{"id":378,"date":"2020-04-20T09:45:16","date_gmt":"2020-04-20T09:45:16","guid":{"rendered":"https:\/\/pophaw.com\/2020\/04\/20\/healthcare-workers-should-be-screened-for-covid-19-every-week\/"},"modified":"2025-01-20T23:52:40","modified_gmt":"2025-01-21T07:52:40","slug":"les-travailleurs-du-secteur-de-la-sante-devraient-subir-un-depistage-du-covid-19-chaque-semaine","status":"publish","type":"post","link":"https:\/\/pophaw.com\/fr\/les-travailleurs-du-secteur-de-la-sante-devraient-subir-un-depistage-du-covid-19-chaque-semaine\/","title":{"rendered":"Le personnel de sant\u00e9 devrait \u00eatre soumis \u00e0 un d\u00e9pistage hebdomadaire du Covid-19\u2018"},"content":{"rendered":"
\r\n

Un canc\u00e9rologue britannique d\u00e9clare qu'il est contraire \u00e0 l'\u00e9thique de laisser du personnel potentiellement infectieux dans les h\u00f4pitaux<\/strong><\/p>\r\n<\/blockquote>\r\n\r\n\r\n\r\n

Le personnel de sant\u00e9 devrait subir un d\u00e9pistage hebdomadaire du Covid-19 afin de prot\u00e9ger les patients d'une infection asymptomatique, a d\u00e9clar\u00e9 le directeur du centre de d\u00e9pistage de l'Institut Francis Crick.<\/p>\r\n\r\n\r\n\r\n

Cet appel intervient alors que l'on craint que les h\u00f4pitaux ne deviennent des foyers de transmission de la maladie et qu'il est prouv\u00e9 qu'une grande partie des personnes infect\u00e9es ne pr\u00e9sentent que peu ou pas de sympt\u00f4mes.<\/p>\r\n\r\n\r\n\r\n

\u201cMalgr\u00e9 toute l'agitation autour de la distanciation sociale, nous ignorons \u00e0 peu pr\u00e8s l'une des principales voies d'infection sous nos yeux\u201d, a d\u00e9clar\u00e9 le professeur Charles Swanton, qui dirige l'effort de d\u00e9pistage \u00e0 l'institut de Londres. \u201cIl est presque ind\u00e9fendable de pr\u00e9tendre que l'on n'aurait pas d\u00fb d\u00e9pister et isoler les travailleurs de la sant\u00e9.\u201d<\/p>\r\n\r\n\r\n\r\n

La semaine prochaine, l'institut lancera un projet pilote de d\u00e9pistage du personnel de l'University College Hospital afin d'identifier les cas asymptomatiques de Covid-19, mais cette approche n'a pas \u00e9t\u00e9 explicitement approuv\u00e9e par le gouvernement et rien n'indique qu'elle soit envisag\u00e9e comme une strat\u00e9gie nationale.<\/p>\r\n\r\n\r\n\r\n

Le laboratoire d'analyse de l'institut a une capacit\u00e9 de 3 000 tests par jour et serait donc en mesure de mener une op\u00e9ration de d\u00e9pistage pour le personnel de l'UCH, si cette approche \u00e9tait adopt\u00e9e.<\/p>\r\n\r\n\r\n\r\n

\"\"<\/figure>\r\n\r\n\r\n\r\n

On peut craindre que le d\u00e9pistage n'oblige un grand nombre de m\u00e9decins et d'infirmi\u00e8res, par ailleurs en bonne sant\u00e9, \u00e0 s'auto-isoler. Mais l'alternative - laisser dans les services du personnel asymptomatique mais potentiellement infectieux - va \u00e0 l'encontre du principe \u201cne pas nuire\u201d, a d\u00e9clar\u00e9 M. Swanton.<\/p>\r\n\r\n\r\n\r\n

Ils ont trop peur pour aller \u00e0 l'h\u00f4pital et vous pouvez comprendre pourquoi<\/h3>\r\n\r\n\r\n\r\n

Il a ajout\u00e9 que les patients \u00e9taient tr\u00e8s conscients du risque et qu'ils restaient chez eux par crainte justifi\u00e9e de contracter le virus en se rendant \u00e0 l'h\u00f4pital ou chez le m\u00e9decin g\u00e9n\u00e9raliste.<\/p>\r\n\r\n\r\n\r\n

La situation semble entra\u00eener une diminution des appels d'urgence provenant de personnes ayant subi un accident vasculaire c\u00e9r\u00e9bral ou une crise cardiaque, ce qui pourrait alimenter l'augmentation du nombre de d\u00e9c\u00e8s dus \u00e0 des maladies autres que le coronavirus, comme l'indiquent les chiffres publi\u00e9s cette semaine. Les personnes souffrant d'autres pathologies peuvent \u00e9galement \u00eatre dissuad\u00e9es de demander une aide m\u00e9dicale.<\/p>\r\n\r\n\r\n\r\n

Jeudi, le Guardian a rapport\u00e9 que les chefs des services d'urgence de Londres s'inqui\u00e9taient de la d\u00e9saffection des patients, d\u00e9clarant lors d'une r\u00e9union la semaine derni\u00e8re : \u201cLes gens ne veulent pas s'approcher de l'h\u00f4pital : \u201dLes gens ne veulent pas s'approcher de l'h\u00f4pital. Par cons\u00e9quent, les pathologies qui peuvent \u00eatre sauv\u00e9es ne sont pas trait\u00e9es\".\u201d<\/p>\r\n\r\n\r\n\r\n

M. Swanton, qui est \u00e9galement clinicien en chef \u00e0 Cancer Research UK, a d\u00e9clar\u00e9 : \u201cJe suis pr\u00e9occup\u00e9 par le fait que les patients atteints de cancer doivent pouvoir se rendre en toute confiance dans les services : \u201dJe suis pr\u00e9occup\u00e9 par le fait que les patients atteints de cancer doivent pouvoir venir en toute confiance dans les services. Nous en avons encore pour un mois au moins, probablement deux ou trois. C'est une tr\u00e8s longue p\u00e9riode pour un diagnostic de cancer retard\u00e9\".\u201d<\/p>\r\n\r\n\r\n\r\n

Il est de plus en plus \u00e9vident qu'une proportion importante de personnes infect\u00e9es par le Covid-19 ne pr\u00e9sente que peu ou pas de sympt\u00f4mes et que jusqu'\u00e0 la moiti\u00e9 de la transmission peut avoir lieu avant l'apparition des sympt\u00f4mes.<\/p>\r\n\r\n\r\n\r\n

Une \u00e9tude portant sur les personnes \u00e0 bord du navire de croisi\u00e8re Diamond Princess, pr\u00e9c\u00e9demment mis en quarantaine et amarr\u00e9 \u00e0 Yokohama, au Japon, a r\u00e9v\u00e9l\u00e9 que 328 des 634 cas positifs (52%) \u00e9taient asymptomatiques au moment du test, et d'autres \u00e9tudes ont r\u00e9v\u00e9l\u00e9 une fourchette de 20 \u00e0 80% de personnes porteuses du virus mais ne pr\u00e9sentant aucun sympt\u00f4me.<\/p>\r\n\r\n\r\n\r\n

Pour identifier ces cas, le personnel de sant\u00e9 devait id\u00e9alement faire l'objet d'un d\u00e9pistage hebdomadaire dans les zones \u00e0 haut risque, a d\u00e9clar\u00e9 M. Swanton.<\/p>\r\n\r\n\r\n\r\n

Graham Cooke, professeur de maladies infectieuses \u00e0 l'Imperial College de Londres, a reconnu que le d\u00e9pistage devrait \u00eatre s\u00e9rieusement envisag\u00e9 lorsque la capacit\u00e9 de test sera augment\u00e9e ce mois-ci.<\/p>\r\n\r\n\r\n\r\n

\u201cJe pense qu'il est n\u00e9cessaire d'aborder la question des tests \u00e0 grande \u00e9chelle dans les \u00e9tablissements de soins de sant\u00e9\u201d, a d\u00e9clar\u00e9 M. Cooke. \u201cNous disposons d\u00e9sormais de preuves solides de l'existence d'une transmission significative chez les personnes pr\u00e9-symptomatiques. Nous sommes pr\u00e9occup\u00e9s par la transmission dans les h\u00f4pitaux et nous disposons d'une capacit\u00e9 de d\u00e9pistage nettement am\u00e9lior\u00e9e. Il y a des raisons d'\u00eatre prudent, mais l'une d'entre elles est de ne pas avoir peur de ce que nous pourrions trouver\u201d.\u201d<\/p>\r\n\r\n\r\n\r\n

- The Guardian<\/em><\/strong> -<\/p>","protected":false},"excerpt":{"rendered":"

UK cancer specialist says leaving potentially infectious staff in hospitals is unethical Healthcare workers should be screened for Covid-19 every week to protect patients from asymptomatic infection, the head of the Francis Crick Institute’s testing facility has said. The call comes amid concerns that hospitals are becoming hotspots for disease transmission and evidence that a 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Rowan","author_link":"https:\/\/pophaw.com\/fr\/author\/xiaoxi99201\/"},"uagb_comment_info":0,"uagb_excerpt":"UK cancer specialist says leaving potentially infectious staff in hospitals is unethical Healthcare workers should be screened for Covid-19 every week to protect patients from asymptomatic infection, the head of the Francis Crick Institute’s testing facility has said. The call comes amid concerns that hospitals are becoming hotspots for disease transmission and evidence that a\u2026","_links":{"self":[{"href":"https:\/\/pophaw.com\/fr\/wp-json\/wp\/v2\/posts\/378","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pophaw.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pophaw.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pophaw.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pophaw.com\/fr\/wp-json\/wp\/v2\/comments?post=378"}],"version-history":[{"count":0,"href":"https:\/\/pophaw.com\/fr\/wp-json\/wp\/v2\/posts\/378\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pophaw.com\/fr\/wp-json\/wp\/v2\/media\/8828"}],"wp:attachment":[{"href":"https:\/\/pophaw.com\/fr\/wp-json\/wp\/v2\/media?parent=378"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pophaw.com\/fr\/wp-json\/wp\/v2\/categories?post=378"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pophaw.com\/fr\/wp-json\/wp\/v2\/tags?post=378"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}