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Master Thesis

Connaissance et utilisation du paracétamol par les patients suivis par un médecin traitant en Guadeloupe

Abstract : Aims: Evaluating the knowledge and use of paracetamol amongst patients who have a family doctor in Guadeloupe. Methods: A multi-center observational transverse study was conducted in 18 pharmacies randomly selected (adjusted to the municipalities’ population) in Guadeloupe between the 2nd and the 12th of January 2018. The patients included in the study were adults and had a family doctor in Guadeloupe for more than one year. A questionnaire was implemented by one interviewer. Results: 120 patients were included in the study. The study's population was representative of the Guadeloupean population (with nonetheless an under representation of Cap excellence's population). 4,3% of the population declared using daily dosis superior to 4gand 7% declared taking paracetamol dosis under 4h. Elderly patients were half as young patients to have a good knowledge of paracetamol (p = 0,019); as well as patients with no diploma compared to patients with a diploma (p = 0,039). Lack of knowledge concerning the composition of drugs containing or not paracetamol was important. 44, 1% of patients had used paracetamol in the last month. Women were twice as much as men to use paracetamol at least once monthly (p= 0,026). Hepatic risk was known by 34% of patients; 36% of patients declared that an overdose could not be lethal. Elderly people had a better medical follow up, and were the category less prone to self-medicating. Only 13% of patients declared receiving information on paracetamol risks from their family doctor with no improvement on their knowledge about risks. Conclusions: This study shows that Guadeloupe’s population is at risk of overdose by paracetamol, due to a bad knowledge, particularly amongst elderly people or people with low educational level. Information regarding risks should be given by doctors and pharmacists.
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Master Thesis
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Colin Fontvieille. Connaissance et utilisation du paracétamol par les patients suivis par un médecin traitant en Guadeloupe. Médecine humaine et pathologie. 2019. ⟨dumas-02948563⟩

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