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Master Thesis

Évaluation du dispositif de prise en charge des situations d'exposition au risque viral chez l'adulte : exemples des CHU de Grenoble et CHR de Chambéry

Abstract : In french hospitals, a viral exposure situations management procedure exists since 1995. Despite the introduction in 2005 of the Regional Coordinating Committees for the fight against HIV (COREVIH) and the highlighting of difficulties in implementing the recommendations, few evaluations of this procedure have been initiated, especially in our region. The main objective of this study was to conduct an assessment of professional practices targeted to the procedure in place in two hospitals in the Alps: the University Hospital of Grenoble and the Regional Hospital of Chambéry. The methodological tool used was the professional practices repository of the French Society for the Fight against AIDS. An organizational audit was first conducted with workers of the device, followed by a clinical review of medical records for a period of one year. The interviews revealed a strong involvement of stakeholders in the system despite a lack of continuous formation. Clinical audit showed non-conformity in the management, especially for sexual viral exposure. Consultation delays were too long, post-exposure treatment was over-prescripted , and bio-clinical follow-up was irregular. Development of training materials for professionals, and information campaigns for the general population need to be planned. An expansion of the scheme to non-hospital facilities (screening centers, general practitioners and ambulatory specialists, patient associations) would improve the prevention of recurrence of non-professional AEV. COREVIHs will therefore have their place in the process of improving quality of care and their role should be reaffirmed.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00637897
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Submitted on : Thursday, November 3, 2011 - 11:32:19 AM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
Long-term archiving on: : Saturday, February 4, 2012 - 2:27:04 AM

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  • HAL Id : dumas-00637897, version 1

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Julia Krotoff. Évaluation du dispositif de prise en charge des situations d'exposition au risque viral chez l'adulte : exemples des CHU de Grenoble et CHR de Chambéry. Médecine humaine et pathologie. 2011. ⟨dumas-00637897⟩

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