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Prevention of infection in asplenic adult patients by general practitioners in France between 2013 and 2016 : Care for the asplenic patient in general practice

dc.rights.licenseopenen_US
dc.contributor.authorQUÉFFÉLEC, C.
dc.contributor.authorBILLET, L.
hal.structure.identifierImmunology from Concept and Experiments to Translation [ImmunoConcept]
hal.structure.identifierBiologie des maladies cardiovasculaires = Biology of Cardiovascular Diseases
dc.contributor.authorDUFFAU, Pierre
hal.structure.identifierImmunology from Concept and Experiments to Translation [ImmunoConcept]
hal.structure.identifierBiologie des maladies cardiovasculaires = Biology of Cardiovascular Diseases
dc.contributor.authorLAZARO, Estibaliz
dc.contributor.authorMACHELART, I.
dc.contributor.authorGREIB, C.
hal.structure.identifierBiologie des maladies cardiovasculaires = Biology of Cardiovascular Diseases
dc.contributor.authorVIALLARD, Jean-Francois
hal.structure.identifierImmunology from Concept and Experiments to Translation [ImmunoConcept]
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorPELLEGRIN, Jean-Luc
hal.structure.identifierBiologie des maladies cardiovasculaires = Biology of Cardiovascular Diseases
dc.contributor.authorRIVIERE, Etienne
dc.date.accessioned2021-02-12T15:33:43Z
dc.date.available2021-02-12T15:33:43Z
dc.date.issued2020
dc.identifier.issn1471-2296en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/26236
dc.description.abstractEnBackground Guidelines that detail preventive measures against Streptococcus pneumoniae, Neisseria meningitidis, Haemophilus influenzae type b, and influenza are published annually in France to decrease the risk of severe infections in immunocompromised patients. We aimed at describing adherence to these guidelines by GPs in the management of their asplenic patients in France between 2013 and 2016. Method We conducted a multicenter retrospective study between January 2013 and December 2016 in three French hospitals: asplenic adults were identified and their GPs were questioned. A descriptive analysis was performed to identify the immunization coverage, type and length of antibiotic prophylaxis, number of infectious episodes, and education of patients. Results 103 patients were finally included in this study: only 57% were adequately vaccinated against Streptococcus pneumoniae or Neisseria meningitidis, 74% against Haemophilus influenzae type b, and 59% against influenza. Only 24% of patients received a combination of all four vaccinations. Two-thirds of patients received prophylactic antibiotics for at least 2 years. Overall, this study found that 50% of splenectomized patients experienced at least one pulmonary or otorhinolaryngological infection, or contracted influenza. Conclusions These data match those reported in other countries, including Australia and the United Kingdom, meaning a still insufficient coverage of preventive measures in asplenic patients. Improved medical data sharing strategies between healthcare professionals, along with educational measures to keep patients and physicians up to date in the prevention of infections after splenectomy would improve health outcomes of asplenic patients.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subjectMORPH3EUS
dc.title.enPrevention of infection in asplenic adult patients by general practitioners in France between 2013 and 2016 : Care for the asplenic patient in general practice
dc.title.alternativeBMC Fam Practen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1186/s12875-020-01237-3en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed32787857en_US
bordeaux.journalBMC Family Practiceen_US
bordeaux.page163en_US
bordeaux.volume21en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.issue1en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamMORPH3EUSen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03140259
hal.version1
hal.date.transferred2021-02-12T15:33:47Z
hal.exporttrue
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