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Master Thesis

Étude de la séroprévalence contre l’infection à SARS-CoV-2 (Covid-19) chez les médecins généralistes de Savoie et analyse de leurs pratiques au cours de la première vague épidémique

Abstract : Context: The Covid-19 pandemic has been affecting the department of Savoie (France) since March 1st, 2020. The first epidemic wave in Savoie occurred a few days after the lockdown of the population in mid-March 2020, in the context of a worldwide mask shortage. The general practitioners have been at the heart of the patient care whose virological status remained unknown due to the lack of diagnostic tests available in outpatient. By the end of the first epidemic wave, seroprevalence studies showed an infection rate higher among health-care workers compared to the general population, but these studies did not focus particularly on general practitioners. Objective: The main goal of this study was to evaluate the Covid-19 seroprevalence among general practitioners working in the Savoie department by the end of the first epidemic wave. The secondary goals were to determine if seroprevalence was influenced by other factors evaluated in an online questionnaire. Materials and methods: General practitioners working in Savoie were invited to take part in this retrospective descriptive observational epidemiologic study. Results: 64 general practitioners were included in the study (12,7% of the 505 general practitioners of the department). SARS-CoV-2 seroprevalence by the end of the first epidemic wave is estimated at 12,9% [95% CI 4,6; 21,3]. Factors statistically significantly associated with Covid-19 status were lack of PPE use, male gender, clinical signs (anosmia, dyspnea, chest pain and headache) and the presence of a confirmed or suspected case in their household. Seroprevalence did not appear to be associated with other physician practices (telemedicine, home visits). Conclusions: Our study shows that general practitioners’ contamination rate is three times higher than that of the general population and it is similar to the other health care workers despite the protection measures that were quickly available in the department.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03174341
Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Friday, March 19, 2021 - 10:13:51 AM
Last modification on : Sunday, March 21, 2021 - 3:14:35 AM

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  • HAL Id : dumas-03174341, version 1
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Alexia Cugnet. Étude de la séroprévalence contre l’infection à SARS-CoV-2 (Covid-19) chez les médecins généralistes de Savoie et analyse de leurs pratiques au cours de la première vague épidémique. Médecine humaine et pathologie. 2021. ⟨dumas-03174341⟩

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