{"id":1916,"date":"2011-10-01T01:00:00","date_gmt":"2011-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/eradication-dhelicobacter-pylori-evaluation-de-pratique-en-centre-hospitalier-general\/"},"modified":"2018-10-20T18:39:58","modified_gmt":"2018-10-20T16:39:58","slug":"eradication-dhelicobacter-pylori-evaluation-de-pratique-en-centre-hospitalier-general","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/eradication-dhelicobacter-pylori-evaluation-de-pratique-en-centre-hospitalier-general\/","title":{"rendered":"Eradication d\u2019Helicobacter pylori : \u00e9valuation de pratique en Centre Hospitalier G\u00e9n\u00e9ral"},"content":{"rendered":"<p><strong>2011<\/strong><\/p>\n<p><em>S. TROUILLAS, C. NJAPOUM, N. SADAT, G. BARJONET<br \/>\nM\u00e9decine B Centre Hospitalier rue Gabriel Peri 77120 COULOMMIERS<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02011-05-09 &#8211;\u00a0PW &#8211;<\/p>\n<p>________________________________<\/p>\n<p>L\u2019\u00e9radication d\u2019Helicobacter pylori (Hp) fait l\u2019objet d\u2019une recommandation de l\u2019AFSSAPS datant de 2005, pr\u00e9conisant en premi\u00e8re intention une trith\u00e9rapie de 7 \u00e0 14 jours associant Clarythromycine (1g\/j), Amoxicilline (2g\/j) et un inhibiteur de la pompe \u00e0 protons (IPP) \u00e0 double dose. Outre sa dur\u00e9e impr\u00e9cise (7 \u00e0 14 jours), cette recommandation rencontre 30 % d\u2019\u00e9checs en France, du fait d\u2019une r\u00e9sistance croissante d\u2019Hp \u00e0 la Clarythromycine.  Ce travail analyse la gestion des infections \u00e0 Hp dans un CHG selon la pratique des 3 gastroent\u00e9rologues qui y exercent, comparant l\u2019association \u00ab recommand\u00e9e \u00bb pendant 7 jours avec deux autres types de prescriptions usuelles, associant un IPP double dose et soit de l\u2019Amoxicilline \u00e0 plus forte dose (3g\/j) associ\u00e9 \u00e0 la Clarythromycine, soit Amoxicilline 3g\/j et Metronidazole 1,5g\/j en premi\u00e8re intention. Les dossiers exploitables de 93 patients ayant b\u00e9n\u00e9fici\u00e9 d\u2019une endoscopie oesogastroduod\u00e9nale entre 1998 et 2009 avec recherche d\u2019Hp positive ont \u00e9t\u00e9 \u00e9tudi\u00e9s r\u00e9trospectivement. Les taux d\u2019\u00e9radication contr\u00f4l\u00e9s endoscopiquement ou par la pratique d\u2019un test Helikit r\u00e9alis\u00e9 au moins 1 mois apr\u00e8s le traitement \u00e9taient similaires (respectivement 69,7%, 75% et 77,6%). Cette enqu\u00eate de pratique a permis de constater l\u2019\u00e9cart \u00ab dans la vraie vie \u00bb entre une recommandation (dont le taux de succ\u00e8s est effectivement m\u00e9diocre) et les prescriptions quotidiennes, et de s\u2019assurer que ces derni\u00e8res n\u2019avaient pas un r\u00e9sultat inf\u00e9rieur au protocole valid\u00e9. Il a \u00e9galement permis un \u00e9change fructueux entre les 3 gastroent\u00e9rologues et induit une am\u00e9lioration du circuit de la prise en charge des infections \u00e0 Hp : tra\u00e7abilit\u00e9 des prescriptions effectives, de l\u2019archivage du r\u00e9sultat du test d\u2019\u00e9radication et transmission de l\u2019information aux m\u00e9decins g\u00e9n\u00e9ralistes correspondants.<br \/>\nCette pr\u00e9sentation repose sur une th\u00e8se soutenue par le Dr S\u00e9bastien TROUILLAS \u00e0 la facult\u00e9 de M\u00e9decine de Cr\u00e9teil le 16 d\u00e9cembre 2010, intitul\u00e9e \u00ab Eradication d\u2019Helicobacter Pylori : \u00e9valuation d\u2019un traitement non conventionnel \u00bb.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2011 S. TROUILLAS, C. NJAPOUM, N. SADAT, G. BARJONET M\u00e9decine B Centre Hospitalier rue Gabriel Peri 77120 COULOMMIERS Gastroent\u00e9rologie &#8211; \u00a02011-05-09 &#8211;\u00a0PW &#8211; ________________________________ L\u2019\u00e9radication d\u2019Helicobacter pylori (Hp) fait l\u2019objet d\u2019une recommandation de l\u2019AFSSAPS datant de 2005, pr\u00e9conisant en premi\u00e8re intention une trith\u00e9rapie de 7 \u00e0 14 jours associant Clarythromycine (1g\/j), Amoxicilline (2g\/j) et un [&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":[4],"tags":[22],"class_list":["post-1916","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-22"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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