Continuous glucose monitoring in the ICU: clinical considerations and consensus.
Identifieur interne : 000F29 ( PubMed/Checkpoint ); précédent : 000F28; suivant : 000F30Continuous glucose monitoring in the ICU: clinical considerations and consensus.
Auteurs : James S. Krinsley [États-Unis] ; J Geoffrey Chase [Nouvelle-Zélande] ; Jan Gunst [Belgique] ; Johan Martensson [Australie] ; Marcus J. Schultz [Pays-Bas] ; Fabio S. Taccone [Belgique] ; Jan Wernerman [Suède] ; Julien Bohe [France] ; Christophe De Block [Belgique] ; Thomas Desaive [Belgique] ; Pierre Kalfon [France] ; Jean-Charles Preiser [Belgique]Source :
- Critical care (London, England) [ 1466-609X ] ; 2017.
Abstract
Glucose management in intensive care unit (ICU) patients has been a matter of debate for almost two decades. Compared to intermittent monitoring systems, continuous glucose monitoring (CGM) can offer benefit in the prevention of severe hyperglycemia and hypoglycemia by enabling insulin infusions to be adjusted more rapidly and potentially more accurately because trends in glucose concentrations can be more readily identified. Increasingly, it is apparent that a single glucose target/range may not be optimal for all patients at all times and, as with many other aspects of critical care patient management, a personalized approach to glucose control may be more appropriate. Here we consider some of the evidence supporting different glucose targets in various groups of patients, focusing on those with and without diabetes and neurological ICU patients. We also discuss some of the reasons why, despite evidence of benefit, CGM devices are still not widely employed in the ICU and propose areas of research needed to help move CGM from the research arena to routine clinical use.
DOI: 10.1186/s13054-017-1784-0
PubMed: 28756769
Affiliations:
- Australie, Belgique, France, Nouvelle-Zélande, Pays-Bas, Suède, États-Unis
- Auvergne-Rhône-Alpes, Hollande-Septentrionale, Province de Liège, Rhône-Alpes, Région de Bruxelles-Capitale, Région wallonne, Svealand
- Amsterdam, Bruxelles, Liège, Lyon, Stockholm
- Université de Liège, Université libre de Bruxelles
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Krinsley</name><affiliation wicri:level="1"><nlm:affiliation>Division of Critical Care, Department of Medicine, Stamford Hospital, Columbia University College of Physicians and Surgeons, Stamford, CT, 06902, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Critical Care, Department of Medicine, Stamford Hospital, Columbia University College of Physicians and Surgeons, Stamford, CT, 06902</wicri:regionArea><wicri:noRegion>06902</wicri:noRegion></affiliation></author><author><name sortKey="Chase, J Geoffrey" sort="Chase, J Geoffrey" uniqKey="Chase J" first="J Geoffrey" last="Chase">J Geoffrey Chase</name><affiliation wicri:level="1"><nlm:affiliation>Department of Mechanical Engineering, Centre for Bio-Engineering, University of Canterbury, Christchurch, 8140, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of Mechanical Engineering, Centre for Bio-Engineering, University of Canterbury, Christchurch, 8140</wicri:regionArea><wicri:noRegion>8140</wicri:noRegion></affiliation></author><author><name sortKey="Gunst, Jan" sort="Gunst, Jan" uniqKey="Gunst J" first="Jan" last="Gunst">Jan Gunst</name><affiliation wicri:level="1"><nlm:affiliation>Clinical Division and Laboratory of Intensive Care Medicine, Department of Cellular and Molecular Medicine, KU Leuven, 3000, Leuven, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Clinical Division and Laboratory of Intensive Care Medicine, Department of Cellular and Molecular Medicine, KU Leuven, 3000, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Martensson, Johan" sort="Martensson, Johan" uniqKey="Martensson J" first="Johan" last="Martensson">Johan Martensson</name><affiliation wicri:level="1"><nlm:affiliation>Department of Intensive Care, Austin Hospital, Heidelberg, 3084, VIC, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Intensive Care, Austin Hospital, Heidelberg, 3084, VIC</wicri:regionArea><wicri:noRegion>VIC</wicri:noRegion></affiliation></author><author><name sortKey="Schultz, Marcus J" sort="Schultz, Marcus J" uniqKey="Schultz M" first="Marcus J" last="Schultz">Marcus J. 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Krinsley</name><affiliation wicri:level="1"><nlm:affiliation>Division of Critical Care, Department of Medicine, Stamford Hospital, Columbia University College of Physicians and Surgeons, Stamford, CT, 06902, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Critical Care, Department of Medicine, Stamford Hospital, Columbia University College of Physicians and Surgeons, Stamford, CT, 06902</wicri:regionArea><wicri:noRegion>06902</wicri:noRegion></affiliation></author><author><name sortKey="Chase, J Geoffrey" sort="Chase, J Geoffrey" uniqKey="Chase J" first="J Geoffrey" last="Chase">J Geoffrey Chase</name><affiliation wicri:level="1"><nlm:affiliation>Department of Mechanical Engineering, Centre for Bio-Engineering, University of Canterbury, Christchurch, 8140, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of Mechanical Engineering, Centre for Bio-Engineering, University of Canterbury, Christchurch, 8140</wicri:regionArea><wicri:noRegion>8140</wicri:noRegion></affiliation></author><author><name sortKey="Gunst, Jan" sort="Gunst, Jan" uniqKey="Gunst J" first="Jan" last="Gunst">Jan Gunst</name><affiliation wicri:level="1"><nlm:affiliation>Clinical Division and Laboratory of Intensive Care Medicine, Department of Cellular and Molecular Medicine, KU Leuven, 3000, Leuven, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Clinical Division and Laboratory of Intensive Care Medicine, Department of Cellular and Molecular Medicine, KU Leuven, 3000, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Martensson, Johan" sort="Martensson, Johan" uniqKey="Martensson J" first="Johan" last="Martensson">Johan Martensson</name><affiliation wicri:level="1"><nlm:affiliation>Department of Intensive Care, Austin Hospital, Heidelberg, 3084, VIC, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Intensive Care, Austin Hospital, Heidelberg, 3084, VIC</wicri:regionArea><wicri:noRegion>VIC</wicri:noRegion></affiliation></author><author><name sortKey="Schultz, Marcus J" sort="Schultz, Marcus J" uniqKey="Schultz M" first="Marcus J" last="Schultz">Marcus J. Schultz</name><affiliation wicri:level="3"><nlm:affiliation>Academic Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Academic Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Taccone, Fabio S" sort="Taccone, Fabio S" uniqKey="Taccone F" first="Fabio S" last="Taccone">Fabio S. Taccone</name><affiliation wicri:level="4"><nlm:affiliation>Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, 1070, Brussels, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, 1070, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region><settlement type="city">Bruxelles</settlement></placeName><orgName type="university">Université libre de Bruxelles</orgName></affiliation></author><author><name sortKey="Wernerman, Jan" sort="Wernerman, Jan" uniqKey="Wernerman J" first="Jan" last="Wernerman">Jan Wernerman</name><affiliation wicri:level="3"><nlm:affiliation>Karolinska University Hospital Huddinge & Karolinska Institutet, K32 14186, Stockholm, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Karolinska University Hospital Huddinge & Karolinska Institutet, K32 14186, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Bohe, Julien" sort="Bohe, Julien" uniqKey="Bohe J" first="Julien" last="Bohe">Julien Bohe</name><affiliation wicri:level="3"><nlm:affiliation>Medical Intensive Care Unit, University Hospital of Lyon, Lyon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Medical Intensive Care Unit, University Hospital of Lyon, Lyon</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="De Block, Christophe" sort="De Block, Christophe" uniqKey="De Block C" first="Christophe" last="De Block">Christophe De Block</name><affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Diabetology and Metabolism, Antwerp University Hospital, B-2650, Edegem, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Endocrinology, Diabetology and Metabolism, Antwerp University Hospital, B-2650, Edegem</wicri:regionArea><wicri:noRegion>Edegem</wicri:noRegion></affiliation></author><author><name sortKey="Desaive, Thomas" sort="Desaive, Thomas" uniqKey="Desaive T" first="Thomas" last="Desaive">Thomas Desaive</name><affiliation wicri:level="4"><nlm:affiliation>GIGA-In Silico Medicine, Université de Liège, B4000, Liège, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>GIGA-In Silico Medicine, Université de Liège, B4000, Liège</wicri:regionArea><orgName type="university">Université de Liège</orgName><placeName><settlement type="city">Liège</settlement><region type="region" nuts="1">Région wallonne</region><region type="province" nuts="1">Province de Liège</region></placeName></affiliation></author><author><name sortKey="Kalfon, Pierre" sort="Kalfon, Pierre" uniqKey="Kalfon P" first="Pierre" last="Kalfon">Pierre Kalfon</name><affiliation wicri:level="1"><nlm:affiliation>Service de Réanimation polyvalente, Hôpital Louis Pasteur, CH de Chartres, 28000, Chartres, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Réanimation polyvalente, Hôpital Louis Pasteur, CH de Chartres, 28000, Chartres</wicri:regionArea><wicri:noRegion>28000, Chartres</wicri:noRegion><wicri:noRegion>28000, Chartres</wicri:noRegion></affiliation></author><author><name sortKey="Preiser, Jean Charles" sort="Preiser, Jean Charles" uniqKey="Preiser J" first="Jean-Charles" last="Preiser">Jean-Charles Preiser</name><affiliation wicri:level="4"><nlm:affiliation>Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, 1070, Brussels, Belgium. Jean-Charles.Preiser@erasme.ulb.ac.be.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, 1070, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region><settlement type="city">Bruxelles</settlement></placeName><orgName type="university">Université libre de Bruxelles</orgName></affiliation></author></analytic><series><title level="j">Critical care (London, England)</title><idno type="eISSN">1466-609X</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Glucose management in intensive care unit (ICU) patients has been a matter of debate for almost two decades. Compared to intermittent monitoring systems, continuous glucose monitoring (CGM) can offer benefit in the prevention of severe hyperglycemia and hypoglycemia by enabling insulin infusions to be adjusted more rapidly and potentially more accurately because trends in glucose concentrations can be more readily identified. Increasingly, it is apparent that a single glucose target/range may not be optimal for all patients at all times and, as with many other aspects of critical care patient management, a personalized approach to glucose control may be more appropriate. Here we consider some of the evidence supporting different glucose targets in various groups of patients, focusing on those with and without diabetes and neurological ICU patients. We also discuss some of the reasons why, despite evidence of benefit, CGM devices are still not widely employed in the ICU and propose areas of research needed to help move CGM from the research arena to routine clinical use.</div></front></TEI><pubmed><MedlineCitation Status="In-Data-Review" Owner="NLM"><PMID Version="1">28756769</PMID><DateCreated><Year>2017</Year><Month>07</Month><Day>31</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>06</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1466-609X</ISSN><JournalIssue CitedMedium="Internet"><Volume>21</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Jul</Month><Day>31</Day></PubDate></JournalIssue><Title>Critical care (London, England)</Title><ISOAbbreviation>Crit Care</ISOAbbreviation></Journal><ArticleTitle>Continuous glucose monitoring in the ICU: clinical considerations and consensus.</ArticleTitle><Pagination><MedlinePgn>197</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s13054-017-1784-0</ELocationID><Abstract><AbstractText>Glucose management in intensive care unit (ICU) patients has been a matter of debate for almost two decades. Compared to intermittent monitoring systems, continuous glucose monitoring (CGM) can offer benefit in the prevention of severe hyperglycemia and hypoglycemia by enabling insulin infusions to be adjusted more rapidly and potentially more accurately because trends in glucose concentrations can be more readily identified. Increasingly, it is apparent that a single glucose target/range may not be optimal for all patients at all times and, as with many other aspects of critical care patient management, a personalized approach to glucose control may be more appropriate. Here we consider some of the evidence supporting different glucose targets in various groups of patients, focusing on those with and without diabetes and neurological ICU patients. We also discuss some of the reasons why, despite evidence of benefit, CGM devices are still not widely employed in the ICU and propose areas of research needed to help move CGM from the research arena to routine clinical use.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Krinsley</LastName><ForeName>James S</ForeName><Initials>JS</Initials><AffiliationInfo><Affiliation>Division of Critical Care, Department of Medicine, Stamford Hospital, Columbia University College of Physicians and Surgeons, Stamford, CT, 06902, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chase</LastName><ForeName>J Geoffrey</ForeName><Initials>JG</Initials><AffiliationInfo><Affiliation>Department of Mechanical Engineering, Centre for Bio-Engineering, University of Canterbury, Christchurch, 8140, New Zealand.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gunst</LastName><ForeName>Jan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Clinical Division and Laboratory of Intensive Care Medicine, Department of Cellular and Molecular Medicine, KU Leuven, 3000, Leuven, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Martensson</LastName><ForeName>Johan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Intensive Care, Austin Hospital, Heidelberg, 3084, VIC, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Anesthesia and Intensive Care Medicine, Karolinska University Hospital, Department of Physiology and Pharmacology, Karolinska Institutet, 171 77, Stockholm, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schultz</LastName><ForeName>Marcus J</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Academic Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Intensive Care, Laboratory of Experimental Intensive Care and Anesthesia (L E I C A), Faculty of Tropical Medicine, Mahidol University, Mahidol-Oxford Research Unit (MORU), Bangkok, Thailand.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Taccone</LastName><ForeName>Fabio S</ForeName><Initials>FS</Initials><AffiliationInfo><Affiliation>Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, 1070, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wernerman</LastName><ForeName>Jan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Karolinska University Hospital Huddinge & Karolinska Institutet, K32 14186, Stockholm, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bohe</LastName><ForeName>Julien</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Medical Intensive Care Unit, University Hospital of Lyon, Lyon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>De Block</LastName><ForeName>Christophe</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Endocrinology, Diabetology and Metabolism, Antwerp University Hospital, B-2650, Edegem, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Desaive</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>GIGA-In Silico Medicine, Université de Liège, B4000, Liège, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kalfon</LastName><ForeName>Pierre</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Service de Réanimation polyvalente, Hôpital Louis Pasteur, CH de Chartres, 28000, Chartres, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Preiser</LastName><ForeName>Jean-Charles</ForeName><Initials>JC</Initials><AffiliationInfo><Affiliation>Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, 1070, Brussels, Belgium. Jean-Charles.Preiser@erasme.ulb.ac.be.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>07</Month><Day>31</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Crit Care</MedlineTA><NlmUniqueID>9801902</NlmUniqueID><ISSNLinking>1364-8535</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Trauma Acute Care Surg. 2017 Jun;82(6):1049-1054</RefSource><PMID Version="1">28328679</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Crit Care Med. 2006 Mar;34(3):850-6</RefSource><PMID Version="1">16505665</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Intensive Care Med. 2016 Apr;42(4):562-571</RefSource><PMID 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RefType="Cites"><RefSource>Stroke. 2009 May;40(5):1644-52</RefSource><PMID Version="1">19286596</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Diabetes</Keyword><Keyword MajorTopicYN="N">Glucose</Keyword><Keyword MajorTopicYN="N">Insulin</Keyword><Keyword MajorTopicYN="N">Monitoring</Keyword><Keyword MajorTopicYN="N">Neurointensive care</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>8</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>8</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>8</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28756769</ArticleId><ArticleId IdType="doi">10.1186/s13054-017-1784-0</ArticleId><ArticleId IdType="pii">10.1186/s13054-017-1784-0</ArticleId><ArticleId IdType="pmc">PMC5535285</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>Belgique</li><li>France</li><li>Nouvelle-Zélande</li><li>Pays-Bas</li><li>Suède</li><li>États-Unis</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Hollande-Septentrionale</li><li>Province de Liège</li><li>Rhône-Alpes</li><li>Région de Bruxelles-Capitale</li><li>Région wallonne</li><li>Svealand</li></region><settlement><li>Amsterdam</li><li>Bruxelles</li><li>Liège</li><li>Lyon</li><li>Stockholm</li></settlement><orgName><li>Université de Liège</li><li>Université libre de Bruxelles</li></orgName></list><tree><country name="États-Unis"><noRegion><name sortKey="Krinsley, James S" sort="Krinsley, James S" uniqKey="Krinsley J" first="James S" last="Krinsley">James S. Krinsley</name></noRegion></country><country name="Nouvelle-Zélande"><noRegion><name sortKey="Chase, J Geoffrey" sort="Chase, J Geoffrey" uniqKey="Chase J" first="J Geoffrey" last="Chase">J Geoffrey Chase</name></noRegion></country><country name="Belgique"><noRegion><name sortKey="Gunst, Jan" sort="Gunst, Jan" uniqKey="Gunst J" first="Jan" last="Gunst">Jan Gunst</name></noRegion><name sortKey="De Block, Christophe" sort="De Block, Christophe" uniqKey="De Block C" first="Christophe" last="De Block">Christophe De Block</name><name sortKey="Desaive, Thomas" sort="Desaive, Thomas" uniqKey="Desaive T" first="Thomas" last="Desaive">Thomas Desaive</name><name sortKey="Preiser, Jean Charles" sort="Preiser, Jean Charles" uniqKey="Preiser J" first="Jean-Charles" last="Preiser">Jean-Charles Preiser</name><name sortKey="Taccone, Fabio S" sort="Taccone, Fabio S" uniqKey="Taccone F" first="Fabio S" last="Taccone">Fabio S. Taccone</name></country><country name="Australie"><noRegion><name sortKey="Martensson, Johan" sort="Martensson, Johan" uniqKey="Martensson J" first="Johan" last="Martensson">Johan Martensson</name></noRegion></country><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Schultz, Marcus J" sort="Schultz, Marcus J" uniqKey="Schultz M" first="Marcus J" last="Schultz">Marcus J. Schultz</name></region></country><country name="Suède"><region name="Svealand"><name sortKey="Wernerman, Jan" sort="Wernerman, Jan" uniqKey="Wernerman J" first="Jan" last="Wernerman">Jan Wernerman</name></region></country><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Bohe, Julien" sort="Bohe, Julien" uniqKey="Bohe J" first="Julien" last="Bohe">Julien Bohe</name></region><name sortKey="Kalfon, Pierre" sort="Kalfon, Pierre" uniqKey="Kalfon P" first="Pierre" last="Kalfon">Pierre Kalfon</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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