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Master Thesis

L’antibiothérapie est-elle différée selon les recommandations dans les infections urinaires de l'adulte en ambulatoire ? Étude prospective auprès des médecins généralistes

Abstract : Resistance to antibiotics is a major public health issue. Urinary tract infections (UTI) represent 15% of all antibiotic prescriptions in ambulatory care. We carried out a prospective study with questionnaires including adult patients who present symptoms of UTI between June and October 2017. The main purpose was to assess whether guidelines are followed by general practionners, especially when considering postponing antibiotic therapy. 154 questionnaires were completed and results analysed. 35% of deferrable antibiotic therapies were, in fact, deferred. Fear of pyelonephritis as possible complication and patient demands were the biggest hindrance. 66% of empiric antibiotic therapies in UTI with risk of complication were suitable. Our study shows a significant difference between practices of family physicians and guidelines concerning management of UTI, mostly when antibiotic therapy could be postponed. The pertinence of such a recommendation has yet to be questioned in outpatient care.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03142483
Contributor : Université Paris Descartes - Scd <>
Submitted on : Tuesday, February 16, 2021 - 9:43:49 AM
Last modification on : Tuesday, July 13, 2021 - 3:15:46 AM

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  • HAL Id : dumas-03142483, version 1

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Romain Courseau. L’antibiothérapie est-elle différée selon les recommandations dans les infections urinaires de l'adulte en ambulatoire ? Étude prospective auprès des médecins généralistes. Médecine humaine et pathologie. 2019. ⟨dumas-03142483⟩

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