urgences infectieuses dans un service d'urgences medicales

ABSTRACT

The aim of this study is to evaluate the frequency of infectious urgencies and the quality of their management in an emergency medical service. During the period of study, 21737 consultants are recorded, from which 2011 for an infectious urgency [9.25%], pharyngitis with rhinitis excluded. 692 patients are hospitalized and 1074 receive ambulatory antibiotics. Therapeutic urgencies are the most frequent infectious urgencies [48.4%], followed by protection urgencies [46.3%], urgencies due to antibiotics [5.2%] and prevention urgencies [0.1%]. The conduct is considered correct for 1379 cases [68.5%] and incorrect for 500 cases [25%]. Main incorrect conducts are the absence of follow-up [81.6%] and the maladjusted antibiotherapy [11.8%]. These results incite, mainly, to the improvement of the professional training of emergency physicians and their communication with their colleagues of the other sanitary structures