{"id":1958,"date":"2012-10-01T01:00:00","date_gmt":"2012-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/lantibioprophylaxie-au-cours-de-la-cirrhose-une-enquete-nationale\/"},"modified":"2018-10-20T18:40:04","modified_gmt":"2018-10-20T16:40:04","slug":"lantibioprophylaxie-au-cours-de-la-cirrhose-une-enquete-nationale","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/lantibioprophylaxie-au-cours-de-la-cirrhose-une-enquete-nationale\/","title":{"rendered":"L\u2019antibioprophylaxie au cours de la cirrhose : une enqu\u00eate nationale."},"content":{"rendered":"<p><strong>2012<\/strong><\/p>\n<p><em>Thierry Thevenot (1), Thibault Degand (1), Natacha Grelat (1), Laure Elkrief (2), Camille Christol (3), Richard Moreau (2), Jean Henrion (4), Jean-Fran\u00e7ois Cadranel (5), Vincent Di Martino (1), Arnaud Pauwels (6), et ANGH.<br \/>\n(1) Service d\u2019H\u00e9patologie et de Soins Intensifs Digestifs, H\u00f4pital Universitaire Jean Minjoz, Besan\u00e7on, (2) Service d\u2019H\u00e9patologie, H\u00f4pital Beaujon, Clichy, (3) Service d\u2019H\u00e9pato-Gastroent\u00e9rologie, H\u00f4pital Purpan, Toulouse, (4) Service d\u2019H\u00e9pato-Gastroent\u00e9rologie, H\u00f4pital Jolimont, Haine-Saint-Paul, Belgique, (5) Service d\u2019H\u00e9pato-Gastroent\u00e9rologie, Centre Hospitalier de Creil, (6) Service d\u2019H\u00e9pato-Gastroent\u00e9rologie, Centre Hospitalier de Gonesse.<\/em><\/p>\n<p><strong>H\u00e9patologie <\/strong>&#8211; \u00a02012-05-16 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>L\u2019antibioprophylaxie dans les h\u00e9morragies digestives (HD) de la cirrhose et dans la pr\u00e9vention secondaire (Proph2) et primaire (Proph1) de l\u2019infection spontan\u00e9e du liquide d\u2019ascite (ISLA) a fait l\u2019objet de recommandations. L\u2019impact de ces recommandations n\u2019a jamais \u00e9t\u00e9 \u00e9valu\u00e9. Nous avons r\u00e9alis\u00e9 une enqu\u00eate nationale de pratique dans les centres hospitaliers g\u00e9n\u00e9raux (CHG) et universitaires (CHU).<br \/>\nM\u00e9thodes : Un auto-questionnaire a \u00e9t\u00e9 envoy\u00e9 \u00e0 tous les praticiens de CHG et de CHU exer\u00e7ant dans un service d\u2019h\u00e9pato-gastroent\u00e9rologie. 389 praticiens (hommes 62%, CHG 72%, \u00e2ge moyen 44 ans), soit 33,6% des praticiens sollicit\u00e9s, ont r\u00e9pondu \u00e0 cette enqu\u00eate.<br \/>\nR\u00e9sultats : Une antibioprophylaxie \u00e9tait prescrite par 97,7% d\u2019entre eux dans la prise en charge des HD de la cirrhose (chez &gt;75% des patients par 82,9%). Les antibiotiques utilis\u00e9s \u00e9taient : quinolones 42,8%, C3G 27,7%, amoxicilline-acide clavulanique 22,2%, autres antibiotiques 1,9%. La dur\u00e9e moyenne de l\u2019antibioprophylaxie \u00e9tait de 6,1\u00b11,7 jours. La prescription d\u2019une antibioprophylaxie dans l\u2019HD (CHU vs. CHG) \u00e9tait principalement motiv\u00e9e par la diminution du risque infectieux (94,3% vs 86,8% ; p=0,036), l\u2019am\u00e9lioration de la survie (81,1% vs 69,6%; p=0,023) et les recommandations d\u2019une conf\u00e9rence de consensus (95,3% vs 78,1%; p75% des patients par 82,9% et 33,3%, respectivement). Les quinolones repr\u00e9sentaient respectivement 99% et 97% des antibiotiques utilis\u00e9s. Pour la Proph2 de l\u2019ISLA, les praticiens des CHU \u00e9taient davantage influenc\u00e9s par les recommandations d\u2019une conf\u00e9rence de consensus (89% vs 68%; P&lt;0,001). La dur\u00e9e de la Proph2 et de la Proph1 \u00e9tait respectivement \u00e0 vie (34% et 19% des praticiens), jusqu\u2019\u00e0 la disparition de l\u2019ascite (67% et 70%), ou jusqu\u2019\u00e0 la transplantation (45% et 45%). Les patients concern\u00e9s par la Proph1 \u00e9taient principalement ceux ayant un taux bas (75% des cas) d\u2019une antibioprophylaxie \u00e9tait associ\u00e9e : 1) pour les HD, au nombre de patients ascitiques trait\u00e9s par mois (&gt;12 vs 95% des praticiens) dans les HD de la cirrhose et dans la pr\u00e9vention secondaire de l\u2019ISLA, en accord avec les recommandations des conf\u00e9rences de consensus. Alors que l\u2019int\u00e9r\u00eat d\u2019une pr\u00e9vention primaire de l\u2019ISLA est discut\u00e9, pr\u00e8s de 75% des praticiens y ont recours, principalement quand le taux de prot\u00e9ines dans l\u2019ascite est &lt;15 g\/l. Les quinolones restent les antibiotiques les plus prescrits quelque soit l\u2019indication de prophylaxie.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2012 Thierry Thevenot (1), Thibault Degand (1), Natacha Grelat (1), Laure Elkrief (2), Camille Christol (3), Richard Moreau (2), Jean Henrion (4), Jean-Fran\u00e7ois Cadranel (5), Vincent Di Martino (1), Arnaud Pauwels (6), et ANGH. (1) Service d\u2019H\u00e9patologie et de Soins Intensifs Digestifs, H\u00f4pital Universitaire Jean Minjoz, Besan\u00e7on, (2) Service d\u2019H\u00e9patologie, H\u00f4pital Beaujon, Clichy, (3) Service [&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":[3],"tags":[23],"class_list":["post-1958","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-23"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>L\u2019antibioprophylaxie au cours de la cirrhose : une enqu\u00eate nationale. - 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\/lantibioprophylaxie-au-cours-de-la-cirrhose-une-enquete-nationale\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L\u2019antibioprophylaxie au cours de la cirrhose : une enqu\u00eate nationale. - 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