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Master Thesis

La précarité sociale est-elle un facteur de risque de prescription inappropriée d’antibiotiques : revue systématique de littérature

Abstract : Health social inequalities are defined as socially stratified health status gaps. In the health sector, they are a full picture of existing inequalities between social groups. Social precariousness is related to healthcare inequalities. The general practitioner is the main contact of the precarious people. In France, he’s the main prescriber of antibiotics, the prescribing of which is constantly increasing. Are inappropriate antibiotic prescribing and social precariousness related? The main objective of our work is to find out a relationship between social precariousness and inappropriate antibiotic prescribing. We have performed a systematic literature review, based on the criteria published by the international recommendations Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). The search has been done over three databases: PubMed, Web of Science, Pascal and Francis, as well as through manual research. 11 articles were selected. Inappropriate antibiotic prescribing (over prescription or second-line antibiotics from the outset) is more important regardless of the indicator of precariousness chosen: level of education, income, geographical origin, poor health coverage, unemployment and single-parent families. The misuse of antibiotics is increasing with social precariousness, regardless of the fragility parameter chosen. More accurate studies on the reasons for this misuse in these populations, allowing for more appropriate management, are needed to limit this misuse.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02494192
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Marion Deguillard, Guillaume Couet. La précarité sociale est-elle un facteur de risque de prescription inappropriée d’antibiotiques : revue systématique de littérature. Médecine humaine et pathologie. 2019. ⟨dumas-02494192⟩

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