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Master Thesis

Prise en charge thérapeutique des infections urinaires communautaires de l'adulte par les médecins généralistes bas-normands : étude de l'adéquation de l'antibiothérapie probabiliste aux recommandations 2015 de la Société de Pathologie Infectieuse en Langue Française et analyse des différences de prise en charge entre les médecins exerçant en zones d’intervention prioritaires et ceux exerçant en zones non déficitaires en médecins généralistes

Abstract : Goals: we have assessed the compliance of the antibiotics used to treat urinary tract infections (UTIs) by general practitioners (GP) in Basse-Normandie. We used the guideline of the French Infectious Disease Society (SPILF) as reference. In a background of geographic divergences in primary health care, we were looking for differences between the management of patients suffering of UTIs by practitioners who work in deficit areas and ones who work in areas with sufficient practitioners. Material and method: we made an observationnal multicentric retrospective study with volontary GP. Each practitioner provided his 10 last cases of UTIs of 2017, then they completed a survey in order to establish the nosological categorizations. Then we analysed the prescribed molecule, the posology and the duration. Results: we recruted 25 GP providing 223 cases (140 cystitis, 32 male UTIs, 31 cystitis with risq of complication and 20 pyelonephritis). The prescribed antibiotic was conform in 74,4% of cases, but the global adequation was only of 56,5%. The cystitis’ management was significantly better than the management of the cystitis with risq of complication (p<0,001), of the male UTIs (p<0,012) and of the pyelonephritis (p<0,001). The study of the treatment depending on the area, in deficit of practioners or not, has shown no difference. Discussion: except in the case of cystitis for which the treatment is acquired, it seems necessary to help the practitioners strengthening their knowledges on the SPILF’s guidelines.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02298914
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Submitted on : Friday, September 27, 2019 - 11:59:16 AM
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Mylène Lebigot, Jonathan Boisset. Prise en charge thérapeutique des infections urinaires communautaires de l'adulte par les médecins généralistes bas-normands : étude de l'adéquation de l'antibiothérapie probabiliste aux recommandations 2015 de la Société de Pathologie Infectieuse en Langue Française et analyse des différences de prise en charge entre les médecins exerçant en zones d’intervention prioritaires et ceux exerçant en zones non déficitaires en médecins généralistes. Médecine humaine et pathologie. 2019. ⟨dumas-02298914⟩

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