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Master Thesis

Construction d'un prototype d'outil d'aide à la décision pour le traitement de la cystite simple en soins primaires

Abstract : Context: uncomplicated urinary tract infection (uUTI) is a frequent reason for consulting a general practitioner. The risk of pyelonephritis is low. Antibiotics are prescribed empirically for symptomatic purposes. It can induce undesirable effects and resistance. Patients sometimes wish to avoid taking antibiotics. Some European countries recommend discussing a delayed prescription with the patient and developing a shared decision. Objective: the aim of our study is to develop a patient decision aid (PtDA) that can be used in primary care to make a shared decision about whether to treat uncomplicated urinary tract infection with antibiotics or not. Method: we followed the steps recommended by the International Patient Decision Aids Standards, which include a design phase (focus groups, bibliography) and an alpha-testing phase. A steering group developed a draft and then final version of a prototype PtDA. Results: the information included in the PtDA is the definition of uUTI, information on the options, their benefits, risks and consequences. The patient's values and preferences to be considered in the decision are related to the discomfort felt, the impact on daily life, the representations of the antibiotic, the position relative to the risk of adverse effect. Discussion: our results confirm a need for decision making and the equipoise in this situation. We lacked advice from outside physicians in the study. This PtDA needs to be validated in a beta-testing phase. It must then be tested in a clinical study comparing its use with the systematic prescription approach.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02973837
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, October 21, 2020 - 12:22:21 PM
Last modification on : Saturday, November 7, 2020 - 3:12:29 AM

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Clotilde Buffeteau, Adèle Frachon. Construction d'un prototype d'outil d'aide à la décision pour le traitement de la cystite simple en soins primaires. Médecine humaine et pathologie. 2020. ⟨dumas-02973837⟩

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