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Master Thesis

Enquête de pratique : utilisation des probiotiques dans le cadre du syndrome de l’intestin irritable par les médecins généralistes de Nouvelle-Aquitaine

Abstract : Introduction: irritable bowel syndrome (IBS) is a frequently encountered pathology in general medicine, which pathophysiology is complex. In light of recent discoveries on the role of dysbiosis in the development of this disorder, many probiotic-based therapies have emerged in recent years. The main goal of this study was to investigate the use of probiotics by general practitioners in IBS. Material and methods: we carried out a quantitative study using online survey intended for general practitioners practicing in Nouvelle-Aquitaine. Responses were collected between 15/01 and 01/03/2021. Results: 137 general practitioners participated in the study. The population was predominantly female (73.7%) and young (average age 31.4 years). They more easily prescribed first-line probiotics in the context of altered bowel habits . A significant part said they were prescribing it following a patient request (56.4%), and following research on the subject or training (46%). A smaller number (19.1%) thought they were influenced by pharmaceutical laboratories. They tended to offer probiotics more frequently as second-line or as part of frequent relapses with impaired quality of life, and in combination with other treatments. The most frequently reported impediments to prescribing were the lack of knowledge and recommendations, as well as the cost of these unreimbursed treatments. Conclusion: probiotics are frequently prescribed by general practitioners in Nouvelle-Aquitaine in the context of IBS, in addition to symptomatic treatments and dietary advice. Studies with a high level of evidence and precise recommendations on the most effective probiotics in each indication will be useful for the practice of general practitioners.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03500905
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Submitted on : Wednesday, December 22, 2021 - 5:27:39 PM
Last modification on : Tuesday, January 4, 2022 - 3:37:20 AM

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Mathilde Salguero. Enquête de pratique : utilisation des probiotiques dans le cadre du syndrome de l’intestin irritable par les médecins généralistes de Nouvelle-Aquitaine. Médecine humaine et pathologie. 2021. ⟨dumas-03500905⟩

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