Starke</name><name sortKey="Swaminathan, Soumya" sort="Swaminathan, Soumya" uniqKey="Swaminathan S" first="Soumya" last="Swaminathan">Soumya Swaminathan</name><name sortKey="Wingfield, Claire" sort="Wingfield, Claire" uniqKey="Wingfield C" first="Claire" last="Wingfield">Claire Wingfield</name></noCountry><country name="Australie"><region name="Victoria (État)"><name sortKey="Graham, Stephen M" sort="Graham, Stephen M" uniqKey="Graham S" first="Stephen M." last="Graham">Stephen M. Graham</name></region><name sortKey="Gale, Marianne" sort="Gale, Marianne" uniqKey="Gale M" first="Marianne" last="Gale">Marianne Gale</name></country><country name="France"><region name="Île-de-France"><name sortKey="Graham, Stephen M" sort="Graham, Stephen M" uniqKey="Graham S" first="Stephen M." last="Graham">Stephen M. Graham</name></region></country><country name="Bangladesh"><noRegion><name sortKey="Ahmed, Tahmeed" sort="Ahmed, Tahmeed" uniqKey="Ahmed T" first="Tahmeed" last="Ahmed">Tahmeed Ahmed</name></noRegion></country><country name="Pakistan"><noRegion><name sortKey="Amanuilah, Farhana" sort="Amanuilah, Farhana" uniqKey="Amanuilah F" first="Farhana" last="Amanuilah">Farhana Amanuilah</name></noRegion></country><country name="États-Unis"><noRegion><name sortKey="Browning, Renee" sort="Browning, Renee" uniqKey="Browning R" first="Renee" last="Browning">Renee Browning</name></noRegion><name sortKey="Cardenas, Vicky" sort="Cardenas, Vicky" uniqKey="Cardenas V" first="Vicky" last="Cardenas">Vicky Cardenas</name><name sortKey="Jean Philippe, Patrick" sort="Jean Philippe, Patrick" uniqKey="Jean Philippe P" first="Patrick" last="Jean-Philippe">Patrick Jean-Philippe</name></country><country name="Suisse"><noRegion><name sortKey="Casenghi, Martina" sort="Casenghi, Martina" uniqKey="Casenghi M" first="Martina" last="Casenghi">Martina Casenghi</name></noRegion></country><country name="Royaume-Uni"><noRegion><name sortKey="Cuevas, Luis E" sort="Cuevas, Luis E" uniqKey="Cuevas L" first="Luis E." last="Cuevas">Luis E. Cuevas</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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