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, Résumé : étude épidémiologique sur la couverture vaccinale du sujet de 75 ans et plus, en cabinet de médecine générale
, Contexte : la couverture vaccinale du sujet âgé n'a
, Objectif : décrire le pourcentage de patients de 75 ans et plus suivis en médecine générale en Picardie, ayant un calendrier vaccinal à jour
, Matériel et méthode : étude de 200 dossiers patients chez 20 médecins généralistes installés en Picardie, pp.2017-2018
Notre étude retrouve 75 (37,5%) dossiers sans aucune information disponible. Les régressions logistiques objectivent que le genre masculin du patient, du praticien et l'activité en zone urbaine serait protecteurs vis-à-vis du manque de données pour le vaccin dTP. L'exercice en milieu rural influe négativement sur la vaccination dTP. Conclusion : la couverture vaccinale reste déficiente au cabinet de médecine générale, 4%) dossiers. Les couvertures vaccinales prise individuellement et en excluant les données manquantes étaient de : 71 (75%) ,
, Mots clés : étude épidémiologique, vaccination, médecine générale, santé publique Abstract : Epidemiological Study on the Vaccination Coverage in the population of patient aged 75
According to the Study of 200 Patients Followed by General Practitioners of the, pp.2017-2018 ,
, Background: Immunization coverage of eldery persons has never been studied on an epidemiological study at the general practice office
, Objective: the percentage of patients aged 75 years and older follow up on general practice office in Picardy, with an up-to-date immunization schedule
, Methods: study of 200 patients files recorded in 20 general practitioners offices settled in Picardy, pp.2017-2018
, Individual vaccine coverage and excluding missing data were : 71 (75%), 73 (71%), 1 (1.2%) for dTP, influenza and shingles. 28 (43.7%) of patients with a risk of invasive pneumococcal disease were not vaccinated. Influenza vaccine coverage is better among practitioners who are settled since less than 10 years (p = 0.0001). Our study found 75 (37.5%) medical files without any information available. The logistic regressions show that the male gender of the patient, practitioner and activity in the urban area is protective against the lack of data for the dTP vaccine
, Conclusion: Vaccine coverage remains deficient in the general practice, with a important loss of data in the medical files of patient follow up in general prationners offices. Keywords : Epidemiological study, vaccination