{"id":12799,"date":"2022-03-16T10:06:58","date_gmt":"2022-03-16T09:06:58","guid":{"rendered":"https:\/\/francelyme.fr\/site\/?p=12799"},"modified":"2025-10-06T10:40:07","modified_gmt":"2025-10-06T08:40:07","slug":"la-has-complete-les-bonnes-pratiques-avec-un-guide-du-parcours-de-soin","status":"publish","type":"post","link":"https:\/\/francelyme.fr\/site\/la-has-complete-les-bonnes-pratiques-avec-un-guide-du-parcours-de-soin\/","title":{"rendered":"LA HAS compl\u00e8te les bonnes pratiques avec un guide du parcours de soin"},"content":{"rendered":"
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Parcours de soin HAS<\/figcaption><\/figure>\n\n\n\n

La HAS publie un guide de parcours de soins hospitalier et structur\u00e9 en cas de suspicion de la maladie de Lyme qui compl\u00e8te les Bonnes Pratiques publi\u00e9es en juin 2018, disponible sous ce lien<\/a>.<\/p>\n\n\n\n

Si l\u2019on peut se f\u00e9liciter de la r\u00e9daction de ce guide qui concr\u00e9tise un parcours de soin initi\u00e9 en 2019 avec la cr\u00e9ation des Centres de R\u00e9f\u00e9rences MVT (en juillet 2019), cette publication ne doit cependant pas occulter certaines r\u00e9alit\u00e9s toujours trop pr\u00e9sentes dans le v\u00e9cu des malades, parmi lesquelles : le manque de reconnaissance des formes tardives de la maladie, la pr\u00e9sence des co-infections et l\u2019h\u00e9t\u00e9rog\u00e9n\u00e9it\u00e9 de prise en charge selon les Centres consult\u00e9s en France.<\/strong><\/p>\n\n\n\n

Si ces r\u00e9alit\u00e9s ne sont pas mieux prises en compte, nous ne sortirons pas du cercle vicieux de l\u2019errance et au-del\u00e0 des douleurs physiques, les malades continueront \u00e0 souffrir du manque cruel d\u2019empathie \u00e0 leur \u00e9gard.<\/p>\n\n\n\n

Ce texte a comme avantage de clarifier que le m\u00e9decin g\u00e9n\u00e9raliste reste le pivot du syst\u00e8me et qu’il oriente son patient vers le centre hospitalier le plus proche qui est Centre de Comp\u00e9tence<\/strong> dont la liste a \u00e9t\u00e9 d\u00e9finie par les ARS. (La liste des CCMVT<\/a>)<\/p>\n\n\n\n

Les malades n’ont pas acc\u00e8s directement aux Centre de R\u00e9f\u00e9rences sauf si ils sont aussi Centre de Comp\u00e9tence.<\/p>\n\n\n\n

Le d\u00e9savantage de ce texte : la r\u00e9daction du texte oriente vers l’exclusion des autres maladies \u00e0 tique autre que la borr\u00e9liose de Lyme. <\/strong><\/p>\n\n\n\n

Pourtant dans nos informations, 50% des malades portent la bartonellose et\/ou la bab\u00e9siose en plus de la borr\u00e9liose.<\/p>\n\n\n\n

C’est infections \u00ab\u00a0compl\u00e9mentaires\u00a0\u00bb participent \u00e9norm\u00e9ment \u00e0 la chronicit\u00e9.<\/p>\n\n\n\n

Cette fa\u00e7on d’appauvrir le texte vers uniquement la borr\u00e9liose de lyme permet donc d’exclure le sujet \u00ab\u00a0chronicit\u00e9\u00a0\u00bb.<\/p>\n\n\n\n

Nous d\u00e9plorons cette situation.<\/p>\n\n\n\n

Le communiqu\u00e9 de presse de la HAS pour la publication de ce guide : <\/h2>\n\n\n\n

Communiqu\u00e9 de presse – Mis en ligne le 15 mars 2022 : la HAS publie un guide de parcours de soins structur\u00e9 en cas de suspicion de la maladie.<\/a><\/p>\n\n\n\n

Le guide du parcours de soin : <\/h2>\n\n\n\n

2022.03 Guide du parcours de soins \u2013 Patients pr\u00e9sentant une suspicion de borr\u00e9liose de Lyme<\/a><\/p>\n\n\n\n

Les documents : <\/h2>\n\n\n\n
synthese_algorithme_guide_parcours_suspicion_borreliose_de_lyme<\/a>T\u00e9l\u00e9charger<\/a><\/div>\n\n\n\n
Avis-des-membres-du-Groupe-de-lecture<\/a>T\u00e9l\u00e9charger<\/a><\/div>\n\n\n\n
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\"\"<\/figure>\n\n\n\n
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Algorithme du parcours de soin<\/figcaption><\/figure>\n
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