{"id":1889,"date":"2010-10-01T01:00:00","date_gmt":"2010-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/principe-de-precaution-en-endoscopie-digestive-nous-sommes-alles-trop-loin\/"},"modified":"2018-10-20T18:39:55","modified_gmt":"2018-10-20T16:39:55","slug":"principe-de-precaution-en-endoscopie-digestive-nous-sommes-alles-trop-loin","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/principe-de-precaution-en-endoscopie-digestive-nous-sommes-alles-trop-loin\/","title":{"rendered":"Principe de pr\u00e9caution en endoscopie digestive : nous sommes all\u00e9s trop loin."},"content":{"rendered":"<p><strong>2010<\/strong><\/p>\n<p><em>JL Payen, M Pierre Nicolas, E Viollet, L Boudet<\/em><\/p>\n<p><strong>Vie Professionnelle <\/strong>&#8211; \u00a02010-09-02 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Ce risque se d\u00e9cline en deux grands types : le risque endog\u00e8ne et le risque exog\u00e8ne li\u00e9 aux bact\u00e9ries, champignons, virus et l\u2019agent transmissible non conventionnel (prion). Les donn\u00e9es de la litt\u00e9rature sont toutefois rassurantes concernant ce dernier risque. D\u2019une part, la transmission bact\u00e9rienne, fongique ou virale est depuis longtemps maitris\u00e9e, d\u2019autre part, aucun cas de transmission de prion n\u2019est \u00e0 ce jour rapport\u00e9 \u00e0 l\u2019endoscopie digestive. Cela tient aux avanc\u00e9es technologiques sur les endoscopes et aux modes de d\u00e9contamination des endoscopes.<br \/>\nToutefois, les proc\u00e9dures de d\u00e9contamination se sont profond\u00e9ment complexifi\u00e9es cette derni\u00e8re d\u00e9cennie : circulaire de 2003, passage \u00e0 l\u2019acide p\u00e9rac\u00e9tique, d\u00e9contamination en d\u00e9but de programme ; or, les d\u00e9cisions qui ont conduit \u00e0 ces nouveaux modes de prise en charge des endoscopes digestifs ne reposent pas toutes sur des donn\u00e9es scientifiques pertinentes. Elles entrainent des troubles importants pour les professionnels de sant\u00e9 et repr\u00e9sentent un co\u00fbt tr\u00e8s important et en partie injustifi\u00e9 pour nos institutions.<br \/>\nUsant du droit d\u2019ing\u00e9rence \u00e9thique et avec l\u2019\u00e9clairage des donn\u00e9es de la litt\u00e9rature, le but de cette pr\u00e9sentation est d\u2019argumenter aupr\u00e8s des membres de l\u2019ANGH sur la justification d\u2019une simplification importante des proc\u00e9dures de d\u00e9contamination des endoscopes afin notamment de r\u00e9duire les cons\u00e9quences d\u2019actions superflues et pourtant responsables de graves difficult\u00e9s pour les professionnels de sant\u00e9 en charge de la d\u00e9contamination, et lourdes budg\u00e9tairement, sans pour autant faire prendre des risques \u00e0 nos malades.<br \/>\nConvaincue de nos arguments, l\u2019ANGH pourrait agir aupr\u00e8s de nos tutelles afin de simplifier les proc\u00e9dures de d\u00e9contamination des endoscopes digestifs.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2010 JL Payen, M Pierre Nicolas, E Viollet, L Boudet Vie Professionnelle &#8211; \u00a02010-09-02 &#8211;\u00a0CO &#8211; ________________________________ Ce risque se d\u00e9cline en deux grands types : le risque endog\u00e8ne et le risque exog\u00e8ne li\u00e9 aux bact\u00e9ries, champignons, virus et l\u2019agent transmissible non conventionnel (prion). Les donn\u00e9es de la litt\u00e9rature sont toutefois rassurantes concernant ce dernier [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[5],"tags":[21],"class_list":["post-1889","post","type-post","status-publish","format-standard","hentry","category-professionnel","tag-21"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Principe de pr\u00e9caution en endoscopie digestive : nous sommes all\u00e9s trop loin. - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/principe-de-precaution-en-endoscopie-digestive-nous-sommes-alles-trop-loin\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Principe de pr\u00e9caution en endoscopie digestive : nous sommes all\u00e9s trop loin. - 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