{"id":1968,"date":"2012-10-01T01:00:00","date_gmt":"2012-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/porteurs-asymptomatiques-du-vhb-et-immunotolerants-enquete-de-pratique\/"},"modified":"2018-10-20T18:40:08","modified_gmt":"2018-10-20T16:40:08","slug":"porteurs-asymptomatiques-du-vhb-et-immunotolerants-enquete-de-pratique","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/porteurs-asymptomatiques-du-vhb-et-immunotolerants-enquete-de-pratique\/","title":{"rendered":"Porteurs asymptomatiques du VHB et immunotol\u00e9rants : enqu\u00eate de pratique."},"content":{"rendered":"<p><strong>2012<\/strong><\/p>\n<p><em>Xavier Causse (1), Jean-Fran\u00e7ois Cadranel (1), Pascal Potier (1), Jacques Denis (1), Christophe Renou (1), Patrick Delasalle (2), Denis Ouzan (2), Thierry Fontanges (2) pour le CREGG (2) et l\u2019ANGH (1)<\/em><\/p>\n<p><strong>H\u00e9patologie <\/strong>&#8211; \u00a02012-08-17 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Avant communication en 2012 de l\u2019actualisation des recommandations de pratique clinique de l\u2019EASL pour la prise en charge de l\u2019infection par le virus de l\u2019h\u00e9patite B, une enqu\u00eate a \u00e9t\u00e9 propos\u00e9e en 2011 aux membres de l\u2019ANGH et\/ou du CREGG pour \u00e9valuer leur adh\u00e9sion aux recommandations 2009 de l\u2019EASL concernant les porteurs asymptomatiques et les immunotol\u00e9rants.<br \/>\nIl s\u2019agissait d\u2019une enqu\u00eate simple, de 11 questions pour lesquelles il suffisait de cocher la ou les r\u00e9ponses retenues.<br \/>\n216 r\u00e9ponses ont \u00e9t\u00e9 re\u00e7ues (182 pour l\u2019ANGH, 34 pour le CREGG) dont 215 s\u2019av\u00e9raient exploitables, \u00e9manant de 26 coll\u00e8gues \u00e0 activit\u00e9 principalement h\u00e9patologique (12 %), de 56 coll\u00e8gues \u00e0 activit\u00e9 principalement gastroent\u00e9rologique (26%) et de 133 coll\u00e8gues \u00e0 activit\u00e9 mixte (62%).<br \/>\n41 d\u2019entre eux exer\u00e7aient depuis moins de 10 ans (19 %), 80 depuis 10 \u00e0 20 ans (37 %), 94 depuis plus de 20 ans (44 %). Il s\u2019agissait de 153 hommes (71 %) et de 62 femmes (29 %). 74 avaient moins de 45 ans (35%) et 140 plus de 45 ans (65%). Le nombre annuel de consultations du service ou du cabinet \u00e9tait  2000 dans 52 cas (24%), &gt; 3000 dans 40 cas (19%), &gt; 4000 dans 25 cas (12%), &gt; 5000 dans 7 cas (3%), &gt; 6000 dans 11 cas (5%).<br \/>\nLa file active personnelle de patients Ag HBs positifs de nos coll\u00e8gues \u00e9tait  200 dans 6 cas (3%).<br \/>\nLes crit\u00e8res diagnostiques de \u00ab porteur asymptomatique de l\u2019Ag HBs \u00e9taient assimil\u00e9s dans 184 cas (86%) pour les transaminases (constamment normales), dans 166 cas (77%) pour la charge virale (constamment inf\u00e9rieure \u00e0 2000 UI\/ml).<br \/>\nLe crit\u00e8re de positivit\u00e9 de l\u2019Ag HBe pour le diagnostic du statut d\u2019immunotol\u00e9rance \u00e9tait m\u00e9connu par 105 m\u00e9decins (49.5 %).<br \/>\nLa question de la surveillance \u00e9chographique des patients porteurs asymptomatiques et immunotol\u00e9rants n\u2019\u00e9tait suivie de r\u00e9ponses que chez 187 m\u00e9decins (87 %). 16 d\u2019entre eux (9%) estimaient cette surveillance non n\u00e9cessaire, 31 (17%) r\u00e9alisaient une \u00e9chographie semestrielle, 140 (75 %) une surveillance annuelle et 2 (1%) une surveillance semestrielle ou annuelle.<br \/>\n47 m\u00e9decins (22%) ne donnaient aucune r\u00e9ponse \u00e0 la question de la surveillance biologique des patients porteurs asymptomatiques et immunotol\u00e9rants. 165 (97 %) des 168 m\u00e9decins r\u00e9pondeurs jugeaient utiles la r\u00e9alisation d\u2019un bilan biologique associant dosage alphaFP et de la charge virale de fa\u00e7on semestrielle (n=58, 35 %) ou annuelle (n=105, 63%).<\/p>\n<p>En conclusion, les recommandations de l\u2019EASL publi\u00e9es en 2009 semblent bien assimil\u00e9es pour la d\u00e9finition du porteur asymptomatique mais mal comprises pour celle de l\u2019immuno-tol\u00e9rant. Si la surveillance \u00e9chographique et biologique de ces patients semble couramment pratiqu\u00e9e, la dispersion des r\u00e9ponses refl\u00e8te l\u2019absence de recommandation claire.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2012 Xavier Causse (1), Jean-Fran\u00e7ois Cadranel (1), Pascal Potier (1), Jacques Denis (1), Christophe Renou (1), Patrick Delasalle (2), Denis Ouzan (2), Thierry Fontanges (2) pour le CREGG (2) et l\u2019ANGH (1) H\u00e9patologie &#8211; \u00a02012-08-17 &#8211;\u00a0CO &#8211; ________________________________ Avant communication en 2012 de l\u2019actualisation des recommandations de pratique clinique de l\u2019EASL pour la prise en [&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-1968","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 - 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