Immunosuppressed patients with pandemic influenza A 2009 (H1N1) virus infection
Identifieur interne : 002131 ( Main/Merge ); précédent : 002130; suivant : 002132Immunosuppressed patients with pandemic influenza A 2009 (H1N1) virus infection
Auteurs : E. Cordero [Espagne] ; T. Aydillo [Espagne] ; M. C. Farinas [Espagne] ; J. R. Pano-Pardo [Espagne] ; J. Pachon [Espagne] ; D. Viasus [Espagne] ; M. Riera [Espagne] ; F. Lopez-Medrano [Espagne] ; A. Payeras [Espagne] ; A. Moreno [Espagne] ; J. Rodriguez-Bano [Espagne] ; J. A. Oteo [Espagne] ; J. Martinez-Montauti [Espagne] ; J. Torre-Cisneros [Espagne] ; F. Segura [Espagne] ; J. Carratala [Espagne]Source :
- European journal of clinical microbiology & infectious diseases : (Print) [ 0934-9723 ] ; 2012.
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Abstract
The purpose of this paper was to prospectively characterize the clinical manifestations and outcomes of confirmed influenza A 2009 (H1N1) virus infection in immunosuppressed patients with hospital admission and compare them with those of a general population. A multicenter prospective cohort study was carried out. All adult patients admitted to 13 hospitals in Spain with confirmed influenza A 2009 (H1N1) virus infection from June 12, 2009 to November 11, 2009 were included. Risk factors for complicated influenza infection were studied in immunosuppressed patients. Overall, 559 patients were included, of which 56 were immunosuppressed, nine with solid or hematological malignancies, 18 with solid-organ transplant recipients, 13 with corticosteroid therapy, and six with other types of immunosuppression. Clinical findings at diagnosis were similar in both groups. Nineteen immunosuppressed patients had pneumonia (33.9%). Immunosuppressed patients with pandemic influenza had bacterial co-infection more frequently (17.9% vs. 6.4%,p=0.02), specifically, gram-negative bacilli and Staphylococcus aureus infections. Mortality was higher in immunosuppressed patients (7.1% vs. 1.8%, p<0.05). The only modifiable risk factor of complicated influenza A 2009 (H1N1) was delayed antiviral therapy. In immunosuppressed patients, influenza A 2009 (H1N1) virus infection has higher mortality than in non-immunosuppressed individuals. Bacterial co-infection is common in complicated cases.
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Immunosuppressed patients with pandemic influenza A 2009 (H1N1) virus infection</title><author><name sortKey="Cordero, E" sort="Cordero, E" uniqKey="Cordero E" first="E." last="Cordero">E. Cordero</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Infectious Diseases Unit, University Hospital Virgen del Rocio, Av. Manuel Siurot s/n</s1><s2>41013 Sevilla</s2><s3>ESP</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Espagne</country><placeName><region nuts="2" type="communauté">Andalousie</region></placeName></affiliation></author><author><name sortKey="Aydillo, T" sort="Aydillo, T" uniqKey="Aydillo T" first="T." last="Aydillo">T. Aydillo</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Infectious Diseases Unit, University Hospital Virgen del Rocio, Av. Manuel Siurot s/n</s1><s2>41013 Sevilla</s2><s3>ESP</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Espagne</country><placeName><region nuts="2" type="communauté">Andalousie</region></placeName></affiliation></author><author><name sortKey="Farinas, M C" sort="Farinas, M C" uniqKey="Farinas M" first="M. C." last="Farinas">M. C. Farinas</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University Hospital Marques de Valdecilla</s1><s2>Santander</s2><s3>ESP</s3><sZ>3 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>University Hospital Marques de Valdecilla</wicri:noRegion></affiliation></author><author><name sortKey="Pano Pardo, J R" sort="Pano Pardo, J R" uniqKey="Pano Pardo J" first="J. R." last="Pano-Pardo">J. R. Pano-Pardo</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>University Hospital La Paz-IDIPAZ</s1><s2>Madrid</s2><s3>ESP</s3><sZ>4 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Pachon, J" sort="Pachon, J" uniqKey="Pachon J" first="J." last="Pachon">J. Pachon</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Infectious Diseases Unit, University Hospital Virgen del Rocio, Av. Manuel Siurot s/n</s1><s2>41013 Sevilla</s2><s3>ESP</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Espagne</country><placeName><region nuts="2" type="communauté">Andalousie</region></placeName></affiliation></author><author><name sortKey="Viasus, D" sort="Viasus, D" uniqKey="Viasus D" first="D." last="Viasus">D. Viasus</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>University Hospital Bellvitge-IDIBELL, Barcelona, University of Barcelona</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>6 aut.</sZ><sZ>16 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Riera, M" sort="Riera, M" uniqKey="Riera M" first="M." last="Riera">M. Riera</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>University Hospital Son Dureta</s1><s2>Palma de Mallorca</s2><s3>ESP</s3><sZ>7 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>University Hospital Son Dureta</wicri:noRegion></affiliation></author><author><name sortKey="Lopez Medrano, F" sort="Lopez Medrano, F" uniqKey="Lopez Medrano F" first="F." last="Lopez-Medrano">F. Lopez-Medrano</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>University Hospital 12 de Octubre</s1><s2>Madrid</s2><s3>ESP</s3><sZ>8 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Payeras, A" sort="Payeras, A" uniqKey="Payeras A" first="A." last="Payeras">A. Payeras</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Hospital Son Llàtzer</s1><s2>Palma de Mallorca</s2><s3>ESP</s3><sZ>9 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Hospital Son Llàtzer</wicri:noRegion></affiliation></author><author><name sortKey="Moreno, A" sort="Moreno, A" uniqKey="Moreno A" first="A." last="Moreno">A. Moreno</name><affiliation wicri:level="3"><inist:fA14 i1="08"><s1>University Hospital Clinic</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>10 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Rodriguez Bano, J" sort="Rodriguez Bano, J" uniqKey="Rodriguez Bano J" first="J." last="Rodriguez-Bano">J. Rodriguez-Bano</name><affiliation wicri:level="1"><inist:fA14 i1="09"><s1>University Hospital Virgen Macarena</s1><s2>Seville</s2><s3>ESP</s3><sZ>11 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>University Hospital Virgen Macarena</wicri:noRegion></affiliation></author><author><name sortKey="Oteo, J A" sort="Oteo, J A" uniqKey="Oteo J" first="J. A." last="Oteo">J. A. Oteo</name><affiliation wicri:level="1"><inist:fA14 i1="10"><s1>Hospital San Pedro-CIBIR</s1><s2>Logrono</s2><s3>ESP</s3><sZ>12 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Hospital San Pedro-CIBIR</wicri:noRegion></affiliation></author><author><name sortKey="Martinez Montauti, J" sort="Martinez Montauti, J" uniqKey="Martinez Montauti J" first="J." last="Martinez-Montauti">J. Martinez-Montauti</name><affiliation wicri:level="3"><inist:fA14 i1="11"><s1>SCIAS-Hospital de Barcelona</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Torre Cisneros, J" sort="Torre Cisneros, J" uniqKey="Torre Cisneros J" first="J." last="Torre-Cisneros">J. Torre-Cisneros</name><affiliation wicri:level="3"><inist:fA14 i1="11"><s1>SCIAS-Hospital de Barcelona</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Segura, F" sort="Segura, F" uniqKey="Segura F" first="F." last="Segura">F. Segura</name><affiliation wicri:level="1"><inist:fA14 i1="12"><s1>University Hospital Reina Sofia-IMIBIC, University of Cordoba</s1><s2>Cordoba</s2><s3>ESP</s3><sZ>15 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Cordoba</wicri:noRegion></affiliation></author><author><name sortKey="Carratala, J" sort="Carratala, J" uniqKey="Carratala J" first="J." last="Carratala">J. Carratala</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>University Hospital Bellvitge-IDIBELL, Barcelona, University of Barcelona</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>6 aut.</sZ><sZ>16 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">12-0182430</idno><date when="2012">2012</date><idno type="stanalyst">PASCAL 12-0182430 INIST</idno><idno type="RBID">Pascal:12-0182430</idno><idno type="wicri:Area/PascalFrancis/Corpus">000699</idno><idno type="wicri:Area/PascalFrancis/Curation">001737</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000595</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000595</idno><idno type="wicri:doubleKey">0934-9723:2012:Cordero E:immunosuppressed:patients:with</idno><idno type="wicri:Area/Main/Merge">002131</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Immunosuppressed patients with pandemic influenza A 2009 (H1N1) virus infection</title><author><name sortKey="Cordero, E" sort="Cordero, E" uniqKey="Cordero E" first="E." last="Cordero">E. Cordero</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Infectious Diseases Unit, University Hospital Virgen del Rocio, Av. Manuel Siurot s/n</s1><s2>41013 Sevilla</s2><s3>ESP</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Espagne</country><placeName><region nuts="2" type="communauté">Andalousie</region></placeName></affiliation></author><author><name sortKey="Aydillo, T" sort="Aydillo, T" uniqKey="Aydillo T" first="T." last="Aydillo">T. Aydillo</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Infectious Diseases Unit, University Hospital Virgen del Rocio, Av. Manuel Siurot s/n</s1><s2>41013 Sevilla</s2><s3>ESP</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Espagne</country><placeName><region nuts="2" type="communauté">Andalousie</region></placeName></affiliation></author><author><name sortKey="Farinas, M C" sort="Farinas, M C" uniqKey="Farinas M" first="M. C." last="Farinas">M. C. Farinas</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University Hospital Marques de Valdecilla</s1><s2>Santander</s2><s3>ESP</s3><sZ>3 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>University Hospital Marques de Valdecilla</wicri:noRegion></affiliation></author><author><name sortKey="Pano Pardo, J R" sort="Pano Pardo, J R" uniqKey="Pano Pardo J" first="J. R." last="Pano-Pardo">J. R. Pano-Pardo</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>University Hospital La Paz-IDIPAZ</s1><s2>Madrid</s2><s3>ESP</s3><sZ>4 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Pachon, J" sort="Pachon, J" uniqKey="Pachon J" first="J." last="Pachon">J. Pachon</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Infectious Diseases Unit, University Hospital Virgen del Rocio, Av. Manuel Siurot s/n</s1><s2>41013 Sevilla</s2><s3>ESP</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Espagne</country><placeName><region nuts="2" type="communauté">Andalousie</region></placeName></affiliation></author><author><name sortKey="Viasus, D" sort="Viasus, D" uniqKey="Viasus D" first="D." last="Viasus">D. Viasus</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>University Hospital Bellvitge-IDIBELL, Barcelona, University of Barcelona</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>6 aut.</sZ><sZ>16 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Riera, M" sort="Riera, M" uniqKey="Riera M" first="M." last="Riera">M. Riera</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>University Hospital Son Dureta</s1><s2>Palma de Mallorca</s2><s3>ESP</s3><sZ>7 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>University Hospital Son Dureta</wicri:noRegion></affiliation></author><author><name sortKey="Lopez Medrano, F" sort="Lopez Medrano, F" uniqKey="Lopez Medrano F" first="F." last="Lopez-Medrano">F. Lopez-Medrano</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>University Hospital 12 de Octubre</s1><s2>Madrid</s2><s3>ESP</s3><sZ>8 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Payeras, A" sort="Payeras, A" uniqKey="Payeras A" first="A." last="Payeras">A. Payeras</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Hospital Son Llàtzer</s1><s2>Palma de Mallorca</s2><s3>ESP</s3><sZ>9 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Hospital Son Llàtzer</wicri:noRegion></affiliation></author><author><name sortKey="Moreno, A" sort="Moreno, A" uniqKey="Moreno A" first="A." last="Moreno">A. Moreno</name><affiliation wicri:level="3"><inist:fA14 i1="08"><s1>University Hospital Clinic</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>10 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Rodriguez Bano, J" sort="Rodriguez Bano, J" uniqKey="Rodriguez Bano J" first="J." last="Rodriguez-Bano">J. Rodriguez-Bano</name><affiliation wicri:level="1"><inist:fA14 i1="09"><s1>University Hospital Virgen Macarena</s1><s2>Seville</s2><s3>ESP</s3><sZ>11 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>University Hospital Virgen Macarena</wicri:noRegion></affiliation></author><author><name sortKey="Oteo, J A" sort="Oteo, J A" uniqKey="Oteo J" first="J. A." last="Oteo">J. A. Oteo</name><affiliation wicri:level="1"><inist:fA14 i1="10"><s1>Hospital San Pedro-CIBIR</s1><s2>Logrono</s2><s3>ESP</s3><sZ>12 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Hospital San Pedro-CIBIR</wicri:noRegion></affiliation></author><author><name sortKey="Martinez Montauti, J" sort="Martinez Montauti, J" uniqKey="Martinez Montauti J" first="J." last="Martinez-Montauti">J. Martinez-Montauti</name><affiliation wicri:level="3"><inist:fA14 i1="11"><s1>SCIAS-Hospital de Barcelona</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Torre Cisneros, J" sort="Torre Cisneros, J" uniqKey="Torre Cisneros J" first="J." last="Torre-Cisneros">J. Torre-Cisneros</name><affiliation wicri:level="3"><inist:fA14 i1="11"><s1>SCIAS-Hospital de Barcelona</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Segura, F" sort="Segura, F" uniqKey="Segura F" first="F." last="Segura">F. Segura</name><affiliation wicri:level="1"><inist:fA14 i1="12"><s1>University Hospital Reina Sofia-IMIBIC, University of Cordoba</s1><s2>Cordoba</s2><s3>ESP</s3><sZ>15 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Cordoba</wicri:noRegion></affiliation></author><author><name sortKey="Carratala, J" sort="Carratala, J" uniqKey="Carratala J" first="J." last="Carratala">J. Carratala</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>University Hospital Bellvitge-IDIBELL, Barcelona, University of Barcelona</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>6 aut.</sZ><sZ>16 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author></analytic><series><title level="j" type="main">European journal of clinical microbiology & infectious diseases : (Print)</title><title level="j" type="abbreviated">Eur. j. clin. microbiol. infect. dis. : (Print)</title><idno type="ISSN">0934-9723</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">European journal of clinical microbiology & infectious diseases : (Print)</title><title level="j" type="abbreviated">Eur. j. clin. microbiol. infect. dis. : (Print)</title><idno type="ISSN">0934-9723</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>H1N1 influenza</term><term>Human</term><term>Immunosuppression</term><term>Influenza A</term><term>Influenza A (H1N1)</term><term>Influenza A virus</term><term>Microbiology</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Grippe A</term><term>Immunodépression</term><term>Microbiologie</term><term>Homme</term><term>Virus grippal A</term><term>Grippe H1N1</term><term>Virus grippal A(H1N1)</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The purpose of this paper was to prospectively characterize the clinical manifestations and outcomes of confirmed influenza A 2009 (H1N1) virus infection in immunosuppressed patients with hospital admission and compare them with those of a general population. A multicenter prospective cohort study was carried out. All adult patients admitted to 13 hospitals in Spain with confirmed influenza A 2009 (H1N1) virus infection from June 12, 2009 to November 11, 2009 were included. Risk factors for complicated influenza infection were studied in immunosuppressed patients. Overall, 559 patients were included, of which 56 were immunosuppressed, nine with solid or hematological malignancies, 18 with solid-organ transplant recipients, 13 with corticosteroid therapy, and six with other types of immunosuppression. Clinical findings at diagnosis were similar in both groups. Nineteen immunosuppressed patients had pneumonia (33.9%). Immunosuppressed patients with pandemic influenza had bacterial co-infection more frequently (17.9% vs. 6.4%,p=0.02), specifically, gram-negative bacilli and Staphylococcus aureus infections. Mortality was higher in immunosuppressed patients (7.1% vs. 1.8%, p<0.05). The only modifiable risk factor of complicated influenza A 2009 (H1N1) was delayed antiviral therapy. In immunosuppressed patients, influenza A 2009 (H1N1) virus infection has higher mortality than in non-immunosuppressed individuals. Bacterial co-infection is common in complicated cases.</div></front></TEI><affiliations><list><country><li>Espagne</li></country><region><li>Andalousie</li><li>Catalogne</li><li>Communauté de Madrid</li></region><settlement><li>Barcelone</li><li>Madrid</li></settlement></list><tree><country name="Espagne"><region name="Andalousie"><name sortKey="Cordero, E" sort="Cordero, E" uniqKey="Cordero E" first="E." last="Cordero">E. Cordero</name></region><name sortKey="Aydillo, T" sort="Aydillo, T" uniqKey="Aydillo T" first="T." last="Aydillo">T. Aydillo</name><name sortKey="Carratala, J" sort="Carratala, J" uniqKey="Carratala J" first="J." last="Carratala">J. Carratala</name><name sortKey="Farinas, M C" sort="Farinas, M C" uniqKey="Farinas M" first="M. C." last="Farinas">M. C. Farinas</name><name sortKey="Lopez Medrano, F" sort="Lopez Medrano, F" uniqKey="Lopez Medrano F" first="F." last="Lopez-Medrano">F. Lopez-Medrano</name><name sortKey="Martinez Montauti, J" sort="Martinez Montauti, J" uniqKey="Martinez Montauti J" first="J." last="Martinez-Montauti">J. Martinez-Montauti</name><name sortKey="Moreno, A" sort="Moreno, A" uniqKey="Moreno A" first="A." last="Moreno">A. Moreno</name><name sortKey="Oteo, J A" sort="Oteo, J A" uniqKey="Oteo J" first="J. A." last="Oteo">J. A. Oteo</name><name sortKey="Pachon, J" sort="Pachon, J" uniqKey="Pachon J" first="J." last="Pachon">J. Pachon</name><name sortKey="Pano Pardo, J R" sort="Pano Pardo, J R" uniqKey="Pano Pardo J" first="J. R." last="Pano-Pardo">J. R. Pano-Pardo</name><name sortKey="Payeras, A" sort="Payeras, A" uniqKey="Payeras A" first="A." last="Payeras">A. Payeras</name><name sortKey="Riera, M" sort="Riera, M" uniqKey="Riera M" first="M." last="Riera">M. Riera</name><name sortKey="Rodriguez Bano, J" sort="Rodriguez Bano, J" uniqKey="Rodriguez Bano J" first="J." last="Rodriguez-Bano">J. Rodriguez-Bano</name><name sortKey="Segura, F" sort="Segura, F" uniqKey="Segura F" first="F." last="Segura">F. Segura</name><name sortKey="Torre Cisneros, J" sort="Torre Cisneros, J" uniqKey="Torre Cisneros J" first="J." last="Torre-Cisneros">J. Torre-Cisneros</name><name sortKey="Viasus, D" sort="Viasus, D" uniqKey="Viasus D" first="D." last="Viasus">D. Viasus</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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