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Master Thesis

Étude des pratiques des médecins généralistes dans la prise en charge des infections urinaires à entérobactéries sécrétrices de bêta-lactamase à spectre étendu

Abstract : Urinary tract infection (UTI) caused by Enterobacteriaceae extended-spectrum-beta-lactamase (EESBL) is an unknown issue for most of the general practitioner (GP). The aim of this study was to evaluate their practice in case of EESBL discovered on a urine culture. This epidemiological, retrospective, multicenter and descriptive study was undertaken from the 1st of January to the 31st of December 2012, in 5 laboratories in Savoie and Isere. Urine cultures prescribed by GP and positive for EESBL were collected. Anonymous data, undertaken by questionnaires, were about antibiotic treatment conformity and specific hygiene measures settings. Also under consideration: EESBL prevalence, characteristics of the infections (community-associated, health-care associated or hospital-acquired), risk factors for EESBL colonization and related measures (specialist opinion, hospitalization, urine cultures screening). One hundred and three urine cultures out of 19 494 were considered, and 56 questionnaires included. Prevalence of EEBLS positive results was 0,6%. Antibiotic treatment was relevant for 35 patients (62,5%), specific hygiene measures were set up for 22 patients (32,3%). Thirteen patients (23,2%) received both antibiotic treatment and specific hygiene measures. Twenty seven patients (48,2%) were informed of the presence of a multi-drug resistant bacteria in their urine. In GP practice, concomitant settings of both antibiotic treatment and specific hygiene measures in case of urine culture positive for EESBL are an insufficient process and should be improved.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00877924
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Submitted on : Tuesday, October 29, 2013 - 1:55:57 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
Long-term archiving on: : Friday, April 7, 2017 - 6:35:48 PM

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  • HAL Id : dumas-00877924, version 1

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Coralie Miclot. Étude des pratiques des médecins généralistes dans la prise en charge des infections urinaires à entérobactéries sécrétrices de bêta-lactamase à spectre étendu. Médecine humaine et pathologie. 2013. ⟨dumas-00877924⟩

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