title: [Medical indoor environment counsellor (MIEC) in Burgundy: evaluation by physicians and 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.
  
  
  OBJECTIVE
  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.
  
  
  METHODS
  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(®), 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.
  
  
  CONCLUSIONS
  The impact of the MIEC visits was perceived as positive by the physicians and the patients. The medico-economic impact warrants further evaluation.
authors.affiliation: Service de pneumologie et unité de soins intensifs respiratoire, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France.
authors.forename: A
authors.initials: A
authors.lastname: Vagner
authors.forename: G
authors.initials: G
authors.lastname: Reboux
authors.forename: V
authors.initials: V
authors.lastname: Nicoullaud
authors.forename: L
authors.initials: L
authors.lastname: Blanchon
authors.forename: P
authors.initials: P
authors.lastname: Scherer
authors.forename: E
authors.initials: E
authors.lastname: Collet
authors.forename: P
authors.initials: P
authors.lastname: Camus
authors.forename: T
authors.initials: T
authors.lastname: Foglia
authors.forename: G
authors.initials: G
authors.lastname: Gardin
authors.forename: P
authors.initials: P
authors.lastname: Bonniaud
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016902:Air Pollution, Indoor / Q000517:prevention & control* / Q000706:statistics & numerical data; D000818:Animals; D001249:Asthma / Q000175:diagnosis / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003376:Counseling / Q000379:methods / Q000592:standards; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010820:Physicians / Q000706:statistics & numerical data; D039981:Pyroglyphidae; D012220:Rhinitis / Q000175:diagnosis / Q000453:epidemiology; D012882:Skin Tests / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Acariens; Allergen; Allergène; Asthma; Asthme; Conseiller médical en environnement intérieur; Environnement intérieur; Eradication; House dust mites; Indoor environment; Medical interior environment counsellor; Éviction