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, Céphalées: I__I Ictère: I__I Suffus conjonctivales: I__I Sd méningé: I__I Ss cardiaque: I__I Sd hémorragique: I__I Sd rénal: I__I Frissons: I__I Asthénie: I__I Confusion: I__I Nausées/vomissements: I__I Signes respiratoires: I__I Autres symptômes
Evaluation clinique du score de Faine chez les patients suspects de leptospirose au Centre Hospitalier Territorial de, 2018. ,
, Le score de Faine a été proposé par l'OMS pour diagnostiquer la leptospirose sur des critères épidémio-cliniques (parties A et B) et biologiques (partie C). L'objectif principal de l'étude était d'évaluer la pertinence des critères épidémio-cliniques du score de Faine (« SF A+B ») chez les patients suspects de leptospirose en Nouvelle-Calédonie. Méthodes : Une étude cas-témoin monocentrique a été menée chez les patients suspects pour lesquels une PCR leptospirose a été réalisées dans les 7 premiers jours des signes au CHT du 01/01, Le diagnostic clinique est souvent difficile et l'évolution peut être rapidement fatale nécessitant une prise en charge spécifique avant la confirmation biologique, pp.2018-2019
, Introduction: Leptospirosis is an endemic zoonosis in New Caledonia. Clinical diagnosis is often difficult and the evolution can be fatal requiring a specific management before biological confirmation. Faine score has been suggested by WHO to diagnose leptospirosis on epidemiological (parts A and B) and biological
, Methods: A monocentric case-control study was conducted in suspect patients for whom a leptospirosis PCR was done in the first 7 days of signs at the CHT from 01/01/2018 to 01/04/2019. Cases and Controls were matched on sex and age category with a ratio of 1:2. A bivariate then multivariate analysis studied the association between the "SF A+B" score and a positive Leptospirosis PCR, adjusted on the variables retained. Results: 35 cases and 70 controls selected randomly were analysed. Multivariate analysis by logistic regression found a significant association between a "SF A+B" score taken from the categories