Utilisation des tests de diagnostic rapide de l’angine en médecine générale. Enquête réalisée de novembre 2006 à janvier 2007 dans les Pays de la Loire

Pajot, Marie; Asseray, Nathalie; Leux, Christophe; Senand, R.; Garnier, François; Potel, G.; Ballereau, F.

doi:10.1016/j.lpm.2009.06.018

Cited by 8 publications

(1 citation statement)

References 15 publications

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“…Depuis 2005, l'Afssaps recommande chez l'adulte de combiner le recours au TDR avec l'utilisation du score clinique de McIsaac [1,7]. Il a été montré en France comme au niveau international que l'utilisation du TDR conduisait à une moindre prescription d'antibiothérapie dans l'angine [8,9]. En l'absence de données d'évaluation comparative de haut niveau de preuve des différentes stratégies disponibles, les recommandations de prise en charge diagnostique et théra-peutique sont variables d'un pays à l'autre [10], voire même entre diverses sociétés scientifiques d'un même pays [11,12].…”

Section: E195unclassified

Stratégies de diagnostic de l’angine aiguë en France : une étude coût-efficacité

2012

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Section: E195unclassified

Stratégies de diagnostic de l’angine aiguë en France : une étude coût-efficacité

2012

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Evaluation of the implementation of a rapid streptococcal antigen test in a routine primary health care setting

Hoffmann

Reichardt²,

Zehetmayer

et al. 2012

Wien Klin Wochenschr

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Factors associated with the use of rapid antigen diagnostic tests in children presenting with acute pharyngitis among French general practitioners

Michel-Lepage

Ventelou

Verger

et al. 2013

Eur J Clin Microbiol Infect Dis

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In this investigation, we wanted: (i) to describe the attitudes and declared practices of a representative sample of French general practitioners (GPs) regarding rapid antigen diagnostic tests (RADTs) for acute pharyngitis and (ii) to identify the GPs' characteristics associated with the use of an RADT in the last paediatric patient with pharyngitis. We performed a cross-sectional survey conducted in 2012 among a representative sample of 1,126 self-employed GPs in France. 60.1 % of GPs declared that they used an RADT in their last patient aged between 3 and 16 years presenting with acute pharyngitis; 29.6 % of these tests were positive. Among the GPs who did not use an RADT, 50.2 % prescribed an antibiotic, compared to 30.5 % of prescriptions among GPs who performed an RADT, whatever its result. In a multivariate analysis, GPs' age between 45 and 54 years and having attended Continuing Medical Education (CME) sessions on infectious diseases in the past year were significantly associated with an increased use of an RADT in the last patient with pharyngitis, whereas a low volume of activity, occasionally practising alternative medicine, receiving pharmaceutical representatives at the practice and declaring a consultation duration <15 min were factors associated with a decreased use of RADTs. The use of RADTs by GPs must be promoted; our findings could help define interventions to improve practice.

show abstract

Utilisation des tests de diagnostic rapide de l’angine en médecine générale. Enquête réalisée de novembre 2006 à janvier 2007 dans les Pays de la Loire

Cited by 8 publications

References 15 publications

Stratégies de diagnostic de l’angine aiguë en France : une étude coût-efficacité

Stratégies de diagnostic de l’angine aiguë en France : une étude coût-efficacité

Evaluation of the implementation of a rapid streptococcal antigen test in a routine primary health care setting

Factors associated with the use of rapid antigen diagnostic tests in children presenting with acute pharyngitis among French general practitioners

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