Activité du conseil médical en environnement intérieur (CMEI) en Bourgogne: évaluation auprès des médecins et des patients

Abstract

Since December 2009, chest physicians and allergologists in Burgundy have been able to call upon a medical indoor environment counsellor (MIEC). The consultations are free for the patient and are undertaken following a medical referal after systematic cutaneous prick tests. Aims. - To describe the indications, the distribution of prescriptions and to measure the impactof the counsellor's visits on the first 100 patients at 6 months and on the physicians at 18 months.Method. - Telephone interviews with the 67 physicians (whether prescribers or not) concerningtheir motivation and/or expectations, and with the first 100 patients concerning follow up ofthe recommendations.Results. - Seventy percent of the physicians replied (n = 47). The satisfaction of prescribers(n = 22) was 8.42/10. The indications were rhinitis and a poorly controlled asthma. The requestsconcerned the search for dust mite (50 %) and moulds (46 %). Eighty-four percent of the phy-sicians discussed the MIEC's report with the patients. The patients' symptoms were rhinitis(79 %), asthma (57 %) and conjunctivitis (33 %). The Acarex test®, performed in cases of positiveprick tests to house dust mites (n = 72), was strongly positive for 67 patients. Sixteen mouldsamples out of 21 were above the standard concentrations. Sixty-nine patients had followedthe recommendations of the MIEC.Conclusion. - The impact of the MIEC visits was perceived as positive by the physicians and thepatients. The medico-economic impact warrants further evaluation. © 2013 SPLF.