Titre : | Decline in HCV testing and compliance with guidelines in patients of Sentinelles general practitioners, 1996-2002 (2006) |
Titre traduit : | (Baisse du dépistage du virus de l'hépatite C et conformité avec les recommandations chez les patients des médecins généralistes Sentinelles de 1996 à 2002) |
Auteurs : | V. MASSARI ; VIBOUD C. ; DORLEANS Y. ; FLAHAUT A. |
Type de document : | Article : Périodique |
Dans : | European Journal of Epidemiology (Vol.21, n°5, May 2006) |
Article en page(s) : | 397-405 |
Langues: | Anglais |
Discipline : | MAL (Maladies infectieuses / Infectious diseases) |
Mots-clés : |
Thésaurus mots-clés VIH ; MEDECIN GENERALISTE ; DEPISTAGE ; HEPATITE ; POPULATION A RISQUE ; EVOLUTIONThésaurus géographique FRANCE |
Résumé : | Between 1996 and 2002, the French Sentinelles Network observed a more than 2-fold decline in the annual rate of hepatitis C virus (HCV) screening tests prescribed by general practitioners. During this period it droped from 1080 to 450 per 100,000 inhabitants. The proportion of HCV-positives increased from 9.7% to 12.9% between 1996 and 1998 but declined steadily afterwards, reaching 7% in 2002. The majority of HCV-positive patients were men (57%), 38% were aged 30-39 years and 45% were injecting drug users. Two French guidelines for HCV screening were issued in 1997 and 2001. Of the 3462 patients with a known HCV test result, 27.4% were offered following the 1997 guidelines, among which 23.7% were HCV-positive. Of the same 3462 patients, 36.8% were offered following the extended definition of the risk group in the 2001 guidelines, among which 19.9% were positive. The percentage of subjects tested with no biological sign or clinical symptom and no HCV risk factor varies from 11% to 26% showing that SGPs carry out a targeted screening even if they deviate from the strict recommendations. Of the HCV-positive patients, 14% did not meet any criteria of the guidelines suggesting a lack of sensitivity in the current definition of patients recommended for testing. (Authors' abstract) |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 36 |
Affiliation : | Université P & M Curie, INSERM, Paris, France |
Numéro Toxibase : | 1301628 |
Centre Emetteur : | 13 OFDT |
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