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Master Thesis

Difficultés rencontrées par les médecins généralistes d’Ile-de-France dans le diagnostic et les prescriptions relatives aux infections urinaires

Abstract : In France, the rate of antimicrobial resistance is increasing. Faced with this, the guidelines for the management of urinary tract infections (UTI) have been modified. In primary care, this poses difficulties which hinder optimal patient management. The objective was to know the nature of the difficulties encountered by general practitioners (GPs) when managing UTIs. It was a qualitative study, carried out in primary care facilities in Ile-de-France. Individual interviews were held with GPs. These interviews were conducted to the extent necessary, then cross-analyzed using the thematic content analysis method. 12 GPs were interviewed between March and July 2019. The study of the verbatim made it possible to identify 6 themes: scientific knowledge, characterized situations, diagnostic doubts, doctor/patient relationship, bypass levers, tools envisaged. Cases without specific obstacles did not pose any difficulty in applying the guidelines. Male UTIs cases were a difficulty often encountered by GPs. Recurrent UIs were reported to be difficult to manage. Finally, the intermediate tables resulted in variable therapeutics from one GP to another. The levers used included the use of specialized advice, ER departments, and decision-making aid tools. These results show that despite knowledge of the issues and the desire for quality care, GPs face several difficulties. It would therefore be necessary to get interested in completing the nosological range of UTIs, and developing prescription aid tools.
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https://dumas.ccsd.cnrs.fr/dumas-03408995
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Submitted on : Friday, October 29, 2021 - 2:14:32 PM
Last modification on : Sunday, December 12, 2021 - 3:18:41 AM
Long-term archiving on: : Monday, January 31, 2022 - 9:39:19 AM

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  • HAL Id : dumas-03408995, version 1

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Samuel Guedj. Difficultés rencontrées par les médecins généralistes d’Ile-de-France dans le diagnostic et les prescriptions relatives aux infections urinaires. Sciences du Vivant [q-bio]. 2020. ⟨dumas-03408995⟩

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