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Master Thesis

Dermatologie à l’officine : étude observationnelle de 110 demandes d’avis dermatologiques

Abstract : Requests for dermatological advice in dispensary pharmacies appear to be frequent, the skin lesions being easily visualizable by the pharmacist with the naked eye. The acute lesions, of various etiologies, can represent diagnostic and therapeutic difficulties for the pharmacist. Chronic dermatoses, on the other hand, have a strong impact on the quality of life of patients. By participating in therapeutic education, the pharmacist can improve therapeutic adherence. Although some studies have dealt with the subject of dermatoses in the pharmacy on a theoretical level, none of them have, to our knowledge, concerned the requests for dermatological advice in the daily practice of a pharmacy. So we have conducted a prospective, single-center study of these requests during 8 months. Our main objective was to determine their frequency and to describe them. The secondary objectives were to describe the diagnosis, the treatment delivered and the potential orientation of the patient to a medical consultation. Requests for dermatological advice concern 0.3% of patients presenting to the pharmacy. 90% of these requests are for acute lesions, traumatic (17% wounds), infectious (herpes 10%), and environmental (8% cold-related injuries, 7% insect bites). Other requests concern inflammatory or mycotic lesions. In 78% of the cases, a topical treatment associated or not with a dermocosmetic is proposed. In 50% of cases, this therapeutic proposal is considered sufficient, while in 28% it is associated with a medical orientation. Finally, 22% of cases require rapid medical consultation. In order to optimize patient care at the pharmacy, our work could be the first step in a collaboration between the National Order of Pharmacists and the French Society of Dermatology in order to realize tools at the pharmacy in Dermatology.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01626357
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Submitted on : Monday, October 30, 2017 - 4:37:36 PM
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Camille Gertoux. Dermatologie à l’officine : étude observationnelle de 110 demandes d’avis dermatologiques. Sciences pharmaceutiques. 2017. ⟨dumas-01626357⟩

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