Dépistages ciblés proposés dans 6 foyers de migrants à Paris en 2005 : étude de faisabilité et d'impact (notice n° 1001072)
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| fixed length control field | 05093cam a2200409 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250125134015.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Deniaud, François |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Dépistages ciblés proposés dans 6 foyers de migrants à Paris en 2005 : étude de faisabilité et d'impact |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2009.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 29 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | RésuméDans le cadre de visites organisées par le Service de dépistage radiologique itinérant de la tuberculose à Paris, une permanence médicale s’est tenue dans six foyers de migrants pour proposer aux résidents en plus du dépistage radiologique, un recueil d’urines pour le dépistage de la bilharziose ; et dans un second temps, une consultation gratuite de diagnostic et d’orientation (CDO) dans un centre médico-social (CMS) proche du foyer visité. L’objectif de cette étude est d’évaluer la faisabilité et l’impact de dépistages effectués sur site et en CDO. Sur les 97 personnes ayant bénéficié d’un entretien individuel en foyer, 52 ont fait le dépistage de la bilharziose urinaire et 3 cas ont été détectés (5,7 %). En CDO, 57 personnes sont venues sur 75 rendez vous proposés. À l’issue de l’action, 33 pathologies ont été détectées chez 24 patients : infection à VHB (7 cas), bilharziose urinaire (9 cas), parasitoses intestinales (5 cas), infection sexuellement transmissible (2 cas), infection à VIH 2 (1 cas) et des pathologies non infectieuses en moindre nombre. Les sujets détectés avec une pathologie curable ont été traités. Aller au-devant des personnes dans les foyers de migrants entraîne un bénéfice général pour le dépistage de la bilharziose urinaire, cependant moins performant sur site qu’à l’issue des CDO, et de l’infection à VHB. Cette prise de contact personnalisée au foyer aide le migrant à venir consulter dans un CMS voisin et rencontrer un travailleur social. En revanche, le suivi des affections chroniques détectées est incertain et coûteux pour les patients sans couverture complémentaire. La poursuite des permanences médicales sur site et l’initiative d’actions de prévention sont recommandées dans ces établissements. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Within the framework of the Mobile Radiological TB Screening Unit of the Health Department of Paris (DASES), six migrant worker housing units were selected to benefit from the presence of a health care professional on-site. This presence would ensure that following a chest X-Ray, residents would be offered the possibility of an interview with a general practitioner about Schistosoma haematobium (Sch. h.) including: collection of a urine specimen on-site (microscopic detection of eggs performed at the lab the next day), and free medical consultation (CDO) in a neighbouring municipal free clinic proposed to people expressing a health problem. The objective is to assess feasibility and impact of screenings undertaken on-site and thereafter, within free clinics. CDO have been created for precarious populations by the DASES in 1998. 97 persons received an individual interview, of which 52 have undergone Sch. h. screening. 3 cases were found (5.7%). 57 persons went to the CDO out of 75 to whom it was offered (18 no-show). In total, 33 pathologies were detected among 24 patients: HBV infection (7 cases), Sch. h. (9 cases), intestinal parasitic infection (5 cases), sexually transmitted infection (2 cases), HIV-2 infection (1 case) and fewer non infectious diseases. The treatable diseases detected have all been treated free of charge. Community health services which involve screening and assessment by going directly to those persons in migrant worker housings is worthwhile for Sch. h. (although it is less efficient on-site than in CDO) and for HBV screening. This personalized, individual, and targeted contact supports the development trust and confidence of the migrants in order to then visit a GP and a social worker in a Municipal Clinic. But the follow-up of people diagnosed with a chronic disease is uncertain and costly for patients without full social security coverage. The continuation of such prevention programmes is recommended in such housing units. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | foyers de travailleurs migrants |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hépatite B |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Paris |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | bilharziose urinaire |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | dépistage ciblé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | précarité |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | étude de faisabilité et d'impact |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | impact |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | feasibility study |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hepatitis B |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | deprivation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | targeted screening |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | schistosoma haematobium |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Paris |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | migrant worker housing |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Legros, Pascale |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Collignon, Anne |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Prévôt, Michel |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Domingo, Anita |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Ayache, Bernard |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 20 | 6 | 2009-01-22 | p. 547-559 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-sante-publique-2008-6-page-547?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-sante-publique-2008-6-page-547?lang=fr&redirect-ssocas=7080</a> |
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