Apport des thèses des internes militaires pour la prise en charge et la prévention des maladies infectieuses dans les armées

Abstract : Introduction: Infectious diseases have a severe impact on operational availability and health of soldiers. This study describes infectious diseases related French military medicine doctoral theses, through their methods, topics and utilizations, in order to propose ways of improvement for clinical research in the French Military Medical Service. Materials and methods: the theses were selected within two stages from the thesis subjects list hold by French Military Medical Service Academy. The texts were retrieved as electronic documents. A standardized reading grid enabled the collection of the criteria of interest in the form of an Excel table. Statistical analysis used Epi info 7 software. Results: 151 doctoral theses were included, including 130 general practitioners theses (86%). Most of them were epidemiological, descripting and retrospective studies. 58,7% involved military patients. 76,2% were military-relevant topics. General practitioners’ theses were significantly associated with military relevance. 37% of the theses were no related with primary care and 59% were not useful for foreign operations. The main studied diseases were malaria and chikungunya. Respiratory, cutaneous and intra-abdominal infections were the main syndromes. The main clinical situation was infectious emergency. The main transversal topics were immunizations, secluded medicine, foreign operations epidemiology and troops medicine. 11,9% were published on PubMed database. 2,7% were published in the French Military Health Service journal. Internal valorization of the studies was very poor. Conclusion: Even though infection-related military these topics are manifold, their relevance for the army must be improved. The French Military Medical Service must develop a scientific research policy involving junior doctors.
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Augustin Chidaine. Apport des thèses des internes militaires pour la prise en charge et la prévention des maladies infectieuses dans les armées. Sciences du Vivant [q-bio]. 2018. ⟨dumas-01977088⟩

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