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Master Thesis

Les antibiotiques et nos patients : étude descriptive quantitative auprès de patients en cabinet de médecine générale

Abstract : Introduction: The emergence of antibiotics remains one of the major discoveries in the history of medicine. But their abusive and inappropriate use has provided resistance to bacteria, resulting in a decrease in their effectiveness. In 2019, in view of French consumption, it is likely that antibiotics have become a regular drug in family pharmacy and could therefore be reused without medical advice at a time when patients are becoming increasingly autonomous with regard to their health. Objectives: To quantify the frequency of self-medication with antibiotics in patient consultants in general practice. To highlight factors explaining this phenomenon of self-medication with antibiotics. Evaluate patient knowledge and compliance with antibiotics in general practice. Materials and methods: Descriptive quantitative study using anonymous self-administered closed-ended questionnaires in adult patients in 10 general practices located in the Bouches du Rhône department between June and September 2018. Results: 194 patient questionnaires were used for this study. The patients interviewed were mostly women (66.49%) and the average age was 50.2 years. Our study revealed that 26.29% of patients were self-administered with antibiotics, 76.47% were from an old personal prescription; 76.47% of patients reused the antibiotic without medical advice as previously prescribed. Paradoxically, 89.18% of patients found self-medication with antibiotics to be risky. 106 patients interviewed replied that antibiotics were used to treat bacterial infections (54.64%). The phenomenon of antibiotic resistance was unknown for 26 of the patients surveyed in this study (13.40%). Conclusion: It is essential to better inform patients about the indications for the use of antibiotics but also to integrate the serious consequences of their misuse on health but also on the environment. The fight against selection pressures and bacterial resistance to antibiotics is a major focus for improving practices in our country.
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Submitted on : Thursday, December 19, 2019 - 3:37:53 PM
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Charlotte Colleu. Les antibiotiques et nos patients : étude descriptive quantitative auprès de patients en cabinet de médecine générale. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02419607⟩



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