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Master Thesis

Suivi alterné ville / hôpital des patients sous PrEP (Prophylaxie de Pré-Exposition au VIH) : enquête de pratique auprès des médecins généralistes

Abstract : Introduction: the number of HIV’s new infections is relatively stable with conventional prevention methods. Pre-exposure prophylaxis (PrEP) is available in France since January 2016, and its prescription is renewable by general practitioners (GPs) since March 2017, in addition to the previous ones to match a multimodal prevention strategy. Since July 2018, the infectious diseases day hospital (HDJ) of Saint-André hospital (Bordeaux university hospital (BUH) has systematically offered each patient benefiting from PrEP to be taken care in alternation by their GP and the HDJ. The purpose of this study was to assess the GPs implication and the evolution of their practices as part of this new care. Materiel and method: we carried out a descriptive study between Decembre 11, 2019 and February 14, 2020, using a survey administered by email or telephone to each 130 GPs who took care of at least one patient with PrEP followed by the HDJ of the BUH. Result: among 97 GPs who responded (response rate 74.6%), 52 (53.6%) followed at least one patient alternately with the HDJ, and 22 (22.7%) GPs followed only one patient. A third of GPs didn’t know PrEP during the first alternate follow-up consultation and 76.9% did not refer the patient to this treatment. After the first consultation of the alternate follow-up, 67.3% of GPs thought that their practice in terms of HIV prevention had evolved and 82.7% that their knowledge of PrPE had improved. 23% were ready to initiate PrEP and provide full follow-up, 40% wished to extend alternate follow-up whilte agreeing to strat it, and 37% dit not feel ready. Conclusion: majority of GPs renewing PrEP noted an evolution in their practice and were ready to initiate it, althought most of them preferred to continue an alternate follow-up with an infectious disease specialist. Education is necessary to improve knowloedge of GPs who are already involved in PrEP and to modify the perceptions of those who are still reluctant to it in order to facilitate the access to this sort of prevention.
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Master Thesis
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Submitted on : Wednesday, January 20, 2021 - 2:56:17 PM
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  • HAL Id : dumas-03116653, version 1



Marie-Pierre Moll. Suivi alterné ville / hôpital des patients sous PrEP (Prophylaxie de Pré-Exposition au VIH) : enquête de pratique auprès des médecins généralistes. Médecine humaine et pathologie. 2020. ⟨dumas-03116653⟩



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