Title |
A survey of French general practitioners on the epidemiology of wounds in family practice
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Published in |
International Journal of General Medicine, June 2015
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DOI | 10.2147/ijgm.s75189 |
Pubmed ID | |
Authors |
Marianne Sarazin, Florence Roberton, Rodolphe Charles, Alessandra Falchi, Solange Gonzales Chiappe, Thierry Blanchon, Frédéric Lucht, Thomas Hanslik |
Abstract |
To measure the frequency and nature of wounds in patients treated in general practice and to describe the patients' tetanus vaccination status and the sources providing information about this status. A descriptive, prospective, week-long, national electronic survey was conducted among general practitioners within the Sentinelles network. The participation rate was 12.6% (95% confidence interval [CI], 10.6%-14.6%; 130 general practitioners): 197 patients with wounds were reported, and 175 of them were described. Wound frequency was 1.4 (95% CI, 1.2-1.6) per 100 consultations. These wounds had an acute character in 76 (95% CI, 69.7-82.3) of cases, were mostly of traumatic origin (54.8% of cases; 95% CI, 47.5%-62.1%), were more than 24 hours old (67.1%; 95% CI, 59.1%-75.1%), and were clean, without bone and/or muscle decay (94%; 95% CI, 90.5%-97.5%). Vaccination status was known for 71 (95% CI, 64-78) patients. According to the 2013 immunization schedule, 21% (95% CI, 13.9%-28.1%) of the patients had not updated their vaccinations, mostly among the patients older than 75 years. This survey describes in detail the wounds treated in general practice in France and the associated patients' immunization status. It also shows how difficult it is for general practitioners to assess the risk of contracting tetanus and the disease's development. It highlights as well the fact that the ideal solution to assess tetanus risk is an up-to-date immunization schedule. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 16 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 6 | 38% |
Lecturer > Senior Lecturer | 2 | 13% |
Student > Ph. D. Student | 2 | 13% |
Student > Doctoral Student | 1 | 6% |
Unspecified | 1 | 6% |
Other | 2 | 13% |
Unknown | 2 | 13% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 8 | 50% |
Pharmacology, Toxicology and Pharmaceutical Science | 4 | 25% |
Nursing and Health Professions | 1 | 6% |
Unspecified | 1 | 6% |
Unknown | 2 | 13% |