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Master Thesis

POC et streptocoque B : pertinence et utilité du POC dans le dépistage du portage vaginal de streptocoque B chez la femme enceinte consultant en salle de naissance à l’Hôpital Nord de Marseille : évaluation des pratiques professionnelles sur l’année 2015

Abstract : Introduction: Since 2001, ANAES has been recommending vaginal sampling to detect group B streptococcus among pregnant women between 34 and 38 weeks of amenorrhoea. In 2008, the « Hôpital Nord » in Marseille implemented POC tests, faster than standard culture tests, based on the PCR method. Objectives: To describe indications of prescription and use of POC tests in the delivery unit at « Hôpital Nord », and to assess relevance of those indications at admission as well as the usefullness in patient care. Materials and method: This analysis of practices study is descriptive and retrospective, based on medical files of patients who delivered in 2015 at « Hôpital Nord », and to whom POC sample was taken on admission to the delivery unit or the high risk pregnancy unit. Results: Of the 437 POC samples taken in 2015, 232 were included. 124 POC at admission were relevant (53,4% of included POC). The most important motives of irrelevance were the reason for hospitalization (63%) and the presence of criteria for antibiotics treatment at admission (52,8%). Of the 232 POC included, only 8 have proved to be useful (3,4%). The principal motives of uselessness were negative result (90,1%), childbirth occuring before the result (17%) and admission of antibiotics before the result (12,5%). Conclusion: POC test is too systematic. It is used for patient who sould have been treated with antibiotics at admission, or for those where a standard vaginal sample should have been taken. The low utility rate is mostly because of the low proportion of positive POC tests, the only ones for wich patient care is actually modified by the result. Reframing the indication of POC tests is necessary at « Hôpital Nord », in order to optimise its use and to reduce useless medical expenses within AP-HM institution.
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https://dumas.ccsd.cnrs.fr/dumas-01633997
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Submitted on : Monday, November 13, 2017 - 4:00:25 PM
Last modification on : Monday, July 6, 2020 - 4:04:37 PM
Long-term archiving on: : Wednesday, February 14, 2018 - 3:51:35 PM

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  • HAL Id : dumas-01633997, version 1

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Marie Camensuli. POC et streptocoque B : pertinence et utilité du POC dans le dépistage du portage vaginal de streptocoque B chez la femme enceinte consultant en salle de naissance à l’Hôpital Nord de Marseille : évaluation des pratiques professionnelles sur l’année 2015. Gynécologie et obstétrique. 2017. ⟨dumas-01633997⟩

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