{"id":1942,"date":"2011-10-01T01:00:00","date_gmt":"2011-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/observatoire-onu-traitement-et-controle-deradication-de-helicobacter-pylori\/"},"modified":"2018-10-20T18:40:01","modified_gmt":"2018-10-20T16:40:01","slug":"observatoire-onu-traitement-et-controle-deradication-de-helicobacter-pylori","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/observatoire-onu-traitement-et-controle-deradication-de-helicobacter-pylori\/","title":{"rendered":"Observatoire ONU : traitement et contr\u00f4le d\u2019\u00e9radication de Helicobacter pylori"},"content":{"rendered":"<p><strong>2011<\/strong><\/p>\n<p><em>C. Charpignon (1), B. Lesgourgues (2), G. Barjonnet (3), S. Berber (4), P. Bohon (5), J. Danis (6), S. de Montigny (7), A. Fleury (8), J. Hadjadje (9),  F. Heluwaert (10), E. Lapoile (11), C. Lottman (12), J.J. Meurisse (13), F. Skinazi (14), H. Tossou (15), G. Tordjman (16),  A Courillon-Mallet (1) et les centres ANGH.<\/p>\n<p>(1) Villeneuve St Georges, (2) Montfermeil, (3) Coulommiers, (4) Soissons,  (5) Fourmies, (6) Foix, (7) Aubagne, (8) Neuilly, (9) Cahors, (10) Annecy, (11) Eaubonne, (12) Juvisy sur Orge, (13) Bourg en Bresse, (14) Saint Denis, (15) Beauvais, (16) Aulnay sous Bois.<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02011-05-23 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Groupe de travail : ANGH<br \/>\nIntroduction :<br \/>\nL\u2019observatoire national sur les ulc\u00e8res (ONU) a permis d\u2019\u00e9tablir les causes de 960 ulc\u00e8res gastrique ou duod\u00e9nal diagnostiqu\u00e9s prospectivement en endoscopie entre janvier 2009 et janvier 2010 dans 31 centres hospitaliers de l\u2019ANGH. Dans cette pr\u00e9c\u00e9dente \u00e9tude, nous avons montr\u00e9 que l\u2019infection \u00e0 H pylori \u00e9tait la premi\u00e8re cause des ulc\u00e8res (49%). En France, le traitement \u00e9radicateur de premi\u00e8re ligne associant Clarithromycine, Amoxicilline et IPP a un taux de succ\u00e8s de 75% ce qui justifie le contr\u00f4le syst\u00e9matique de l\u2019\u00e9radication \u00e0 l\u2019issue du traitement. Le but de ce travail \u00e9tait de d\u00e9terminer  les modalit\u00e9s et le r\u00e9sultat d\u2019\u00e9radication de H pylori chez ces patients et d\u2019\u00e9valuer nos pratiques professionnelles.<\/p>\n<p>Patients et m\u00e9thodes :<br \/>\nL\u2019\u00e9tude a port\u00e9 sur les patients de ONU ayant une infection \u00e0 H pylori. Les informations suivantes ont \u00e9t\u00e9 recueillies prospectivement par le gastroent\u00e9rologue : les comorbidit\u00e9s (cirrhose, ATCD d\u2019AVC, chimioth\u00e9rapie, d\u00e9nutrition, hospitalisation en r\u00e9animation, insuffisance r\u00e9nale, insuffisance cardiaque), le type du traitement antibiotique prescrit et sa dur\u00e9e et le r\u00e9sultat du contr\u00f4le d\u2019\u00e9radication d\u2019H pylori.<\/p>\n<p>R\u00e9sultats :<br \/>\nParmi les 472 patients ayant un ulc\u00e8re associ\u00e9 \u00e0 H pylori, 414 (88%) ont re\u00e7u un traitement d\u2019\u00e9radication. Cinquante huit patients n\u2019ont pas eu de traitement en raison d\u2019un d\u00e9c\u00e8s pr\u00e9coce dans 5 cas ou d\u2019une comorbidit\u00e9 s\u00e9v\u00e8re dans 15 cas, les autres \u00e9tant perdus de vue. Le traitement \u00e9radicateur \u00e9tait une trith\u00e9rapie classique associant Clarithromycine, Amoxicilline et IPP pendant 7 jours dans la majorit\u00e9 des cas. Un contr\u00f4le d\u2019\u00e9radication a \u00e9t\u00e9 effectu\u00e9 chez 249 patients (60%). Il s\u2019agissait d\u2019un test respiratoire dans 61% des cas, d\u2019un contr\u00f4le histologique dans 35% des cas et d\u2019une combinaison des deux tests dans 4% des cas. Le taux d\u2019\u00e9radication de la bact\u00e9rie \u00e9tait de 86%. <\/p>\n<p>Conclusion :<br \/>\nAlors qu\u2019un traitement d\u2019\u00e9radication a \u00e9t\u00e9 prescrit chez la quasi totalit\u00e9 des patients aptes \u00e0 le recevoir moins de deux tiers d\u2019entre eux ont eu un contr\u00f4le d\u2019\u00e9radication. La prescription du contr\u00f4le d\u2019\u00e9radication et la r\u00e9cup\u00e9ration du r\u00e9sultat devraient \u00eatre syst\u00e9matiquement pr\u00e9vues et organis\u00e9es d\u00e8s la prescription du traitement antibiotique conform\u00e9ment aux recommandations.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2011 C. Charpignon (1), B. Lesgourgues (2), G. Barjonnet (3), S. Berber (4), P. Bohon (5), J. Danis (6), S. de Montigny (7), A. Fleury (8), J. Hadjadje (9), F. Heluwaert (10), E. Lapoile (11), C. Lottman (12), J.J. Meurisse (13), F. Skinazi (14), H. Tossou (15), G. Tordjman (16), A Courillon-Mallet (1) et les [&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-1942","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 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Observatoire ONU : traitement et contr\u00f4le d\u2019\u00e9radication de Helicobacter pylori - 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\/observatoire-onu-traitement-et-controle-deradication-de-helicobacter-pylori\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Observatoire ONU : traitement et contr\u00f4le d\u2019\u00e9radication de Helicobacter pylori - 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