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Master Thesis

Les Infections urinaires en médecine générale : prévalence et prise en charge diagnostique. Données de l’étude ECOGEN

Abstract : Background: Urinary tract infections (UTI) are a common problem in primary care. However, there are no recent French data regarding prevalence and clinical management of UTI in primary care. The main aim of this study was to describe the patient’s characteristics, clinical settings and practitioner’s characteristics which explained the clinical management of patients with UTI. The secondary aim was to describe the prevalence of UTI in a primary care population. Methods: ECOGEN was a multicenter, cross-sectional national study, led in general practice in France. Investigators were graduate trainees, during their clerkship in general practice. Data were collected and recorded using the International Classification of Primary Care (ICPC-2). Our study focused on the Results of consultation related to situations of cystitis, pyelonephritis and prostatitis. Results: Our study included 340 consultations or home visits. Reagent strips and urinalysis were used respectively in 15.6% and 47.9% of UTI. Urinalysis were used more frequently than reagent strips, regardless the type of UTI. Reagent strip or imagery were more often prescribed to younger patients. Consultation length increased with an urinalysis prescription. General practitioners with heavy workload prescribed more urinalysis. Prevalence of UTIs were 1.66 % (cystitis: 1.28%; pyelonephritis: 0.20%; and prostatitis: 0.14%) with female predominance (82%). Conclusions: General practitioners didn't follow French guidelines about the use of reagent strips and urinalysis. Further studies exploring use determinants of reagent strips and its accuracy in primary health care are necessary.
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Master Thesis
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Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, February 10, 2016 - 12:28:10 PM
Last modification on : Wednesday, August 23, 2017 - 4:33:09 PM
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  • HAL Id : dumas-01272164, version 1



Hubert de Lary de Latour. Les Infections urinaires en médecine générale : prévalence et prise en charge diagnostique. Données de l’étude ECOGEN. Médecine humaine et pathologie. 2016. ⟨dumas-01272164⟩



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