Epidemiology of influenza-associated hospitalization in adults, Toronto, 2007/8.
Identifieur interne : 000671 ( Main/Exploration ); précédent : 000670; suivant : 000672Epidemiology of influenza-associated hospitalization in adults, Toronto, 2007/8.
Auteurs : S P Kuster [Canada] ; S. Drews ; K. Green ; J. Blair ; I. Davis ; J. Downey ; R. Fowler ; K. Katz ; S. Lapinsky ; D. Mcritchie ; J. Pataki ; J. Powis ; D. Rose ; A. Sarabia ; C. Simone ; A. Simor ; T. Stewart ; A. McgeerSource :
- European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology [ 1435-4373 ] ; 2010.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Canada (épidémiologie), Femelle (MeSH), Grippe humaine (anatomopathologie), Grippe humaine (épidémiologie), Hospitalisation (statistiques et données numériques), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Partie nasale du pharynx (virologie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH).
- MESH :
- anatomopathologie : Grippe humaine.
- statistiques et données numériques : Hospitalisation.
- virologie : Partie nasale du pharynx.
- épidémiologie : Canada, Grippe humaine.
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Humains, Jeune adulte, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus.
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Canada (epidemiology), Female (MeSH), Hospitalization (statistics & numerical data), Humans (MeSH), Influenza, Human (epidemiology), Influenza, Human (pathology), Male (MeSH), Middle Aged (MeSH), Nasopharynx (virology), Young Adult (MeSH).
- MESH :
- geographic , epidemiology : Canada.
- epidemiology : Influenza, Human.
- pathology : Influenza, Human.
- statistics & numerical data : Hospitalization.
- virology : Nasopharynx.
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Young Adult.
Abstract
The purpose of this investigation was to identify when diagnostic testing and empirical antiviral therapy should be considered for adult patients requiring hospitalization during influenza seasons. During the 2007/8 influenza season, six acute care hospitals in the Greater Toronto Area participated in active surveillance for laboratory-confirmed influenza requiring hospitalization. Nasopharyngeal (NP) swabs were obtained from patients presenting with acute respiratory or cardiac illness, or with febrile illness without clear non-respiratory etiology. Predictors of influenza were analyzed by multivariable logistic regression analysis and likelihoods of influenza infection in various patient groups were calculated. Two hundred and eighty of 3,917 patients were found to have influenza. Thirty-five percent of patients with influenza presented with a triage temperature >or=38.0 degrees C, 80% had respiratory symptoms in the emergency department, and 76% were >or=65 years old. Multivariable analysis revealed a triage temperature >or=38.0 degrees C (odds ratio [OR] 3.1; 95% confidence interval [CI] 2.3-4.1), the presence of respiratory symptoms (OR 1.7; 95% CI 1.2-2.4), admission diagnosis of respiratory infection (OR 1.8; 95% CI 1.3-2.4), admission diagnosis of exacerbation of chronic obstructive pulmonary disease (COPD)/asthma or respiratory failure (OR 2.3; 95% CI 1.6-3.4), and admission in peak influenza weeks (OR 4.2; 95% CI 3.1-5.7) as independent predictors of influenza. The likelihood of influenza exceeded 15% in patients with respiratory infection or exacerbation of COPD/asthma if the triage temperature was >or=38.0 degrees C or if they were admitted in the peak weeks during the influenza season. During influenza season, diagnostic testing and empiric antiviral therapy should be considered in patients requiring hospitalization if respiratory infection or exacerbation of COPD/asthma are suspected and if either the triage temperature is >or=38.0 degrees C or admission is during the weeks of peak influenza activity.
DOI: 10.1007/s10096-010-0935-x
PubMed: 20428910
PubMed Central: PMC2889286
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Green</name></author><author><name sortKey="Blair, J" sort="Blair, J" uniqKey="Blair J" first="J" last="Blair">J. Blair</name></author><author><name sortKey="Davis, I" sort="Davis, I" uniqKey="Davis I" first="I" last="Davis">I. Davis</name></author><author><name sortKey="Downey, J" sort="Downey, J" uniqKey="Downey J" first="J" last="Downey">J. Downey</name></author><author><name sortKey="Fowler, R" sort="Fowler, R" uniqKey="Fowler R" first="R" last="Fowler">R. Fowler</name></author><author><name sortKey="Katz, K" sort="Katz, K" uniqKey="Katz K" first="K" last="Katz">K. Katz</name></author><author><name sortKey="Lapinsky, S" sort="Lapinsky, S" uniqKey="Lapinsky S" first="S" last="Lapinsky">S. Lapinsky</name></author><author><name sortKey="Mcritchie, D" sort="Mcritchie, D" uniqKey="Mcritchie D" first="D" last="Mcritchie">D. Mcritchie</name></author><author><name sortKey="Pataki, J" sort="Pataki, J" uniqKey="Pataki J" first="J" last="Pataki">J. 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Drews</name></author><author><name sortKey="Green, K" sort="Green, K" uniqKey="Green K" first="K" last="Green">K. Green</name></author><author><name sortKey="Blair, J" sort="Blair, J" uniqKey="Blair J" first="J" last="Blair">J. Blair</name></author><author><name sortKey="Davis, I" sort="Davis, I" uniqKey="Davis I" first="I" last="Davis">I. Davis</name></author><author><name sortKey="Downey, J" sort="Downey, J" uniqKey="Downey J" first="J" last="Downey">J. Downey</name></author><author><name sortKey="Fowler, R" sort="Fowler, R" uniqKey="Fowler R" first="R" last="Fowler">R. Fowler</name></author><author><name sortKey="Katz, K" sort="Katz, K" uniqKey="Katz K" first="K" last="Katz">K. Katz</name></author><author><name sortKey="Lapinsky, S" sort="Lapinsky, S" uniqKey="Lapinsky S" first="S" last="Lapinsky">S. Lapinsky</name></author><author><name sortKey="Mcritchie, D" sort="Mcritchie, D" uniqKey="Mcritchie D" first="D" last="Mcritchie">D. Mcritchie</name></author><author><name sortKey="Pataki, J" sort="Pataki, J" uniqKey="Pataki J" first="J" last="Pataki">J. Pataki</name></author><author><name sortKey="Powis, J" sort="Powis, J" uniqKey="Powis J" first="J" last="Powis">J. Powis</name></author><author><name sortKey="Rose, D" sort="Rose, D" uniqKey="Rose D" first="D" last="Rose">D. Rose</name></author><author><name sortKey="Sarabia, A" sort="Sarabia, A" uniqKey="Sarabia A" first="A" last="Sarabia">A. Sarabia</name></author><author><name sortKey="Simone, C" sort="Simone, C" uniqKey="Simone C" first="C" last="Simone">C. Simone</name></author><author><name sortKey="Simor, A" sort="Simor, A" uniqKey="Simor A" first="A" last="Simor">A. Simor</name></author><author><name sortKey="Stewart, T" sort="Stewart, T" uniqKey="Stewart T" first="T" last="Stewart">T. Stewart</name></author><author><name sortKey="Mcgeer, A" sort="Mcgeer, A" uniqKey="Mcgeer A" first="A" last="Mcgeer">A. Mcgeer</name></author></analytic><series><title level="j">European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology</title><idno type="eISSN">1435-4373</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Canada (epidemiology)</term><term>Female (MeSH)</term><term>Hospitalization (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (pathology)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Nasopharynx (virology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Canada (épidémiologie)</term><term>Femelle (MeSH)</term><term>Grippe humaine (anatomopathologie)</term><term>Grippe humaine (épidémiologie)</term><term>Hospitalisation (statistiques et données numériques)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Partie nasale du pharynx (virologie)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitalization</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Hospitalisation</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Partie nasale du pharynx</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Nasopharynx</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Canada</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</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>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The purpose of this investigation was to identify when diagnostic testing and empirical antiviral therapy should be considered for adult patients requiring hospitalization during influenza seasons. During the 2007/8 influenza season, six acute care hospitals in the Greater Toronto Area participated in active surveillance for laboratory-confirmed influenza requiring hospitalization. Nasopharyngeal (NP) swabs were obtained from patients presenting with acute respiratory or cardiac illness, or with febrile illness without clear non-respiratory etiology. Predictors of influenza were analyzed by multivariable logistic regression analysis and likelihoods of influenza infection in various patient groups were calculated. Two hundred and eighty of 3,917 patients were found to have influenza. Thirty-five percent of patients with influenza presented with a triage temperature >or=38.0 degrees C, 80% had respiratory symptoms in the emergency department, and 76% were >or=65 years old. Multivariable analysis revealed a triage temperature >or=38.0 degrees C (odds ratio [OR] 3.1; 95% confidence interval [CI] 2.3-4.1), the presence of respiratory symptoms (OR 1.7; 95% CI 1.2-2.4), admission diagnosis of respiratory infection (OR 1.8; 95% CI 1.3-2.4), admission diagnosis of exacerbation of chronic obstructive pulmonary disease (COPD)/asthma or respiratory failure (OR 2.3; 95% CI 1.6-3.4), and admission in peak influenza weeks (OR 4.2; 95% CI 3.1-5.7) as independent predictors of influenza. The likelihood of influenza exceeded 15% in patients with respiratory infection or exacerbation of COPD/asthma if the triage temperature was >or=38.0 degrees C or if they were admitted in the peak weeks during the influenza season. During influenza season, diagnostic testing and empiric antiviral therapy should be considered in patients requiring hospitalization if respiratory infection or exacerbation of COPD/asthma are suspected and if either the triage temperature is >or=38.0 degrees C or admission is during the weeks of peak influenza activity.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20428910</PMID><DateCompleted><Year>2010</Year><Month>09</Month><Day>20</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1435-4373</ISSN><JournalIssue CitedMedium="Internet"><Volume>29</Volume><Issue>7</Issue><PubDate><Year>2010</Year><Month>Jul</Month></PubDate></JournalIssue><Title>European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology</Title><ISOAbbreviation>Eur. J. Clin. Microbiol. Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>Epidemiology of influenza-associated hospitalization in adults, Toronto, 2007/8.</ArticleTitle><Pagination><MedlinePgn>835-43</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10096-010-0935-x</ELocationID><Abstract><AbstractText>The purpose of this investigation was to identify when diagnostic testing and empirical antiviral therapy should be considered for adult patients requiring hospitalization during influenza seasons. During the 2007/8 influenza season, six acute care hospitals in the Greater Toronto Area participated in active surveillance for laboratory-confirmed influenza requiring hospitalization. Nasopharyngeal (NP) swabs were obtained from patients presenting with acute respiratory or cardiac illness, or with febrile illness without clear non-respiratory etiology. Predictors of influenza were analyzed by multivariable logistic regression analysis and likelihoods of influenza infection in various patient groups were calculated. Two hundred and eighty of 3,917 patients were found to have influenza. Thirty-five percent of patients with influenza presented with a triage temperature >or=38.0 degrees C, 80% had respiratory symptoms in the emergency department, and 76% were >or=65 years old. Multivariable analysis revealed a triage temperature >or=38.0 degrees C (odds ratio [OR] 3.1; 95% confidence interval [CI] 2.3-4.1), the presence of respiratory symptoms (OR 1.7; 95% CI 1.2-2.4), admission diagnosis of respiratory infection (OR 1.8; 95% CI 1.3-2.4), admission diagnosis of exacerbation of chronic obstructive pulmonary disease (COPD)/asthma or respiratory failure (OR 2.3; 95% CI 1.6-3.4), and admission in peak influenza weeks (OR 4.2; 95% CI 3.1-5.7) as independent predictors of influenza. The likelihood of influenza exceeded 15% in patients with respiratory infection or exacerbation of COPD/asthma if the triage temperature was >or=38.0 degrees C or if they were admitted in the peak weeks during the influenza season. During influenza season, diagnostic testing and empiric antiviral therapy should be considered in patients requiring hospitalization if respiratory infection or exacerbation of COPD/asthma are suspected and if either the triage temperature is >or=38.0 degrees C or admission is during the weeks of peak influenza activity.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kuster</LastName><ForeName>S P</ForeName><Initials>SP</Initials><AffiliationInfo><Affiliation>Department of Microbiology, Room 210, Mount Sinai Hospital, 600 University Ave., Toronto, Ontario M5G 1X5, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Drews</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Green</LastName><ForeName>K</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Blair</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Davis</LastName><ForeName>I</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Downey</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Fowler</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Katz</LastName><ForeName>K</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Lapinsky</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>McRitchie</LastName><ForeName>D</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Pataki</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Powis</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Rose</LastName><ForeName>D</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Sarabia</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Simone</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Simor</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Stewart</LastName><ForeName>T</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>McGeer</LastName><ForeName>A</ForeName><Initials>A</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2010</Year><Month>04</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Eur J Clin Microbiol Infect Dis</MedlineTA><NlmUniqueID>8804297</NlmUniqueID><ISSNLinking>0934-9723</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N" Type="Geographic">Canada</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009305" MajorTopicYN="N">Nasopharynx</DescriptorName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2009</Year><Month>12</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2010</Year><Month>04</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>4</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>4</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2010</Year><Month>9</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20428910</ArticleId><ArticleId IdType="doi">10.1007/s10096-010-0935-x</ArticleId><ArticleId IdType="pmc">PMC2889286</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Clin Infect Dis. 2008 Sep 15;47 Suppl 1:S3-13</Citation><ArticleIdList><ArticleId IdType="pubmed">18713047</ArticleId></ArticleIdList></Reference><Reference><Citation>Infect Control Hosp Epidemiol. 2008 Apr;29(4):314-9</Citation><ArticleIdList><ArticleId IdType="pubmed">18462143</ArticleId></ArticleIdList></Reference><Reference><Citation>Infect 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Blair</name><name sortKey="Davis, I" sort="Davis, I" uniqKey="Davis I" first="I" last="Davis">I. Davis</name><name sortKey="Downey, J" sort="Downey, J" uniqKey="Downey J" first="J" last="Downey">J. Downey</name><name sortKey="Drews, S" sort="Drews, S" uniqKey="Drews S" first="S" last="Drews">S. Drews</name><name sortKey="Fowler, R" sort="Fowler, R" uniqKey="Fowler R" first="R" last="Fowler">R. Fowler</name><name sortKey="Green, K" sort="Green, K" uniqKey="Green K" first="K" last="Green">K. Green</name><name sortKey="Katz, K" sort="Katz, K" uniqKey="Katz K" first="K" last="Katz">K. Katz</name><name sortKey="Lapinsky, S" sort="Lapinsky, S" uniqKey="Lapinsky S" first="S" last="Lapinsky">S. Lapinsky</name><name sortKey="Mcgeer, A" sort="Mcgeer, A" uniqKey="Mcgeer A" first="A" last="Mcgeer">A. Mcgeer</name><name sortKey="Mcritchie, D" sort="Mcritchie, D" uniqKey="Mcritchie D" first="D" last="Mcritchie">D. Mcritchie</name><name sortKey="Pataki, J" sort="Pataki, J" uniqKey="Pataki J" first="J" last="Pataki">J. Pataki</name><name sortKey="Powis, J" sort="Powis, J" uniqKey="Powis J" first="J" last="Powis">J. Powis</name><name sortKey="Rose, D" sort="Rose, D" uniqKey="Rose D" first="D" last="Rose">D. Rose</name><name sortKey="Sarabia, A" sort="Sarabia, A" uniqKey="Sarabia A" first="A" last="Sarabia">A. Sarabia</name><name sortKey="Simone, C" sort="Simone, C" uniqKey="Simone C" first="C" last="Simone">C. Simone</name><name sortKey="Simor, A" sort="Simor, A" uniqKey="Simor A" first="A" last="Simor">A. Simor</name><name sortKey="Stewart, T" sort="Stewart, T" uniqKey="Stewart T" first="T" last="Stewart">T. Stewart</name></noCountry><country name="Canada"><noRegion><name sortKey="Kuster, S P" sort="Kuster, S P" uniqKey="Kuster S" first="S P" last="Kuster">S P Kuster</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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