{"id":2688,"date":"2025-10-15T13:39:12","date_gmt":"2025-10-15T11:39:12","guid":{"rendered":"https:\/\/angh.net\/abstracts\/?p=2688"},"modified":"2025-10-15T13:39:14","modified_gmt":"2025-10-15T11:39:14","slug":"depister-lhepatite-c-chez-les-patients-psychiatriques-est-plus-efficient-en-centre-hospitalier-psychiatrique-quen-cmp","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/depister-lhepatite-c-chez-les-patients-psychiatriques-est-plus-efficient-en-centre-hospitalier-psychiatrique-quen-cmp\/","title":{"rendered":"D\u00e9pister l\u2019h\u00e9patite C chez les patients psychiatriques est plus efficient en centre hospitalier psychiatrique qu\u2019en CMP !"},"content":{"rendered":"

2025<\/b><\/p>\n

REMY Andr\u00e9-Jean, BOUCHKIRA Hakim, HAPPIETTE Arnaud.
\nEquipe Mobile H\u00e9patites, Centre Hospitalier de Perpignan
\nAndre.remy@ch-perpignan.fr
\n<\/em>

H\u00e9patologie <\/b> – 09\/05\/2025 – Communication orale<\/p>\n

Introduction : Depuis longtemps, le d\u00e9pistage syst\u00e9matiquement propos\u00e9 de l\u2019h\u00e9patite C chez les patients suivis en milieu psychiatrique est rappel\u00e9 \u00e0 travers les rapports d\u2019experts successifs ou le tout dernier rapport du Conseil National du sida et des h\u00e9patites virales qui y consacre un chapitre d\u00e9di\u00e9. Mais, comme l\u2019a rappel\u00e9 Benjamin ROLLAND dans un article r\u00e9cent, l\u2019h\u00e9patite C en milieu psychiatrique constitue un \u00ab r\u00e9servoir oubli\u00e9 \u00bb. D\u2019autre part actuellement en France, \u00e0 peine une peu plus de 5000 patients sont trait\u00e9s par an pour une h\u00e9patite C tandis que de l\u2019autre c\u00f4t\u00e9 de la balance, 4000 \u00e0 4500 patients sont contamin\u00e9s ou recontamin\u00e9s, essentiellement par usage de drogues, intraveineux ou nasal. L\u2019objectif d\u2019\u00e9radication de l\u2019h\u00e9patite C fix\u00e9 en France pour 2025 par le plan national de sant\u00e9 publique de 2018 ne sera donc pas atteint et l\u2019objectif 2030 fix\u00e9 par l\u2019OMS probablement pas. La question est donc de (re)trouver les patients non diagnostiqu\u00e9s ou non suivis dont le nombre est estim\u00e9 \u00e0 75000. Au-del\u00e0 du d\u00e9pistage en milieu carc\u00e9ral, en CSAPA et en CAARUD, lieux traditionnellement cibl\u00e9s par les programmes de d\u00e9pistage, qui peut sans doute d\u2019ailleurs \u00eatre optimis\u00e9, la question de d\u00e9pister plus et mieux en milieu psychiatrique se pose au quotidien pour l\u2019ensemble des acteurs soignants.
\nM\u00e9thodologie : L\u2019\u00e9quipe mobile h\u00e9patites du Centre Hospitalier de Perpignan intervient depuis 2017 en milieu psychiatrique, d\u2019abord au Centre Hospitalier Sp\u00e9cialis\u00e9 (CHS) de Thuir puis plus r\u00e9cemment dans un Centre M\u00e9dico-Psychologique (CMP) de Perpignan. Dans cette \u00e9tude r\u00e9trospective, nous avons voulu comparer l\u2019efficience de nos actions dans ces deux sites psychiatriques diff\u00e9rents, pour le nombre de d\u00e9pistages VHC r\u00e9alis\u00e9s, de patients positifs pour l\u2019h\u00e9patite C, de patients trait\u00e9s et de FIBROSCAN (mobiles) r\u00e9alis\u00e9s. La fr\u00e9quence des actions \u00e9tait identique dans les deux structures, une demi-journ\u00e9e deux fois par mois.
\nR\u00e9sultats : la file active du CHS \u00e9tait en moyenne de 1475 et celle du CMP de 1530 patients par an.<\/p>\n

\t2021\t \t \t2022\t \t \t2023\t \t \t2024
\n \tFIBROSCAN\tCV +\ttrait\u00e9s\tFIBROSCAN\tCV +\ttrait\u00e9s\tFIBROSCAN\tCV +\ttrait\u00e9s\tFIBROSCAN\tCV +\ttrait\u00e9s
\nCHS\t170\t5 sur 21\t2\t143\t10 sur 38\t4\t157\t7 sur 42\t6\t172\t10 sur 47\t4
\nCMP\tna\tna\tna\t4\t5\t4\t4\t0 sur 2\t0\t86\t1\t1<\/p>\n

Discussion et conclusion : Dans notre exp\u00e9rience, d\u00e9pister les malades psychiatriques en CHS est plus efficient que de d\u00e9pister en CMP. Cette \u00e9tude de terrain permet de pr\u00e9ciser les recommandations publi\u00e9es dans le rapport d\u2019experts 2023.<\/p>\n","protected":false},"excerpt":{"rendered":"

2025 REMY Andr\u00e9-Jean, BOUCHKIRA Hakim, HAPPIETTE Arnaud. Equipe Mobile H\u00e9patites, Centre Hospitalier de Perpignan Andre.remy@ch-perpignan.fr H\u00e9patologie – 09\/05\/2025 – Communication orale Introduction : Depuis longtemps, le d\u00e9pistage syst\u00e9matiquement propos\u00e9 de l\u2019h\u00e9patite C chez les patients suivis en milieu psychiatrique est rappel\u00e9 \u00e0 travers les rapports d\u2019experts successifs ou le tout dernier rapport du Conseil National […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","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":[49],"class_list":["post-2688","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-49"],"yoast_head":"\nD\u00e9pister l\u2019h\u00e9patite C chez les patients psychiatriques est plus efficient en centre hospitalier psychiatrique qu\u2019en CMP ! 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