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Master Thesis

Prévalence des infections uro-génitales à Chlamydia trachomatis en cabinet de médecine générale et acceptabilité/faisabilité d'un programme de dépistage

Abstract : Background. Chlamydia trachomatis is the most common bacterial Sexually Transmitted Disease in industrialized countries. This infection, asymptomatic most of the time, can lead in women to chronic complications in the upper reproductive organs, with important sequelae. Nevertheless, powerfull diagnostic and therapeutic resources exist for this STD. Objectives. To estimate the prevalence of this STD in general medicine and to evaluate the acceptability/feasibility of a screening program. Methods. A cohort study, during 3months, with 494 patients aged from 18 to 30 years old, sexually active, without any urogenital symptom and 40 General Practitioners in department of Savoie, in France. We used the self-collected vaginal swab and molecular biology with nucleic acid amplification test. Results. The overall prevalence is 1.7% (2.4% in women from 18 to 24 years old; 1.2% in women from 25 to 29 years old). 91.4% of patients accepted the test and 99.3% did agree to do it again if necessary. The GPs accommodated the screening program but indicate that it takes a lot of time to explain to the patients. Conclusion. A systematic screening program only based on age is not justified, at GPs'. We have to define risk factors to target patients to screen. The patients and GPs' positive attitude in this study encourage us to think that an opportunistic screening program should be possible but with screening campaign.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00618667
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Submitted on : Thursday, May 17, 2012 - 6:22:36 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
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Stéphanie Faverjon. Prévalence des infections uro-génitales à Chlamydia trachomatis en cabinet de médecine générale et acceptabilité/faisabilité d'un programme de dépistage. Médecine humaine et pathologie. 2011. ⟨dumas-00618667⟩

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