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Master Thesis

Étude des connaissances sur la grippe saisonnière et ses complications chez des patients de médecine générale de différentes régions de l’île de la Réunion relevant de l’indication de vaccination antigrippale

Abstract : Background: The seasonal flu mainly affects Reunion Island during the austral winter and the patients at risk form either correct or erroneous opinions about it. Access to information and care is sometimes limited. Immunization coverage is low. The main objective was to study the knowledge on influenza and its complications, in patients of the 4 regions of the island who fall within the indication for anti‐influenza immunization. The information received by patients, vaccination rates, the hindrances and key motivations for vaccination were also analysed. Methods: A cross‐sectional descriptive study was conducted from April to December 2014. 28 general practitioners were randomly selected, 7 per region (North, South, East, West). 10 patients suitable for influenza vaccination were sampled for each doctor. Two questionnaires (one doctor and one phone call to the patient) were used to analyze patients' knowledge about the flu, in an independent and comprehensive manner, by scoring responses in various subjects (symptoms, severity, complications, transmission, infectiousness). Results: 277 patients were included. The knowledge scores are not different between regions, except for the infectiousness of flu (p<0.001) and the methods of protection (p=0.03) in favour of the Northern and Western regions. Patients understanding of influenza is good on certain subjects (potential severity, complications, transmission methods, means of protection), average on others (infectiousness, symptoms) and bad on one subject (treatment by antibiotics). The immunization coverage (patients/doctors) is lower than in mainland France. Hindrances and key motivators towards vaccination are comparable. The information about vaccination comes mainly from a care voucher sent to eligible patients or from their general practitioner. Conclusion: Information drives on Reunion island must continue whilst turning their attention towards the lesser‐known subjects for both patients and healthcare workers. Primary prevention through immunization is often realized by the general practitioner and must be encouraged.
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Master Thesis
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Submitted on : Friday, August 28, 2015 - 1:52:40 PM
Last modification on : Wednesday, August 23, 2017 - 4:33:53 PM
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Antoine Juhel. Étude des connaissances sur la grippe saisonnière et ses complications chez des patients de médecine générale de différentes régions de l’île de la Réunion relevant de l’indication de vaccination antigrippale. Médecine humaine et pathologie. 2015. ⟨dumas-01188063⟩

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