Promotion du dépistage d’infection à Chlamydia trachomatis en soins primaires (notice n° 1578731)
[ vue normale ]
| 000 -LEADER | |
|---|---|
| fixed length control field | 04804cam a2200385 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20251228045516.0 |
| 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 | Touboul Lundgren, Pia |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Promotion du dépistage d’infection à Chlamydia trachomatis en soins primaires |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2016.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 36 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Introduction : L’infection uro-génitale basse à Chlamydia trachomatis (Ct) est l’infection bactérienne sexuellement transmissible la plus fréquente en Europe, surtout chez les jeunes multipartenaires. Souvent asymptomatique, sa gravité résulte de son diagnostic tardif, justifiant un dépistage précoce. Objectif : Mettre en œuvre et évaluer une intervention complexe auprès des médecins généralistes (MG) des Alpes-Maritimes (06) visant à promouvoir le dépistage de l’infection à Ct chez leurs jeunes patients asymptomatiques Méthode : 105 MG randomisés ont reçu en visite confraternelle une information sur Ct, des outils et des kits d’auto-prélèvements permettant 10 inclusions durant 6 mois, action suivie d’une évaluation quantitative (nombre de dépistages prescrits/remboursés pour les MG visités et pour l’ensemble des MG du 06, comparés à la même période en 2013) et qualitative (entretiens post-interventionnels avec MG et visiteurs). Résultats : Une augmentation globale du nombre de dépistages entre les deux saisons 2013-2014 (15 %) a été observée, significativement majorée par l’intervention (73 %), p = 0,02. Parmi les 73 (48 %) patients ayant accepté d’effectuer un test de dépistage, 12 étaient infectés (réaction en chaîne par polymérase [PCR] positive). Les entretiens post-interventionnels auprès des MG et des médecins visiteurs ont mis en évidence des facteurs facilitants et des barrières au dépistage. Conclusion : Notre intervention, favorablement accueillie par les MG, a démontré sa faisabilité et son impact potentiel dans les conditions réelles du soin primaire. Les MG participants ont pu surmonter les nombreux freins identifiés à ce dépistage. Pour pérenniser cette intervention, les outils évalués pourront être mis à la disposition des MG en ligne et lors de formations sur la santé sexuelle. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Promoting primary care screening for Chlamydia trachomatis infection Background: Lower urogenital tract Chlamydia trachomatis (Ct) infection is the most common bacterial sexually transmitted infection in Europe, especially among young people with multiple partners. Often asymptomatic, its spread and severity are due to delayed diagnosis, highlighting the need for early detection. Objective: Implementation and evaluation of a complex intervention targeting GPs in the Alpes-Maritimes (06) promoting opportunistic screening of Ct infection in young patients. Method: Academic detailing visits provided 105 randomized GPs with tools and patient self-testing kits to include 10 patients over a 6-month period followed by a quantitative (prescribed screenings / reimbursed screenings among visited GPs and all GPs in the Alpes-Maritimes compared to the previous year) and a qualitative assessment (post-interventional interviews with GPs and trainers). Results: In the context of a global increase in screening between the 2013 and 2014 seasons (+15%), the intervention resulted in a significantly higher rate (73%), p = 0.02. Screening was performed in 73 (48%) patients and 12 were PCR-positive. Qualitative analysis of post-interventional interviews with GPs and a focus group of AD visitors highlighted facilitating factors and obstacles to screening. Conclusion:: Our intervention, appreciated by the visited GPs, demonstrates its potential impact and feasibility in primary care. GPs used facilitating factors to overcome the identified obstacles. To sustain this intervention, evaluated tools will be available on line to help GPs promote Ct screening as well as for sexual health training targeting GPs |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Chlamydia trachomatis |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | dépistage |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | formation professionnelle |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | jeunes |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | soins ambulatoires |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | ambulatory care |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Chlamydia trachomatis |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | screening |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | training |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | youth |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Detanne, Soline |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Dunais, Brigitte |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bruno, Pascale |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bentz, Laurence |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Khouri, Pauline |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Hugues, Virginie Lacroix |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Banide, Marie-Christine |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Pradier, Christian |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 28 | 3 | 2016-06-08 | p. 299-308 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-sante-publique-2016-3-page-299?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-sante-publique-2016-3-page-299?lang=fr&redirect-ssocas=7080</a> |
Pas d'exemplaire disponible.
Réseaux sociaux