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Master Thesis

Facteurs associés au délai diagnostique de la syphilis

Abstract : Objective: To analyse diagnostic delay in syphilis patients. Introduction: Since 2000, a resurgence of syphilis has been observed in most developed countries. The time required for a proper diagnosis is a priority to help reduce risks of transmission, but also to help reduce consequences. Materials and Methods: Retrospective study. We evaluated the diagnostic delay and analyzed factors associated with delayed diagnosis among 48 patients diagnosed with syphilis at Rennes University Hospital from 2010 to 2015. Results: The median time between first symptoms and health care contact and the median time between this first health care contact and diagnosis were, respectively, 2 (IQR 0-8.5) and 1 week (IQR 0-4.5). History of sexually transmitted infections (STI), eye and neurosensory signs, were associated with a shorter delay before consultation. The initial consultation by a general practitioner was associated with a longer delay for medical diagnosis. History of STIs was associated with a shorter total diagnostic delay. Patients with delayed diagnosis were more likely to present with sequelae. Sexual orientation and risk practices were not correlated with diagnostic delay. Conclusion: Patients and health care workers must be aware of this resurgence and be informed about the most frequent symptoms, and the risk factors.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01745461
Contributor : Santé Rennes 1 <>
Submitted on : Tuesday, June 5, 2018 - 2:45:54 PM
Last modification on : Thursday, July 9, 2020 - 12:30:44 PM

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Pierre Lecomte. Facteurs associés au délai diagnostique de la syphilis. Sciences du Vivant [q-bio]. 2016. ⟨dumas-01745461⟩

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