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Master Thesis

Infections urinaires prises en charge aux urgences d’Agen : antibiothérapie et écologie bactérienne

Abstract : Background: urinary tract infections (UTIs) are a common reason for consulting in ambulatory care and emergency department. They are at the origin of potentially unsuitable antibiotic prescriptions. However, the non-coherent use of those molecules is a major determinant of antimicrobial resistance. Our principal objective was to evaluate the therapeutic management of community acquired urinary tract infections according to the recommendations of May 2014 by the SPILF (French Infectious Pathology Society) in the Agen’s emergency department. Methods: the monocentric retrospective observational study has been conducted in the emergency service of Agen’s hospital between June 2015 and may 2016. Have been included dipstick urinalysis and cytobacteriological urinalysis of all patients aged 18 and over with suspected UTI regardless of the reason for their admission. It was an assessment of professional practices. Results: the therapeutic management was in accordance with SPILF recommendations in 45.2% of the cases for uncomplicated cystitis, 58.82% for complicated cystitis, 64.30% for uncomplicated acute pyelonephritis, 76.08% for complicated acute pyelonephritis and 96.30% for male cystitis. E.coli was found in most cases (82.60%). Other bacteria only represented 18% of the sample. 56.9% of the bacteria were multi-sensitive. The overall incidence of drug resistant E.coli was 41.6%. Conclusion: UTI’s therapeutic management in Agen’s emergency service was globally in accordance with the recommendations. The germs found in the emergency service have a comparable distribution to the ones found in the general population. This study offers quantitative insights opens up some lines of thoughts around professional practice improvements.
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Master Thesis
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Submitted on : Monday, June 29, 2020 - 3:03:39 PM
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Amandine Aubert. Infections urinaires prises en charge aux urgences d’Agen : antibiothérapie et écologie bactérienne. Médecine humaine et pathologie. 2019. ⟨dumas-02883885⟩



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