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N. Et, T. De-l'auteur-:-beaurain-claire, M. Calvados, and O. Français, Objectif : Dans un contexte d'émergence d'antibiorésistances, notre objectif était d'évaluer les pratiques sur la prise en charge des cystites de l'adulte en médecine générale en Normandie (départements 14, 50, 61) en collaborant avec les groupes qualité

, menée en 2018 en Normandie auprès de médecins généralistes membres de groupes qualité et d'un échantillon hors-groupe qualité, par l'intermédiaire d'un questionnaire sous forme de cas-vignettes. Etaient étudiées les cystites simples, à risque de complications, récidivantes et dues à un germe multi-résistant, en référence aux recommandations de la Société de Pathologie Infectieuse de Langue Française, 7% à germe multi-résistant. Pour les champs évalués, elle était de : 26,4% critères diagnostiques, vol.13, 2017.

, Conclusion : L'adhésion des médecins généralistes normands aux dernières recommandations sur la prise en charge des cystites de la femme adulte pourrait être améliorée. Il est nécessaire d'améliorer les connaissances sur la hiérarchisation des antibiotiques, la définition des cystites et la prise en charge des cystites à germe multi-résistant

T. Mots-clés-;-médecine-générale, M. Calvados, O. Collaboration, . Quality, . The et al., Methods: We performed a cross-sectional study of clinical practice in 2018 in Normandy with general practitioners participating in quality circles and a sample outside quality circles, by using a questionnaire composed of clinical vignettes. We studied simple, at risk of complication, recurrent and caused by multi-drugresistant bacteria cystitis, as referenced in the 2017 guidelines of the French Infectious Disease Society. Results: 142 general practitioners participated in this study. For each cystitis studied, the mean percentage of compliant responses was: 85.2% simple cystitis, 39.2% at risk of complication, 60.0% recurrent, 13.7% caused by multi-drug-resistant bacteria. For the type of criteria evaluated, it was: 26.4% diagnostic criteria, 76.5% diagnostic means and 44.3% treatments. Two criteria studied had less than 10% of compliant answers: knowledge of complication risk factors for cystitis (8.5%) and positivity thresholds of urine cultures (9.9%). Conclusion: The adherence of general practitioners to the current guidelines for cystitis in adult women could be improved, Antibiorésistance, Cas-vignettes, Cystite, Evaluation des pratiques professionnelles, Infections urinaires

. Key-words, Antibiotic resistance, Clinical vignettes, Cystitis, General practice, Measures of clinical practice