Connaissances Et Motivations Des Medecins Dans La Prescription Des Examens D’imagerie Devant Une Urgence Abdominale Non Traumatique Au Togo: A Propos D’une Enquete Realisee Aupres Des Medecins

Abstract

Objective: To evaluate physicians' knowledge of prescribing imaging modalities in non-traumatic abdominal emergencies. Materials and method: A transversal and analytical study, consisting of the filling of a questionnaire distributed to general physicians. The survey card included, among others, the first-line imaging modality and the most effective on four abdominal emergencies found in Togo. Results: Regarding acute appendicitis, 73% of physicians estimated the imaging needed. For 92%, ultrasound was the firstline imaging technique because of its availability according to 40%. For 87%, the scan was the most effective exam. In peritonitis, 69% of physicians considered imaging important. For 98% Conventional Chest and Abdominal Radiography was the first-line examination because 52% of physicians said it was the most available. 89% thought the CT scan was the most effective. In the case of bowel obstruction, 89% of physicians found the necessary imaging. For 96%, the first-line examination was the Conventional Chest and Abdominal Radiography because of its availability according to 51% of doctors. All physicians felt that the CT scan was the most effective European Scientific Journal February 2017 edition vol.13, No.6 ISSN: 1857 -7881 (Print) e -ISSN 1857 481 examination. Concerning acute cholecystitis, 95% considered imaging very important. For 95%, ultrasound was the first-line examination. Its prescription was motivated by its availability according to 50% of doctors. 96% felt that CT was the most effective examination. Conclusion: From our study, it appears that in abdominal emergencies, imaging examinations necessary for diagnosis are prescribed according to their availability and cost, not according to their effectiveness.Keywords: Non-traumatic abdominal emergency -First-line imaging -Most effective imaging -Choice of imaging -Rationale for choosing imaging. ResumeObjectifs : Evaluer la connaissance des médecins sur la prescription des examens d'imagerie dans les urgences abdominales non traumatiques. Matériels et méthode : Etude transversale et analytique, ayant consisté au remplissage d'un questionnaire distribué aux médecins généralistes et aux internes. La fiche d'enquête portait entre autres sur les examens d'imagerie de première intention et le plus efficace sur quatre pathologies d'urgence abdominale retrouvées au Togo. Résultats : Concernant l'appendicite aiguë, 73% des médecins estimaient l'imagerie nécessaire. Pour 92%, l'échographie était l'examen de première intention du fait de sa disponibilité selon 40%. Pour 87%, le scanner était l'examen le plus efficace. Dans les péritonites, 69% des médecins considéraient l'imagerie importante. Pour 98% l'ASP était l'examen de première intention, car selon 52% des médecins il est le plus disponible. 89% estimaient que le scanner était l'examen le plus efficace. En cas d'occlusions intestinales, 89% des médecins trouvaient l'imagerie nécessaire. Pour 96%, l'examen de première intention était l'ASP du fait de sa disponibilité selon 51% des médecins ...