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Master Thesis

Cystites récidivantes : profils des patientes et parcours de soins en région PACA est

Abstract : Introduction: In France, there are few epidemiological data on recurrent cystitis (CR). The care of women affected by this pathology at national and global level is disparate. Studies offering a comprehensive approach to these patients including those at risk of complication are rare. The aim of this study is to propose a categorization in typical profiles of patients with CR and to describe their current care pathway.
Material and method: We carried out a prospective cohorte study composed of women sent for CR in infectious diseases consultation of the University Hospital of Nice. A questionnaire was developed and validated by a multidisciplinary group of ResO InfectiO PACA EST and then filled by infectious diseases specialists during CR’s consultations. A collection of data was performed from the patient's questionnaire and medical records to identify their profiles and their care pathways.
Results: 202 patients were included from October 2016 to January 2019. The average age was 59 years old. 62% of the patients presented an anxious and/or depressive ground, the stress was a triggering factor for 35% of them. 54% were classified as CR at risk of complication. 56% of women suffered from chronic cystitis. 48% reported relapses mainly to E. coli. Patients at risk of complications were more exposed to misuse of antibiotics than others. Fluoroquinolones and third-generation cephalosporins were prescribed in 38% and 30% of cases in acute and 6% in prophylaxis. 74.5% of the patients were in menopause and had a menopausal genitourinary syndrome (GSM). The opinion of the infectious disease specialist was late in the CR’s evolution.
Conclusion: Our study propose a global approach and an inventory of the patient care pathway with CR. The important role of stress and anxiety, the frequency of the GSM and the misuse of antibiotics including those classified as critical. To improve our practices, it is essential to better know who is being cared for. The identification of patient profiles make it possible to consider individual and personalized care in accordance with the recommendations and by opening up to therapeutic alternatives.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02320030
Contributor : Bibliothèque Universitaire de Médecine Nice <>
Submitted on : Friday, October 18, 2019 - 2:01:17 PM
Last modification on : Sunday, October 25, 2020 - 7:05:50 AM

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Sarah Ben Hadj Messaoud. Cystites récidivantes : profils des patientes et parcours de soins en région PACA est. Médecine humaine et pathologie. 2019. ⟨dumas-02320030⟩

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