Influenza infection in the intensive care unit: Four years after the 2009 pandemic.
Identifieur interne : 000137 ( Main/Exploration ); précédent : 000136; suivant : 000138Influenza infection in the intensive care unit: Four years after the 2009 pandemic.
Auteurs : Marcos Pérez-Carrasco [Espagne] ; Leonel Lagunes [Espagne] ; Andrés Ant N [Espagne] ; Simone Gattarello [Espagne] ; César Laborda [Espagne] ; Tomás Pumarola [Espagne] ; Jordi Rello [Espagne]Source :
- Enfermedades infecciosas y microbiologia clinica [ 1578-1852 ] ; 2016.
Descripteurs français
- KwdFr :
- Centres de soins tertiaires (MeSH), Espagne (épidémiologie), Grippe humaine (épidémiologie), Humains (MeSH), Pandémies (MeSH), Saisons (MeSH), Sous-type H1N1 du virus de la grippe A (MeSH), Sous-type H3N2 du virus de la grippe A (MeSH), Unités de soins intensifs (MeSH), Virus influenza B (MeSH), Études prospectives (MeSH).
- MESH :
English descriptors
- KwdEn :
- MESH :
Abstract
UNLABELLED
The role of influenza viruses in severe acute respiratory infection (SARI) in Intensive Care Units (ICU) remains unknown. The post-pandemic influenza A(H1N1)pdm09 period, in particular, has been poorly studied.
OBJECTIVE
To identify influenza SARI patients in ICU, to assess the usefulness of the symptoms of influenza-like illness (ILI), and to compare the features of pandemic vs. post-pandemic influenza A(H1N1) pdm09 infection.
METHODS
A prospective observational study with SARI patients admitted to ICU during the first three post-pandemic seasons. Patient demographics, characteristics and outcomes were recorded. An influenza epidemic period (IEP) was defined as >100 cases/100,000 inhabitants per week.
RESULTS
One hundred sixty-three patients were diagnosed with SARI. ILI was present in 65 (39.9%) patients. Influenza infection was documented in 41 patients, 27 (41.5%) ILI patients, and 14 (14.3%) non-ILI patients, 27 of them during an IEP. Influenza A viruses were mainly responsible. Only five patients had influenza B virus infection, which were non-ILI during an IEP. SARI overall mortality was 22.1%, and 15% in influenza infection patients. Pandemic and post-pandemic influenza infection patients shared similar clinical features.
CONCLUSIONS
During influenza epidemic periods, influenza infection screening should be considered in all SARI patients. Influenza SARI was mainly caused by subtype A(H1N1)pdm09 and A(H3N2) in post-pandemic seasons, and no differences were observed in ILI and mortality rate compared with a pandemic season.
DOI: 10.1016/j.eimc.2015.04.004
PubMed: 26025480
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Centro de Investigación Biomédica en Red: Enfermedades Respiratorias (CIBERes), Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB), Spain; Centro de Investigación Biomédica en Red: Enfermedades Respiratorias (CIBERes)</wicri:regionArea><wicri:noRegion>Spain; Centro de Investigación Biomédica en Red: Enfermedades Respiratorias (CIBERes)</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:26025480</idno><idno type="pmid">26025480</idno><idno type="doi">10.1016/j.eimc.2015.04.004</idno><idno type="wicri:Area/Main/Corpus">00170</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">00170</idno><idno type="wicri:Area/Main/Curation">000170</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000170</idno><idno type="wicri:Area/Main/Exploration">000170</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Influenza infection in the intensive care unit: Four years after the 2009 pandemic.</title><author><name sortKey="Perez Carrasco, Marcos" sort="Perez Carrasco, Marcos" uniqKey="Perez Carrasco M" first="Marcos" last="Pérez-Carrasco">Marcos Pérez-Carrasco</name><affiliation wicri:level="4"><nlm:affiliation>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB), Spain. Electronic address: marperez@vhebron.net.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB)</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName><orgName type="university">Université autonome de Barcelone</orgName></affiliation></author><author><name sortKey="Lagunes, Leonel" sort="Lagunes, Leonel" uniqKey="Lagunes L" first="Leonel" last="Lagunes">Leonel Lagunes</name><affiliation wicri:level="4"><nlm:affiliation>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB), Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB)</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName><orgName type="university">Université autonome de Barcelone</orgName></affiliation></author><author><name sortKey="Ant N, Andres" sort="Ant N, Andres" uniqKey="Ant N A" first="Andrés" last="Ant N">Andrés Ant N</name><affiliation wicri:level="3"><nlm:affiliation>Department of Microbiology, Vall d'Hebron University Hospital, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Microbiology, Vall d'Hebron University Hospital, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Gattarello, Simone" sort="Gattarello, Simone" uniqKey="Gattarello S" first="Simone" last="Gattarello">Simone Gattarello</name><affiliation wicri:level="4"><nlm:affiliation>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB), Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB)</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName><orgName type="university">Université autonome de Barcelone</orgName></affiliation></author><author><name sortKey="Laborda, Cesar" sort="Laborda, Cesar" uniqKey="Laborda C" first="César" last="Laborda">César Laborda</name><affiliation wicri:level="4"><nlm:affiliation>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB), Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB)</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName><orgName type="university">Université autonome de Barcelone</orgName></affiliation></author><author><name sortKey="Pumarola, Tomas" sort="Pumarola, Tomas" uniqKey="Pumarola T" first="Tomás" last="Pumarola">Tomás Pumarola</name><affiliation wicri:level="3"><nlm:affiliation>Department of Microbiology, Vall d'Hebron University Hospital, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Microbiology, Vall d'Hebron University Hospital, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Rello, Jordi" sort="Rello, Jordi" uniqKey="Rello J" first="Jordi" last="Rello">Jordi Rello</name><affiliation wicri:level="1"><nlm:affiliation>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB), Spain; Centro de Investigación Biomédica en Red: Enfermedades Respiratorias (CIBERes), Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB), Spain; Centro de Investigación Biomédica en Red: Enfermedades Respiratorias (CIBERes)</wicri:regionArea><wicri:noRegion>Spain; Centro de Investigación Biomédica en Red: Enfermedades Respiratorias (CIBERes)</wicri:noRegion></affiliation></author></analytic><series><title level="j">Enfermedades infecciosas y microbiologia clinica</title><idno type="eISSN">1578-1852</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans (MeSH)</term><term>Influenza A Virus, H1N1 Subtype (MeSH)</term><term>Influenza A Virus, H3N2 Subtype (MeSH)</term><term>Influenza B virus (MeSH)</term><term>Influenza, Human (epidemiology)</term><term>Intensive Care Units (MeSH)</term><term>Pandemics (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Seasons (MeSH)</term><term>Spain (epidemiology)</term><term>Tertiary Care Centers (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Centres de soins tertiaires (MeSH)</term><term>Espagne (épidémiologie)</term><term>Grippe humaine (épidémiologie)</term><term>Humains (MeSH)</term><term>Pandémies (MeSH)</term><term>Saisons (MeSH)</term><term>Sous-type H1N1 du virus de la grippe A (MeSH)</term><term>Sous-type H3N2 du virus de la grippe A (MeSH)</term><term>Unités de soins intensifs (MeSH)</term><term>Virus influenza B (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term><term>Spain</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Espagne</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza A Virus, H3N2 Subtype</term><term>Influenza B virus</term><term>Intensive Care Units</term><term>Pandemics</term><term>Prospective Studies</term><term>Seasons</term><term>Tertiary Care Centers</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Centres de soins tertiaires</term><term>Humains</term><term>Pandémies</term><term>Saisons</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Sous-type H3N2 du virus de la grippe A</term><term>Unités de soins intensifs</term><term>Virus influenza B</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>UNLABELLED</b></p><p>The role of influenza viruses in severe acute respiratory infection (SARI) in Intensive Care Units (ICU) remains unknown. The post-pandemic influenza A(H1N1)pdm09 period, in particular, has been poorly studied.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To identify influenza SARI patients in ICU, to assess the usefulness of the symptoms of influenza-like illness (ILI), and to compare the features of pandemic vs. post-pandemic influenza A(H1N1) pdm09 infection.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A prospective observational study with SARI patients admitted to ICU during the first three post-pandemic seasons. Patient demographics, characteristics and outcomes were recorded. An influenza epidemic period (IEP) was defined as >100 cases/100,000 inhabitants per week.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>One hundred sixty-three patients were diagnosed with SARI. ILI was present in 65 (39.9%) patients. Influenza infection was documented in 41 patients, 27 (41.5%) ILI patients, and 14 (14.3%) non-ILI patients, 27 of them during an IEP. Influenza A viruses were mainly responsible. Only five patients had influenza B virus infection, which were non-ILI during an IEP. SARI overall mortality was 22.1%, and 15% in influenza infection patients. Pandemic and post-pandemic influenza infection patients shared similar clinical features.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>During influenza epidemic periods, influenza infection screening should be considered in all SARI patients. Influenza SARI was mainly caused by subtype A(H1N1)pdm09 and A(H3N2) in post-pandemic seasons, and no differences were observed in ILI and mortality rate compared with a pandemic season.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">26025480</PMID><DateCompleted><Year>2017</Year><Month>10</Month><Day>23</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1578-1852</ISSN><JournalIssue CitedMedium="Internet"><Volume>34</Volume><Issue>3</Issue><PubDate><Year>2016</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Enfermedades infecciosas y microbiologia clinica</Title><ISOAbbreviation>Enferm. Infecc. Microbiol. Clin.</ISOAbbreviation></Journal><ArticleTitle>Influenza infection in the intensive care unit: Four years after the 2009 pandemic.</ArticleTitle><Pagination><MedlinePgn>177-83</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.eimc.2015.04.004</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0213-005X(15)00151-2</ELocationID><Abstract><AbstractText Label="UNLABELLED">The role of influenza viruses in severe acute respiratory infection (SARI) in Intensive Care Units (ICU) remains unknown. The post-pandemic influenza A(H1N1)pdm09 period, in particular, has been poorly studied.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To identify influenza SARI patients in ICU, to assess the usefulness of the symptoms of influenza-like illness (ILI), and to compare the features of pandemic vs. post-pandemic influenza A(H1N1) pdm09 infection.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A prospective observational study with SARI patients admitted to ICU during the first three post-pandemic seasons. Patient demographics, characteristics and outcomes were recorded. An influenza epidemic period (IEP) was defined as >100 cases/100,000 inhabitants per week.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">One hundred sixty-three patients were diagnosed with SARI. ILI was present in 65 (39.9%) patients. Influenza infection was documented in 41 patients, 27 (41.5%) ILI patients, and 14 (14.3%) non-ILI patients, 27 of them during an IEP. Influenza A viruses were mainly responsible. Only five patients had influenza B virus infection, which were non-ILI during an IEP. SARI overall mortality was 22.1%, and 15% in influenza infection patients. Pandemic and post-pandemic influenza infection patients shared similar clinical features.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">During influenza epidemic periods, influenza infection screening should be considered in all SARI patients. Influenza SARI was mainly caused by subtype A(H1N1)pdm09 and A(H3N2) in post-pandemic seasons, and no differences were observed in ILI and mortality rate compared with a pandemic season.</AbstractText><CopyrightInformation>Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pérez-Carrasco</LastName><ForeName>Marcos</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB), Spain. Electronic address: marperez@vhebron.net.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lagunes</LastName><ForeName>Leonel</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB), Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Antón</LastName><ForeName>Andrés</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Microbiology, Vall d'Hebron University Hospital, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gattarello</LastName><ForeName>Simone</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB), Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Laborda</LastName><ForeName>César</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB), Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pumarola</LastName><ForeName>Tomás</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Microbiology, Vall d'Hebron University Hospital, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rello</LastName><ForeName>Jordi</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Critical Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma de Barcelona (UAB), Spain; Centro de Investigación Biomédica en Red: Enfermedades Respiratorias (CIBERes), Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>CRIPS investigators</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>05</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Enferm Infecc Microbiol Clin</MedlineTA><NlmUniqueID>9104081</NlmUniqueID><ISSNLinking>0213-005X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Enferm Infecc Microbiol Clin. 2016 Aug-Sep;34(7):468</RefSource><PMID Version="1">26164265</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="N">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053122" MajorTopicYN="N">Influenza A Virus, H3N2 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009981" MajorTopicYN="N">Influenza B virus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007362" MajorTopicYN="Y">Intensive Care Units</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012621" MajorTopicYN="N">Seasons</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N">Spain</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D062606" MajorTopicYN="N">Tertiary Care Centers</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">A (H1N1) pdm09</Keyword><Keyword MajorTopicYN="N">A(H1N1)pdm09</Keyword><Keyword MajorTopicYN="N">Acute respiratory failure</Keyword><Keyword MajorTopicYN="N">Enfermedad tipo gripe</Keyword><Keyword MajorTopicYN="N">Infección respiratoria aguda grave</Keyword><Keyword MajorTopicYN="N">Influenza A virus</Keyword><Keyword MajorTopicYN="N">Influenza-like illness</Keyword><Keyword MajorTopicYN="N">Insuficiencia respiratoria aguda</Keyword><Keyword MajorTopicYN="N">Severe acute respiratory infection</Keyword><Keyword MajorTopicYN="N">Virus de la gripe A</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>11</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>04</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>04</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>5</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>5</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>10</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26025480</ArticleId><ArticleId IdType="pii">S0213-005X(15)00151-2</ArticleId><ArticleId IdType="doi">10.1016/j.eimc.2015.04.004</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country><region><li>Catalogne</li></region><settlement><li>Barcelone</li></settlement><orgName><li>Université autonome de Barcelone</li></orgName></list><tree><country name="Espagne"><region name="Catalogne"><name sortKey="Perez Carrasco, Marcos" sort="Perez Carrasco, Marcos" uniqKey="Perez Carrasco M" first="Marcos" last="Pérez-Carrasco">Marcos Pérez-Carrasco</name></region><name sortKey="Ant N, Andres" sort="Ant N, Andres" uniqKey="Ant N A" first="Andrés" last="Ant N">Andrés Ant N</name><name sortKey="Gattarello, Simone" sort="Gattarello, Simone" uniqKey="Gattarello S" first="Simone" last="Gattarello">Simone Gattarello</name><name sortKey="Laborda, Cesar" sort="Laborda, Cesar" uniqKey="Laborda C" first="César" last="Laborda">César Laborda</name><name sortKey="Lagunes, Leonel" sort="Lagunes, Leonel" uniqKey="Lagunes L" first="Leonel" last="Lagunes">Leonel Lagunes</name><name sortKey="Pumarola, Tomas" sort="Pumarola, Tomas" uniqKey="Pumarola T" first="Tomás" last="Pumarola">Tomás Pumarola</name><name sortKey="Rello, Jordi" sort="Rello, Jordi" uniqKey="Rello J" first="Jordi" last="Rello">Jordi Rello</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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