J-P Mignard

Publications (22)7.38 Total impact

• Article: Pyélonéphrites aiguës

  F. Bruyère, G. Cariou, J.-P. Boiteux, A. Hoznek, J.-P. Mignard, L. Escaravage, L. Bernard, A. Sotto, C.-J. Soussy, P. Coloby, le CIAFU
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  ABSTRACT: The initial management of pyelonephritis needs to look for complicating factors. Ultrasound and X-ray of the abdomen are able to rule out a urinary dilatation or a stone. The treatment is then surgical with renal drainage. Additional investigations such as a CT scan should be performed in patients with complicating factors or recurrence. In uncomplicated pyelonephritis an ambulatory treatment with 2 weeks of fluoroquinolones or cephalosporine Gr3 is sufficient. More severe cases should be admitted to a hospital and treated with initial cephalosporin Gr3 plus aminoside for 3 to 6 weeks. La première phase d’évaluation d’une pyélonéphrite aiguë (PNA) vise à rechercher des signes de gravité ou de complication. Une échographie rénale et une radiographie de l’abdomen sans préparation permettent de montrer une dilatation des cavités pyélocalicielles ou un calcul obstructif ; le drainage urgent alors s’impose. En présence de signes de gravité ou de complication, un scanner remplacera l’échographie. En l’absence de signes de gravité, un traitement ambulatoire de deux semaines par fluoroquinolone ou céphalosporine de troisième génération (C3G) avec relais en fonction des résultats de l’antibiogramme sera suffisant. En revanche, en présence de signes de gravité, une hospitalisation s’impose avec une antibiothérapie initialement double pour un total de trois à six semaines. KeywordsPyelonephritis-Bacterial culture-Antibiotic-Guidelines Mots clésPyélonéphrite-Culture bactérienne-Antibiotique-Recommandation
  Pelvi-périnéologie 04/2012; 5(2):134-138. · 0.07 Impact Factor
• Article: Recommandations du comité d’infectiologie de l’AFU: diagnostic, traitement et suivi des infections communautaires bactériennes de l’appareil urinaire de l’homme et de la femme adultes: cystites aiguës

  F. Bruyère, H. Bugel, G. Cariou, J. -P. Boiteux, A. Hoznek, J. -P. Mignard, L. Escaravage, L. Bernard, A. Sotto, C. -J. Soussy, P. Coloby, CIAFU
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  ABSTRACT: La prise en charge de la cystite aiguë recherche des facteurs de gravité, de risque ou de complication. La cystite aiguë simple ne nécessite aucun examen complémentaire, un traitement court est recommandé. La cystite aiguë compliquée nécessite parfois une évaluation clinique, bactériologique et radiologique, un traitement plus long est recommandé. La définition de la cystite récidivante est précisée dans ces recommandations. The management of uncomplicated lower urinary tract infections (UTI) implicate to look for risk factors and complications. Bacterial or radiological exams are not recommended and short course of antibiotic is effective for treating uncomplicated UTI. Complicated UTI needs clinical, bacteriological and radiological exams, longer treatments are recommended. Recurrent UTI definition is precised in these guidelines.
  Pelvi-périnéologie 04/2012; 4(4):304-308. · 0.07 Impact Factor
• Article: Recommandations du Comité d’infectiologie de l’AFU: diagnostic, traitement et suivi des infections communautaires bactériennes de l’appareil génital de l’homme adulte: prostatites aiguës

  F. Bruyère, H. Bugel, G. Cariou, J.-P. Boiteux, A. Hoznek, J.-P. Mignard, L. Escaravage, L. Bernard, A. Sotto, C.-J. Soussy, P. Coloby, CIAFU
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  ABSTRACT: Un tableau d’infection urinaire fébrile de l’homme doit faire évoquer a priori une prostatite aiguë. Les examens complémentaires rechercheront des signes de gravité et un résidu postmictionnel qui nécessitera un drainage. Les valeurs du PSA et de l’échographie endorectale sont rappelées. Un traitement antibiotique probabiliste par C3G ou fluoroquinolone de trois à six semaines est recommandé. A urinary infection in a febrile man is classiquely defined as a prostatitis. Investigation exams look for complicating factors or post-voiding residual that should be drained. PSA and endorectal ultrasound value are discussed in these guidelines. Antibiotic treatment should begin with a fluoroquinolone or cephalosporin gr 3 for 3–6 weeks. Mots clésProstatite-Culture bactérienne-Antibiotiques-Recommandations KeywordsProstatitis-Bacterial culture-Antibiotic-Guidelines
  Pelvi-périnéologie 04/2012; 5(1):71-75. · 0.07 Impact Factor
• Article: [Recommendations for best practice for prostate biopsy].

  A Ouzzane, P Coloby, J-P Mignard, J-P Allegre, M Soulie, X Rebillard, L Salomon, A Villers
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  ABSTRACT: the aim of these recommendations is to help urologists to optimize prostate biopsy practice in order to improve diagnosis yield and to minimize associated morbidity. online systematic literature search was performed on PubMed until April 2010. Regulation texts, published guidelines and results of recent urologists practice study, were taken into consideration. Level of evidence was assigned to each recommendation. patient information must be prior to the procedure and should be given through a medical exam by the physician performing the biopsies. The check for complication risk factors (allergic, infectious, hemorrhagic) had to be done preoperatively by the physician during the medical exam. The use of single systemic antibiotics is recommended and Quinolones are the drugs of choice (level of evidence 2). Biopsies should be performed on outpatient basis to assess the safety of the procedure. Transrectal route and ultrasound guidance are state-of-the-art. Local anaesthesia with peri-prostatic block is recommended (level of evidence 1). On baseline biopsies, extended 12-cores scheme should be performed. Urine retention and severe postbiopsies infections have been reported in less than 1% of cases. Optimal management of severe post-biopsies infections is based first on patient information and require hospital intravenous antibiotic therapy. to improve the sensitivity and to reduce the risk of complication, achievement of prostate biopsies should follow a standardized procedure.
  Progrès en Urologie 01/2011; 21(1):18-28. · 0.58 Impact Factor
• Article: Recommandations pour la bonne pratique des biopsies prostatiques

  A. Ouzzane, P. Coloby, J.-P. Mignard, J.-P. Allegre, M. Soulie, X. Rebillard, L. Salomon, A. Villers
  Progres En Urologie - PROG UROL. 01/2011; 21(1):18-28.
• Article: [Diagnosis and treatment of acute uncomplicated urethritis of men: guidelines from the French committee of infectious disease of the French association of urology (CIAFU)].

  G Cariou, A Sotto, H Bugel, L Escaravage, J-P Mignard, A Hoznek, L Bernard, J-P Boiteux, M Thibault, C-J Soussy, P Coloby, F Bruyère
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  ABSTRACT: Resistance progression of the Neisseria gonorrhoeae to quinolones and the decreasing sensitivity to cephalosporin implicate to actualise the guidelines for managing urethritis. We present the guidelines from the committee of infectious diseases of the French Association of Urology to manage acute urethritis.
  Progrès en Urologie 03/2010; 20(3):184-7. · 0.58 Impact Factor
• Article: [Recommendations of the Infectious Disease Committee of the French Association of Urology (AFU): antibiotic prophylaxis for urological procedures].

  F Bruyère, A Sotto, L Escaravage, G Cariou, J-P Mignard, P Coloby, A Hoznek, L Bernard, J-P Boiteux, M Thibault, C-J Soussy, H Bugel
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  ABSTRACT: The French Association of anesthesiology (SFAR) has published in 1999 the Antibiotic prophylaxis guidelines. Antibiotic resistance has increased and new procedures appeared so new recommendations were needed. We present the antibiotic prophylaxis guidelines from the committee of infectious diseases of the French Association of Urology.
  Progrès en Urologie 02/2010; 20(2):101-8. · 0.58 Impact Factor
• Article: Recommendations of the AFU (French Urological Association) Infection Committee: diagnosis, treatment and follow-up of community acquired bacterial infections of the adult male genital tract: acute prostatitides

  F. Bruyère, H. Bugel, G. Cariou, J.-P. Boiteux, A. Hoznek, J.-P. Mignard, L. Escaravage, L. Bernard, A. Sotto, C.-J. Soussy, P. Coloby
  Pelvi-périnéologie 01/2010; 5(1):71-75. · 0.07 Impact Factor
• Article: Recommandations de bonnes pratiques cliniques : l’antibioprophylaxie en chirurgie urologique, par le Comité d’infectiologie de l’association française d’urologie (CIAFU)

  F. Bruyère, A. Sotto, L. Escaravage, G. Cariou, J.-P. Mignard, P. Coloby, A. Hoznek, L. Bernard, J.-P. Boiteux, M. Thibault, C.-J. Soussy, H. Bugel
  Progres En Urologie - PROG UROL. 01/2010; 20(2):101-108.
• Article: Recommandations de bonnes pratiques cliniques : diagnostic et traitement des uréthrites aiguës non compliquées de l’homme, par le comité d’infectiologie de l’Association française d’urologie (CIAFU)

  G. Cariou, A. Sotto, H. Bugel, L. Escaravage, J.-P. Mignard, A. Hoznek, L. Bernard, J.-P. Boiteux, M. Thibault, C.-J. Soussy, P. Coloby, F. Bruyère
  Progres En Urologie - PROG UROL. 01/2010; 20(3):184-187.
• Article: [Sterilization and disinfection of endoscopes in urology].

  E Lechevallier, C Saussine, O Traxer, J-P Mignard
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  ABSTRACT: Sterilization and disinfection of endoscopes take account of the risk of transmitted infections and nosocomial infections. These risks are ruled by legal texts. Urology is a high risk speciality. The material which is used must be single use or at least sterilisable (18min at 134 degrees C). Flexible endoscopes are sensitive to high temperatures and needs disinfection, and immediate use. These steps are subjected to quality control rules and marking.
  Progrès en Urologie 01/2009; 18(12):955-8. · 0.58 Impact Factor
• Article: [Diagnosis, treatment and follow-up of community-acquired bacterial infections of the urinary system of men and women (acute cystitis and acute pyelonephritis) and of the genital system of men (acute prostatitis): general remarks].

  F Bruyère, G Cariou, J-P Boiteux, A Hoznek, J-P Mignard, L Escaravage, L Bernard, A Sotto, C-J Soussy, P Coloby
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  ABSTRACT: Urinary tract infections are frequent. The aim of these guidelines is to improve the management of urionary tract infections. Increasing antibiotic prescriptions may increase bacterial drug resistance. Asymptomatic bacteriuria, bacterial count, pyuria are defined and the clinical value of the bacterial culture and urinary dipstick test are discussed. The good antibiotic use depends on bacteriological, pharmaceutical, patient characteristics and economic findings which are precised in these guidelines.
  Progrès en Urologie 04/2008; 18 Suppl 1:4-8. · 0.58 Impact Factor
• Article: [Acute cystitis].

  F Bruyère, G Cariou, J-P Boiteux, A Hoznek, J-P Mignard, L Escaravage, L Bernard, A Sotto, C-J Soussy, P Coloby
  [show abstract] [hide abstract]
  ABSTRACT: The management of uncomplicated lower urinary tract infections (UTI) implicate to look for risk factors and complications. Bacterial or radiological exams are not recommanded and short course of antibiotic is effective for treating uncomplicated UTI. Complicated UTI needs clinical, bacteriological and radiological exams, longer treatments are recommanded. Recurrent UTI definition is precised in these guidelines.
  Progrès en Urologie 04/2008; 18 Suppl 1:9-13. · 0.58 Impact Factor
• Article: [Acute prostatitis].

  F Bruyère, G Cariou, J-P Boiteux, A Hoznek, J-P Mignard, L Escaravage, L Bernard, A Sotto, C-J Soussy, P Coloby
  [show abstract] [hide abstract]
  ABSTRACT: A urinary infection in a febrile man is classiquely defined as a prostatitis. Investigation exams look for complicating factors or post voiding residual which should be drained. Antibiotic treatment should begin with a fluroquinolone or cephalosporin gr 3 for 3 to 6 weeks.
  Progrès en Urologie 04/2008; 18 Suppl 1:19-23. · 0.58 Impact Factor
• Article: [Acute pyelonephritis].

  F Bruyère, G Cariou, J-P Boiteux, A Hoznek, J-P Mignard, L Escaravage, L Bernard, A Sotto, C-J Soussy, P Coloby
  [show abstract] [hide abstract]
  ABSTRACT: The initial management of pyelonephritis needs to look for complicating factors. Ultrasound and X ray of the abdomen are able to rule out a urinary dilatation or a stone. The treatment is then surgical with renal drainage. Additional investigations such as a CT scan should be performed in patients with complicating factors or recurrence. In uncomplicated pyelonephritis a ambulatory treatment with 2 weeks of fluoroquinolones or cephalosporine Gr3 is sufficient. More severe cases should be admitted to a hospital and treated with initial cephalosporin Gr 3 plus aminoside for 3 to 6 weeks.
  Progrès en Urologie 04/2008; 18 Suppl 1:14-8. · 0.58 Impact Factor
• Article: [Diagnosis, treatment and follow-up of community-acquired bacterial infections of the urinary system of men and women (acute cystitis and acute pyelonephritis) and of the genital system of men (acute prostatitis): methodology].

  F Bruyère, G Cariou, J-P Boiteux, A Hoznek, J-P Mignard, L Escaravage, L Bernard, A Sotto, C-J Soussy, P Coloby
  Progrès en Urologie 04/2008; 18 Suppl 1:1-3. · 0.58 Impact Factor
• Article: [Endoscope disinfection].

  J P Mignard
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  ABSTRACT: Economic considerations currently limit the idea of the disposable flexible endoscope, which would guarantee absolute safety against the transmission of infections. Since the endoscope is made of a heat-sensitive material, it is impossible to sterilize it by autoclave. A disinfection procedure must therefore be applied, which, although it does not guarantee the same level of safety as classical sterilization, provides a sufficient reduction in the microorganism load. This procedure is carried out in two steps: first cleaning by mechanical action using a detergent, then the actual disinfection by soaking in a disinfectant bath. As urine is a sterile milieu, a high-level disinfection--bactericide, virucide, fungicide, and sporicide--should be implemented by soaking for 30 min in a peracetic acid bath. Prion risk, which must systematically be taken into account, can be controlled by a double cleaning method eliminating all proteic debris and by replacing glutaraldehyde with peracetic acid.
  Annales d Urologie 12/2006; 40 Suppl 3:S91-3. · 0.36 Impact Factor
• Article: [Practice in private professional corporations].

  G Leguillon-Geffard, J P Mignard
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  ABSTRACT: Since 1992, doctors may exert through a private professional corporation. The Decree no 94-680 of 3rd of August 1994 details the new regulation. For physicians used to the liberal scene, one of the greatest innovation is the payment mode. It is basically divided in two parts: the work remuneration as wages or management allowance, and capital remuneration as dividends. This last possibility offering important savings on social contribution, social contribution being calculated only on the work remuneration part. Taxation being in this case a taxation of the company and of the physician on his incomes and dividends. It is a precious instrument to take part in a regrouping and to integrate new associates. Nevertheless it still is an individual's choice and before getting engaged, consequences of the choices selected have to be appreciated with a qualified professional.
  Annales d Urologie 12/2005; 39 Suppl 5:S160-3. · 0.36 Impact Factor
• Article: [Endoscopes in urology: disinfection, sterilization, labeling and tracking. Circulars and decrees. Modes of application and commentary. The Committee of Infectious Diseases of the French Association of Urology. Congressional forum UFA--Paris, November 1996. DGS Circular 20 October 1997].

  B Lobel, M Blitz, M Anidjar, J L Sachot, C Abbou, J P Mignard, J P Latrive, P Leroux, A Lepoutre, C Dumartin
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  ABSTRACT: Administrative texts published in 1995, 1996 and 1997, have reinforced materiovigilance and impose disinfection precautions for endoscopes. The steps of disinfection of non-sterilizable endoscopes are: preliminary treatment, rinsing, actual disinfection, final rinsing, storage (see: Progrès en Urologie, 1997, 7, 505-507). Each procedure from collection of the endoscope until storage must be defined by written standard operating procedures validated by CLIN. The risk of transmission of Creutzfeld-Jakob disease requires autoclaving, which is only possible, at the present time, with the most recent rigid endoscopes. Until disinfection has become generalized, the traceability of endoscopes (labelling, utilization files) must be established on the model recommended for haemovigilance (circular of 02/04/96).
  Progrès en Urologie 02/1998; 8(1):106-12. · 0.58 Impact Factor
• Article: [Disinfection and sterilization of endoscopes in urology. The Committee on Infection of the French Association of Urology].

  B Lobel, C Abbou, M Anidjar, M Blitz, P Leroux, J P Mignard, J L Sachot
  Progrès en Urologie 07/1997; 7(3):505-7. · 0.58 Impact Factor