Revue francophone des laboratoires : RFL最新文献

{"title":"QCM Évaluez-vous !","authors":"","doi":"10.1016/S1773-035X(25)76350-9","DOIUrl":"10.1016/S1773-035X(25)76350-9","url":null,"abstract":"","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 571","pages":"Pages 66-68"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Précaution avant une greffe de foie : identifier la sarcopénie ?","authors":"Jean-Marie Manus","doi":"10.1016/S1773-035X(25)76335-2","DOIUrl":"10.1016/S1773-035X(25)76335-2","url":null,"abstract":"","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 571","pages":"Page 7"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Partager les expériences pour accélérer la mutation de nos laboratoires","authors":"Olivier Meunier","doi":"10.1016/S1773-035X(25)76343-1","DOIUrl":"10.1016/S1773-035X(25)76343-1","url":null,"abstract":"","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 571","pages":"Page 13"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L'OMS prend le pouls de la tuberculose dans le monde","authors":"Jean-Marie Manus","doi":"10.1016/S1773-035X(25)76333-9","DOIUrl":"10.1016/S1773-035X(25)76333-9","url":null,"abstract":"","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 571","pages":"Page 6"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quelles pratiques pour un laboratoire de biologie médicale écoresponsable en 2025 ?","authors":"Marine Cargou ,&nbsp;Caroline Sarre-Pradon ,&nbsp;Nicolas Gendron ,&nbsp;Camille Kolenda ,&nbsp;Julien Obiols ,&nbsp;Bérénice Schell ,&nbsp;Anne Rullier ,&nbsp;Julien Brunier","doi":"10.1016/S1773-035X(25)76346-7","DOIUrl":"10.1016/S1773-035X(25)76346-7","url":null,"abstract":"<div><h3>Résumé</h3><div>Face à l'urgence climatique, les laboratoires de biologie médicale (LBM) sont confrontés à la nécessité de réconcilier performance diagnostique, innovation et durabilité environnementale. Les LBM, qui jouent un rôle crucial dans le diagnostic et le suivi des patients, génèrent une empreinte écologique significative due à leur consommation énergétique, à l'utilisation massive de plastiques et à la production importante de déchets dont certains sont classés cancérogènes, mutagenes, reprotoxiques et radioactifs.Toujours avec l'objectif de continuer à participer à l'activité de soins et d'améliorer la qualité de soins des patients, cet article propose un état des lieux des stratégies concrètes et perspectives de réduction de l'empreinte écologique des LBM. À travers des exemples pratiques et des recommandations fondées, nous visons à sensibiliser les biologistes médicaux et à les outiller pour engager une transition écologique dans leurs pratiques quotidiennes.</div></div><div><h3>Abstract</h3><div>In the face of climate emergency, medical biology laboratories (MBLs) must reconcile diagnostic performance, innovation, and environmental sustainability. Playing a crucial role in patient diagnosis and follow-up, MBLs have a significant ecological footprint due to their high energy consumption, extensive use of plastics, and substantial waste production, including hazardous materials classified as carcinogenic, mutagenic, repro-toxic, or radioactive.While maintaining their essential contribution to healthcare and improving patient outcomes, this article provides an overview of concrete strategies and perspectives for reducing the environmental impact of MBLs. Through practical examples and evidence-based recommendations, we aim to raise awareness among medical biologists and equip them with the necessary tools to integrate ecological transition into their daily practices.</div></div>","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 571","pages":"Pages 32-44"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vacciner mieux pour économiser 2,5 milliards d'antimicrobiens","authors":"Jean-Marie Manus","doi":"10.1016/S1773-035X(25)76334-0","DOIUrl":"10.1016/S1773-035X(25)76334-0","url":null,"abstract":"","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 571","pages":"Pages 6-7"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hope for rare diseases : une fédération européenne pour répondre aux défis des maladies rares","authors":"Jean-Marie Manus","doi":"10.1016/S1773-035X(25)76342-X","DOIUrl":"10.1016/S1773-035X(25)76342-X","url":null,"abstract":"","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 571","pages":"Page 11"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Va-t-on vers une pénurie de biologistes médicaux dans les années à venir ?","authors":"Saïd Kamel (PU PH Biochimie, CHU Amiens)","doi":"10.1016/S1773-035X(25)76330-3","DOIUrl":"10.1016/S1773-035X(25)76330-3","url":null,"abstract":"","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 571","pages":"Page 1"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laboécolo, le premier collectif interlaboratoires français engagé dans la transformation écologique au CHU de Bordeaux : genèse, exemples d'actions et perspectives","authors":"Marine Cargou ,&nbsp;Jonathan Visentin ,&nbsp;Marielle Lahiton ,&nbsp;Sabine Berhouet ,&nbsp;Julien Goret ,&nbsp;Julie Brossaud ,&nbsp;Anne Rullier","doi":"10.1016/S1773-035X(25)76345-5","DOIUrl":"10.1016/S1773-035X(25)76345-5","url":null,"abstract":"<div><h3>Résumé</h3><div><em>Laboécolo</em> est le premier collectif interlaboratoires français engagé dans la transformation écologique. Il a été créé au décours de la mise en place du dispositif des Unités durables (Ud) au CHU de Bordeaux en 2022. Face aux défis climatiques et à l'impact carbone du secteur de la santé (8 % des émissions nationales de gaz à effet de serre), <em>Laboécolo</em> vise à intégrer la durabilité dans toutes les dimensions de la biologie médicale à qualité et sécurité égales pour réduire l'empreinte carbone. Nombre de ces actions transversales sont évoquées dans cet article, notamment celles autour de la réduction des déchets, l'écoprescription, la sensibilisation et la formation des professionnels.</div></div><div><h3>Abstract</h3><div><em>Laboécolo</em> is the first French inter-laboratory collective committed to ecological transformation. It was created following the implementation of the Sustainable Units (Ud) at the Bordeaux University Hospital in 2022. Faced with climate challenges and the carbon impact of the health sector (8% of national greenhouse gas emissions), <em>Laboécolo</em> aims to integrate sustainability into all dimensions of medical biology with equal quality and safety to reduce the carbon footprint. Many of these cross-cutting actions are mentioned in this article, in particular those around waste reduction, eco-prescription and awareness/training of professionals.</div></div>","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 571","pages":"Pages 23-31"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bionettoyage écoresponsable","authors":"Olivier Meunier ,&nbsp;Silvia Paysais ,&nbsp;Sandrine Burger ,&nbsp;Cécile Garniche","doi":"10.1016/S1773-035X(25)76349-2","DOIUrl":"10.1016/S1773-035X(25)76349-2","url":null,"abstract":"<div><h3>Résumé</h3><div>Les ammoniums quaternaires (AQ) sont très utilisés pour le nettoyage et la désinfection des surfaces à l'hôpital et dans beaucoup d'autres domaines. Ces molécules biocides ont pourtant un impact environnemental certain et participent à la sélection mais aussi à l'émergence de bactéries multirésistantes aux antibiotiques. Dans les effluents, les stations d'épuration et sur les surfaces, ces molécules sont à des concentrations subinhibitrices pour les microorganismes qui vont développer les moyens de survie (pompe à efflux) et l'hyperproduction de biofilm. Les altérations non létales des membranes cellulaires facilitent les échanges plasmiques entre souches et espèces qui deviennent résistantes tant aux biocides qu'aux antibiotiques. Il convient donc de proposer des alternatives tout aussi efficaces mais sans chimie pour le bionettoyage des surfaces, notamment à l'hôpital. Les textiles microfibres utilisés pour le nettoyage, même sans chimie (microfibres/eau), sont une alternative très intéressante qui permet d'obtenir une réduction de la charge bactérienne de plus d'un logarithme décimal. Le nettoyeur vapeur apporte une plus-value indéniable pour la qualité du nettoyage avec les mêmes garanties de désinfection. Enfin, l'exposition des surfaces à désinfecter pendant quelques minutes aux UV-C (254 nm) est particulièrement efficace en éliminant plus de 90 % des bactéries résiduelles.</div></div><div><h3>Abstract</h3><div>Quaternary ammoniums are widely used for cleaning and disinfecting surfaces in hospitals and in many other areas. However, these biocidal molecules have a certain environmental impact and participate in the selection and emergence of mulitresis-tant bacteria. In effluents, treatment plants and on surfaces, these molecules are at sub-inhibitory concentrations will facilite developpemnt of means of survival (efflux pump) and hyperproduction of biofilm. Non-lethal alterations of cell membranes facilitate gene exchanges between strains and species that become resistant to both biocides and antibiotics. It is therefore appropriate to propose alternatives that are just as effective but without chemistry for the biocleaning of surfaces, particularly in hospitals. Microfiber textiles used for cleaning, even without chemistry (microfibers/ water), are a very interesting alternative that allows a reduction in the bacterial load of more than one decimal logarithm. The steam cleaner provides undeniable added value for the quality of cleaning with the same guarantees of disinfection. Finally, exposing the surfaces to be disinfected for a few minutes to UV-C (254 nm) is particularly effective in eliminating more than 90 % of residual bacteria.</div></div>","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 571","pages":"Pages 60-65"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}