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Master Thesis

Etude des signes cliniques associés au diagnostic d’infection urinaire dans un contexte d’examen cytobactériologique des urines positif chez les sujets âgés de plus de 75 ans en médecine ambulatoire à Paris

Abstract : Urinary tract infection in the elderly is a common cause of consultation in general practice but the diagnosis remain complicated without clear recommandations. The aim of our study was to determinate the clinical signs associated with the diagnosis of urinary tract infection in an ambulatory population over 75 years in Paris. From june to october 2017, bacteriological urinary analysis from patients over 75 years old performed in an ambulatory laboratory were included.The primary objective was to determine clinical signs associated with urinary infections.. Secondary objective were to determinate the incidence of asymptomatic bacteriuria in an ambulatory elderly population, to determinate the bacteriological ecology and to describe the treatment. 98 bacteriological urinary analysis were included for analysis. Urinary burning was the only clinical sign associated with the diagnosis of urinary tract infection (OR 4.12 [1.1-16.1], p=0.04). The incidence of asymptomatic bacteriuria was 13.7%. Escherichia Coli was the main germ found. Treatment guidelines in this particular population were not applied. As conclusion, only urinary burning was associated with the diagnosis of urinary tract infection in an ambulatory population of patients over 75 years in Paris.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02479696
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Margaux Baque. Etude des signes cliniques associés au diagnostic d’infection urinaire dans un contexte d’examen cytobactériologique des urines positif chez les sujets âgés de plus de 75 ans en médecine ambulatoire à Paris. Médecine humaine et pathologie. 2018. ⟨dumas-02479696⟩

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