title: [Medical practice in support of hypertension as risk factor kidney in general medical practice, and primary prevention in children in schools, and the pregnant woman in Annaba (Algeria)].
abstract: OBJECTIVE
  To study medical practice in the management of hypertension as a factor in renal risk in general medical practice and primary prevention in children at school, and pregnant women under prenatal monitoring.
  
  
  METHODS
  The longitudinal study, observational over a year, focused on medical practice in schools, maternal health and medical practice among 100 physicians (general practitioner and specialist practitioner) in Annaba (Algeria).
  
  
  RESULTS
  In children in schools, measurement of blood pressure is never done on the grounds because this gesture is considered unnecessary in 100% of cases. In pregnant women, the measurement of blood pressure is not performed in more than 26% of pregnant women because it is deemed unnecessary by the midwife in 89% of pregnant women and default material in 11% of they. In current medical practice, 69% of doctors routinely take blood pressure. For the rest, represented mainly by specialists, it is the patient who does not justify. Sixty-two percent of physicians, that is hypertension, above 140/90mmHg, and 15% of physicians that is hypertension, above 145/95mmHg. Among the physicians, 58.7% did not use urinary strip, either, because they think that this review should be done in a laboratory (64.8%), or because the urinary strip are not available at even consulting (35.2%).
  
  
  CONCLUSIONS
  Inadequacies in the coverage (care) of the HTA are real. Their effects on the progress of prevalence of the renal insufficiency chronic terminal treated are possibly important.
authors.affiliation: Service des urgences médicales, hôpital Ibn-Sina (Caroubiers), CHU Annaba, 23000 Annaba, Algérie. Electronic address: rayane2@yahoo.com.
authors.forename: R
authors.initials: R
authors.lastname: Rayane
mesh_terms: D000328:Adult; D000462:Algeria / Q000453:epidemiology; D000959:Antihypertensive Agents / Q000627:therapeutic use; D015415:Biomarkers / Q000097:blood; D001795:Blood Pressure Determination; D002648:Child; D003401:Creatine / Q000097:blood; D005260:Female; D058006:General Practice / Q000592:standards; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000517:prevention & control*; D046110:Hypertension, Pregnancy-Induced / Q000453:epidemiology / Q000517:prevention & control*; D015994:Incidence; D008137:Longitudinal Studies; D010818:Practice Patterns, Physicians'; D011237:Predictive Value of Tests; D011247:Pregnancy; D015995:Prevalence; D011322:Primary Prevention / Q000592:standards / Q000706:statistics & numerical data; D051436:Renal Insufficiency, Chronic / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D012307:Risk Factors; D012574:Schools; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires
chemical_list: D000959:Antihypertensive Agents; D015415:Biomarkers; D003401:Creatine
keywords: Hypertension; Hypertension artérielle; Medical practice; Pratique médicale; Primary prevention; Prévention primaire; Renal risk; Risque rénal