Medical indoor environment counsellor (MIEC) in Burgundy: Evaluation by physicians and patients

作者：Vagner A; Reboux G; Nicoullaud V; Blanchon L; Scherer P; Coltet E; Camus P; Foglia T; Gardin G; Bonniaud P^*

来源：Revue des Maladies Respiratoires, 2013, 30(9): 764-773.

DOI：10.1016/j.rmr.2013.03.008

• Medical interior environment counsellor
• Allergen
• Eradication
• Asthma
• House dust mites
• Indoor environment

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 tests (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.

• 出版日期2013-11