PMID- 24267767
OWN - NLM
STAT- MEDLINE
DCOM- 20140717
LR  - 20131125
IS  - 1776-2588 (Electronic)
IS  - 0761-8425 (Linking)
VI  - 30
IP  - 9
DP  - 2013 Nov
TI  - [Medical indoor environment counsellor (MIEC) in Burgundy: evaluation by 
      physicians and patients].
PG  - 764-73
LID - S0761-8425(13)00108-3 [pii]
LID - 10.1016/j.rmr.2013.03.008 [doi]
AB  - 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 impact of 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) concerning their motivation and/or expectations, and with the 
      first 100 patients concerning follow up of the 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 
      requests concerned the search for dust mite (50%) and moulds (46%). Eighty-four 
      percent of the physicians discussed the MIEC's report with the patients. The 
      patients' symptoms were rhinitis (79%), asthma (57%) and conjunctivitis (33%). 
      The Acarex test((R)), performed in cases of positive prick tests to house dust 
      mites (n=72), was strongly positive for 67 patients. Sixteen mould samples out of 
      21 were above the standard concentrations. Sixty-nine patients had followed the 
      recommendations of the MIEC. CONCLUSION: The impact of the MIEC visits was 
      perceived as positive by the physicians and the patients. The medico-economic 
      impact warrants further evaluation.
CI  - Copyright (c) 2013 SPLF. Published by Elsevier Masson SAS. All rights reserved.
FAU - Vagner, A
AU  - Vagner A
AD  - Service de pneumologie et unite de soins intensifs respiratoire, CHU de Dijon, 
      14, rue Paul-Gaffarel, 21000 Dijon, France.
FAU - Reboux, G
AU  - Reboux G
FAU - Nicoullaud, V
AU  - Nicoullaud V
FAU - Blanchon, L
AU  - Blanchon L
FAU - Scherer, P
AU  - Scherer P
FAU - Collet, E
AU  - Collet E
FAU - Camus, P
AU  - Camus P
FAU - Foglia, T
AU  - Foglia T
FAU - Gardin, G
AU  - Gardin G
FAU - Bonniaud, P
AU  - Bonniaud P
LA  - fre
PT  - English Abstract
PT  - Journal Article
TT  - Activite du conseil medical en environnement interieur (CMEI) en Bourgogne : 
      evaluation aupres des medecins et des patients.
DEP - 20130506
PL  - France
TA  - Rev Mal Respir
JT  - Revue des maladies respiratoires
JID - 8408032
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Air Pollution, Indoor/*prevention & control/statistics & numerical data
MH  - Animals
MH  - Asthma/diagnosis/epidemiology
MH  - Child
MH  - Child, Preschool
MH  - *Counseling/methods/standards
MH  - Female
MH  - France/epidemiology
MH  - Humans
MH  - Infant
MH  - Male
MH  - Middle Aged
MH  - Patient Acceptance of Health Care/statistics & numerical data
MH  - *Patient Satisfaction/statistics & numerical data
MH  - *Physicians/statistics & numerical data
MH  - Pyroglyphidae
MH  - Rhinitis/diagnosis/epidemiology
MH  - Skin Tests/statistics & numerical data
MH  - Young Adult
OTO - NOTNLM
OT  - Acariens
OT  - Allergen
OT  - Allergene
OT  - Asthma
OT  - Asthme
OT  - Conseiller medical en environnement interieur
OT  - Environnement interieur
OT  - Eradication
OT  - House dust mites
OT  - Indoor environment
OT  - Medical interior environment counsellor
OT  - Eviction
EDAT- 2013/11/26 06:00
MHDA- 2014/07/18 06:00
CRDT- 2013/11/26 06:00
PHST- 2012/07/25 00:00 [received]
PHST- 2013/03/20 00:00 [accepted]
PHST- 2013/11/26 06:00 [entrez]
PHST- 2013/11/26 06:00 [pubmed]
PHST- 2014/07/18 06:00 [medline]
AID - S0761-8425(13)00108-3 [pii]
AID - 10.1016/j.rmr.2013.03.008 [doi]
PST - ppublish
SO  - Rev Mal Respir. 2013 Nov;30(9):764-73. doi: 10.1016/j.rmr.2013.03.008. Epub 2013 
      May 6.