{"id":2326,"date":"2020-09-25T22:13:28","date_gmt":"2020-09-25T20:13:28","guid":{"rendered":"https:\/\/angh.net\/abstracts\/depister-lhepatite-c-en-2020-quoi-depister-pour-qui-comment-ou-par-qui\/"},"modified":"2020-09-25T22:13:28","modified_gmt":"2020-09-25T20:13:28","slug":"depister-lhepatite-c-en-2020-quoi-depister-pour-qui-comment-ou-par-qui","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/depister-lhepatite-c-en-2020-quoi-depister-pour-qui-comment-ou-par-qui\/","title":{"rendered":"D\u00e9pister l\u2019h\u00e9patite C  en 2020 : quoi d\u00e9pister ? Pour qui ? Comment ? O\u00f9 ? Par qui ?"},"content":{"rendered":"<p><strong>2020<\/strong><\/p>\n<p><em>AJ REMY, H BOUCHKIRA, J HERVET, B ROY, A HAPPIETTE.<\/em><\/p>\n<p><strong>H\u00e9patologie <\/strong>&#8211; \u00a02020-06-30 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>D\u00e9pister plus et mieux l\u2019h\u00e9patite C en 2020 est un des objectifs majeurs \u00e0 atteindre pour r\u00e9aliser l\u2019\u00e9radication en 2025, date fix\u00e9e dans le plan gouvernemental de sant\u00e9 publique. Les patients ne connaissant pas leur s\u00e9rologie (ou l\u2019ayant n\u00e9glig\u00e9) doivent \u00eatre retrouv\u00e9s et int\u00e9gr\u00e9s au parcours de soins. L\u2019efficacit\u00e9 des traitements antiviraux permet d\u2019affirmer que d\u00e9pister c\u2019est gu\u00e9rir et qu\u2019une approche test to treat, voire test to cure est suffisante. Plusieurs \u00e9tapes sont \u00e0 consid\u00e9rer dans ce d\u00e9pistage : quoi d\u00e9pister ? Pour qui ? Comment ? O\u00f9 ? Par qui ?<br \/>\nQuoi d\u00e9pister ? Les anticorps ou la charge virale ou la fibrose ? D\u00e9pister la pr\u00e9senec d\u2019anticorps pour ensuite mesurer la charge virale C et la fibrose h\u00e9patique ? D\u00e9pister pour traiter donc pouvoir r\u00e9aliser en premi\u00e8re intention une charge virale ou d\u00e9pister les fibroses s\u00e9v\u00e8res F3 F4 (qui constituaient 36% des nouveaux patients dans l\u2019\u00e9tude KIDEPIST) pour \u00eatre le plus co\u00fbt efficace possible ?<br \/>\nQui d\u00e9pister ? La population g\u00e9n\u00e9rale ou les \u00ab groupes \u00e0 risque \u00bb ? La Haute Autorit\u00e9 de Sant\u00e9 dans son avis de septembre 2019 ne recommandait pas le d\u00e9pistage syst\u00e9matique en population g\u00e9n\u00e9rale car non co\u00fbt efficace. Des exp\u00e9riences se sont d\u00e9velopp\u00e9es en pr\u00e9sence ou en l\u2019absence de facteurs de risque avec des r\u00e9sultats contrast\u00e9s<br \/>\nComment d\u00e9pister ? S\u00e9rologie classique ou TROD ou buvards ou charge virale en temps r\u00e9el ? Chacune de ces techniques pr\u00e9sente ses avantages et ses inconv\u00e9nients, d\u00e9taill\u00e9s dans ll tableau 1.<br \/>\nO\u00f9 d\u00e9pister ? A l\u2019h\u00f4pital pour tous les patients ou en consultation externes de gastroent\u00e9rologie ou d\u2019anesth\u00e9sie ? en structures m\u00e9dico-sociales sp\u00e9cialis\u00e9es  (CSAPA CAARUD, PASS) ou non ? Hors les murs avec ou sans \u00e9quipes mobiles ?<br \/>\nQui d\u00e9piste ? Un soignant ou un non soignant (associatif ou professionnel du social) ? Le d\u00e9pistage n\u2019est plus depuis les TROD VIH l\u2019apanage des soignants et m\u00eame le FIBROSCAN est parfois r\u00e9alis\u00e9 hors du cadre r\u00e9glementaire.<br \/>\nAutour de ces probl\u00e9matiques, notre \u00e9quipe pr\u00e9sentera son exp\u00e9rience de terrain depuis 2013 dans un bassin de sant\u00e9 de 600 000 habitants.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2020 AJ REMY, H BOUCHKIRA, J HERVET, B ROY, A HAPPIETTE. H\u00e9patologie &#8211; \u00a02020-06-30 &#8211;\u00a0CO &#8211; ________________________________ D\u00e9pister plus et mieux l\u2019h\u00e9patite C en 2020 est un des objectifs majeurs \u00e0 atteindre pour r\u00e9aliser l\u2019\u00e9radication en 2025, date fix\u00e9e dans le plan gouvernemental de sant\u00e9 publique. Les patients ne connaissant pas leur s\u00e9rologie (ou l\u2019ayant [&hellip;]<\/p>\n","protected":false},"author":1,"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":[31],"class_list":["post-2326","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-31"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>D\u00e9pister l\u2019h\u00e9patite C en 2020 : quoi d\u00e9pister ? Pour qui ? Comment ? O\u00f9 ? 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