{"id":19458,"date":"2026-02-27T18:42:22","date_gmt":"2026-02-27T17:42:22","guid":{"rendered":"https:\/\/francelyme.fr\/site\/ufaq\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\/"},"modified":"2026-02-28T19:02:46","modified_gmt":"2026-02-28T18:02:46","slug":"35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux","status":"publish","type":"ufaq","link":"https:\/\/francelyme.fr\/site\/ufaq\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\/","title":{"rendered":"035. Pourquoi ce parcours de soins a-t-il trois niveaux ?"},"content":{"rendered":"<div class=\"like-button\" style=\"float: right; clear: both; text-align: right; width = 100%;\">\n<!-- Facebook Like Button Vivacity Infotech BEGIN -->\n<div class=\"fb-like\" data-href=\"https:\/\/francelyme.fr\/site\/ufaq\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\/\" data-layout=\"box_count\" data-action=\"like\" data-show-faces=\"false\" data-size=\"large\" data-width=\"450\" data-share=\"1\" ><\/div><\/div>\n<!-- Facebook Like Button Vivacity Infotech END -->\n<div id=\"fb-root\"><\/div>\n<style>.ewd-ufaq-faq-header-title a { font-family: Garamond !important; }<\/style><div  class=\"ewd-ufaq-faq-list ewd-ufaq-page-type-distinct ewd-ufaq-category-tabs-\" id='ewd-ufaq-faq-list'>\n\n\t<input type='hidden' name='show_on_load' value='' id='ewd-ufaq-show-on-load' \/>\n<input type='hidden' name='include_category' value='' id='ewd-ufaq-include-category' \/>\n<input type='hidden' name='exclude_category' value='' id='ewd-ufaq-exclude-category' \/>\n<input type='hidden' name='orderby' value='title' id='ewd-ufaq-orderby' \/>\n<input type='hidden' name='order' value='asc' id='ewd-ufaq-order' \/>\n<input type='hidden' name='post_count' value='-1' id='ewd-ufaq-post-count' \/>\n<input type='hidden' name='current_url' value='\/site\/wp-json\/wp\/v2\/ufaq\/19458' id='ewd-ufaq-current-url' \/>\n\t\n\t\n\t<div class='ewd-ufaq-faqs'>\n\n\t\t<div  class=\"ewd-ufaq-faq-div ewd-ufaq-faq-column-count-one ewd-ufaq-faq-responsive-columns- ewd-ufaq-faq-display-style-default ewd-ufaq-can-be-toggled\" id='ewd-ufaq-post-19458-OsILJI4dbk' data-post_id='19458'>\n\n\t\t\n\t<div class='ewd-ufaq-faq-title ewd-ufaq-faq-toggle'>\n\t\n\t<a class='ewd-ufaq-post-margin'  href='#' role=\"button\">\n\n\t\t<div class='ewd-ufaq-post-margin-symbol ewd-ufaq-'>\n\t\t\t<span >A<\/span>\n\t\t<\/div>\n\n\t\t<div class='ewd-ufaq-faq-title-text'>\n\n\t\t\t<h4>\n\t\t\t\t035. Pourquoi ce parcours de soins a-t-il trois niveaux ?\t\t\t<\/h4>\n\n\t\t<\/div>\n\n\t\t<div class='ewd-ufaq-clear'><\/div>\n\n\t<\/a>\n\t\n<\/div>\n\t\n\t<div class='ewd-ufaq-faq-body' >\n\n\t\t\n\t\t\t<div class='ewd-ufaq-post-margin ewd-ufaq-faq-post'>\n\t<div class=\"like-button\" style=\"float: right;clear: both;text-align: right\">\n<!-- Facebook Like Button Vivacity Infotech BEGIN -->\n<div class=\"fb-like\" data-href=\"https:\/\/francelyme.fr\/site\/ufaq\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\/\" data-layout=\"box_count\" data-action=\"like\" data-show-faces=\"false\" data-size=\"large\" data-width=\"450\" data-share=\"1\"><\/div><\/div>\n<!-- Facebook Like Button Vivacity Infotech END -->\n<div id=\"fb-root\"><\/div>\n<p style=\"font-weight: 400\">Le parcours de soins comporte trois niveaux pour adapter la prise en charge \u00e0 la complexit\u00e9 des situations, avec une expertise croissante \u00e0 chaque \u00e9tape.<\/p>\n<p style=\"font-weight: 400\">Premier niveau : le m\u00e9decin traitant et les soins de ville.<\/p>\n<p style=\"font-weight: 400\">C\u2019est la premi\u00e8re personne \u00e0 consulter. Il prend en charge les situations simples, par exemple un \u00e9ryth\u00e8me migrant typique. Dans ce cas, la HAS indique que la prise en charge repose sur une antibioth\u00e9rapie adapt\u00e9e et une surveillance clinique, sans s\u00e9rologie ni examens compl\u00e9mentaires n\u00e9cessaires.<\/p>\n<p style=\"font-weight: 400\">Deuxi\u00e8me niveau : les Centres de Comp\u00e9tence Maladies Vectorielles \u00e0 Tiques (CC MVT).<\/p>\n<p style=\"font-weight: 400\">Le m\u00e9decin traitant adresse le patient en CC MVT quand la situation n\u00e9cessite un avis sp\u00e9cialis\u00e9, une coordination ou des explorations plus complexes, par exemple :<\/p>\n<ul>\n<li>pr\u00e9sence d\u2019un autre signe clinique \u00e9vocateur de borr\u00e9liose de Lyme (autre qu\u2019un \u00e9ryth\u00e8me migrant), avec discussion d\u2019une s\u00e9rologie et d\u2019une \u00e9valuation sp\u00e9cialis\u00e9e<\/li>\n<li>suspicion d\u2019une borr\u00e9liose de Lyme prouv\u00e9e (hors \u00e9ryth\u00e8me migrant), typiquement : exposition compatible, clinique compatible, s\u00e9rologie positive<\/li>\n<li>situation de borr\u00e9liose possible : exposition compatible et clinique compatible avec s\u00e9rologie n\u00e9gative, ou clinique atypique avec s\u00e9rologie positive, n\u00e9cessitant une mise au point et une discussion des diagnostics diff\u00e9rentiels<\/li>\n<li>signes persistants apr\u00e8s un traitement conforme aux recommandations, avec questionnement sur s\u00e9quelles, sympt\u00f4mes fonctionnels, diagnostic associ\u00e9 ou autre cause<\/li>\n<li>en cas de signe clinique \u00e9vocateur d\u2019une autre MVT, l\u2019algorithme indique une orientation directe en CC MVT (avec, si besoin, passage au niveau 3).<\/li>\n<\/ul>\n<p style=\"font-weight: 400\">Troisi\u00e8me niveau : les Centres de R\u00e9f\u00e9rence Maladies Vectorielles \u00e0 Tiques (CR MVT).<\/p>\n<p style=\"font-weight: 400\">Les situations les plus complexes peuvent \u00eatre orient\u00e9es vers un CR MVT, notamment :<\/p>\n<ul>\n<li>besoin d\u2019une prise en charge pluridisciplinaire et d\u2019une discussion en r\u00e9union de concertation pluridisciplinaire (RCP)<\/li>\n<li>\u00e9volution d\u00e9favorable malgr\u00e9 une prise en charge conforme, avec discussion de diagnostics diff\u00e9rentiels ou associ\u00e9s et, le cas \u00e9ch\u00e9ant, d\u2019une strat\u00e9gie th\u00e9rapeutique (dont une \u00e9ventuelle seconde ligne selon les situations)<\/li>\n<li>inclusion possible dans un protocole de recherche lorsque c\u2019est pertinent.<\/li>\n<\/ul>\n<p style=\"font-weight: 400\">En r\u00e9sum\u00e9 : trois niveaux pour pr\u00e9ciser le r\u00f4le de chacun, harmoniser la prise en charge sur le territoire et r\u00e9duire l\u2019errance m\u00e9dicale, avec un recours progressif aux structures sp\u00e9cialis\u00e9es lorsque la situation n\u2019est pas \u201csimple\u201d.<\/p>\n<div class=\"like-button\" style=\"float: right;clear: both;text-align: right\">\n<!-- Facebook Like Button Vivacity Infotech BEGIN -->\n<div class=\"fb-like\" data-href=\"https:\/\/francelyme.fr\/site\/ufaq\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\/\" data-layout=\"box_count\" data-action=\"like\" data-show-faces=\"false\" data-size=\"large\" data-width=\"450\" data-share=\"1\"><\/div><\/div>\n<!-- Facebook Like Button Vivacity Infotech END -->\n<\/div>\n\t\t\n\t\t\t<div class='ewd-ufaq-author-date'>\n\n\tMis en ligne\n\t\n\tle\n<span class='ewd-ufaq-date'>\n\t27 f\u00e9vrier 2026<\/span>\n<\/div>\n\t\t\n\t\t\t\n\t\t\n\t\t\t\n\t\t\n\t\t\t<div class='ewd-ufaq-ratings'>\n\t\n\t<div class='ewd-ufaq-ratings-label'>\n\t\tCette information vous a-t-elle \u00e9t\u00e9 utile ?\t<\/div>\n\t\n\t<div class='ewd-ufaq-rating-button ewd-ufaq-up-vote ewd-ufaq-ratings-default-image' data-faq_id='19458'>\n\t\t<img decoding=\"async\" src=\"https:\/\/francelyme.fr\/site\/wp-content\/plugins\/ultimate-faqs\/assets\/img\/Thumbs-up-icon.png\" alt=\"Thumbs Up Icon\">\t\t<span>3<\/span>\n\t<\/div>\n\t\n\t<div class='ewd-ufaq-rating-button ewd-ufaq-down-vote ewd-ufaq-ratings-default-image' data-faq_id='19458'>\n\t\t<img decoding=\"async\" src=\"https:\/\/francelyme.fr\/site\/wp-content\/plugins\/ultimate-faqs\/assets\/img\/Thumbs-down-icon.png\" alt=\"Thumbs Down Icon\">\t\t<span>0<\/span>\n\t<\/div>\n<\/div>\n\n<div class='ewd-ufaq-clear'><\/div>\n\t\t\n\t\t\t\n\t\t\n\t\t\t\n\t\t\n\t\t\t\n\t\t\n\t\t\t\n\t\t\n\t\t\t\n\t\t\n\t<\/div>\n\n<\/div>\n\t<\/div>\n\n\t\n<\/div><div class=\"like-button\" style=\"float: right; clear: both; text-align: right; width = 100%;\">\n<!-- Facebook Like Button Vivacity Infotech BEGIN -->\n<div class=\"fb-like\" data-href=\"https:\/\/francelyme.fr\/site\/ufaq\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\/\" data-layout=\"box_count\" data-action=\"like\" data-show-faces=\"false\" data-size=\"large\" data-width=\"450\" data-share=\"1\" ><\/div><\/div>\n<!-- Facebook Like Button Vivacity Infotech END -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","ufaq-category":[335],"ufaq-tag":[],"class_list":["post-19458","ufaq","type-ufaq","status-publish","hentry","ufaq-category-parcours-de-soins"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>035. Pourquoi ce parcours de soins a-t-il trois niveaux ? - Association France Lyme<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/francelyme.fr\/site\/ufaq\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"035. Pourquoi ce parcours de soins a-t-il trois niveaux ? - Association France Lyme\" \/>\n<meta property=\"og:url\" content=\"https:\/\/francelyme.fr\/site\/ufaq\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\/\" \/>\n<meta property=\"og:site_name\" content=\"Association France Lyme\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/france.lyme\" \/>\n<meta property=\"article:modified_time\" content=\"2026-02-28T18:02:46+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/francelyme.fr\/site\/wp-content\/uploads\/2020\/05\/logo_facebook_france_lyme.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@francelyme\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/ufaq\\\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\\\/\",\"url\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/ufaq\\\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\\\/\",\"name\":\"035. Pourquoi ce parcours de soins a-t-il trois niveaux ? - Association France Lyme\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/#website\"},\"datePublished\":\"2026-02-27T17:42:22+00:00\",\"dateModified\":\"2026-02-28T18:02:46+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/ufaq\\\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/francelyme.fr\\\/site\\\/ufaq\\\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/ufaq\\\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"FAQs\",\"item\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/ufaq\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"035. Pourquoi ce parcours de soins a-t-il trois niveaux ?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/#website\",\"url\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/\",\"name\":\"Association France Lyme\",\"description\":\"Association de lutte contre les maladies vectorielles \u00e0 tiques\",\"publisher\":{\"@id\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/#organization\",\"name\":\"France Lyme\",\"url\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/wp-content\\\/uploads\\\/2019\\\/05\\\/francelyme-site.gif\",\"contentUrl\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/wp-content\\\/uploads\\\/2019\\\/05\\\/francelyme-site.gif\",\"width\":180,\"height\":180,\"caption\":\"France Lyme\"},\"image\":{\"@id\":\"https:\\\/\\\/francelyme.fr\\\/site\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/france.lyme\",\"https:\\\/\\\/x.com\\\/francelyme\",\"https:\\\/\\\/www.youtube.com\\\/channel\\\/UClMCGl3dvkz0iAgXFR1NH1A\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"035. Pourquoi ce parcours de soins a-t-il trois niveaux ? - Association France Lyme","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/francelyme.fr\/site\/ufaq\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\/","og_locale":"fr_FR","og_type":"article","og_title":"035. Pourquoi ce parcours de soins a-t-il trois niveaux ? - Association France Lyme","og_url":"https:\/\/francelyme.fr\/site\/ufaq\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\/","og_site_name":"Association France Lyme","article_publisher":"https:\/\/www.facebook.com\/france.lyme","article_modified_time":"2026-02-28T18:02:46+00:00","og_image":[{"width":1920,"height":1080,"url":"https:\/\/francelyme.fr\/site\/wp-content\/uploads\/2020\/05\/logo_facebook_france_lyme.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_site":"@francelyme","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/francelyme.fr\/site\/ufaq\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\/","url":"https:\/\/francelyme.fr\/site\/ufaq\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\/","name":"035. Pourquoi ce parcours de soins a-t-il trois niveaux ? - Association France Lyme","isPartOf":{"@id":"https:\/\/francelyme.fr\/site\/#website"},"datePublished":"2026-02-27T17:42:22+00:00","dateModified":"2026-02-28T18:02:46+00:00","breadcrumb":{"@id":"https:\/\/francelyme.fr\/site\/ufaq\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/francelyme.fr\/site\/ufaq\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/francelyme.fr\/site\/ufaq\/35-pourquoi-ce-parcours-de-soins-a-t-il-trois-niveaux\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/francelyme.fr\/site\/"},{"@type":"ListItem","position":2,"name":"FAQs","item":"https:\/\/francelyme.fr\/site\/ufaq\/"},{"@type":"ListItem","position":3,"name":"035. Pourquoi ce parcours de soins a-t-il trois niveaux ?"}]},{"@type":"WebSite","@id":"https:\/\/francelyme.fr\/site\/#website","url":"https:\/\/francelyme.fr\/site\/","name":"Association France Lyme","description":"Association de lutte contre les maladies vectorielles \u00e0 tiques","publisher":{"@id":"https:\/\/francelyme.fr\/site\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/francelyme.fr\/site\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/francelyme.fr\/site\/#organization","name":"France Lyme","url":"https:\/\/francelyme.fr\/site\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/francelyme.fr\/site\/#\/schema\/logo\/image\/","url":"https:\/\/francelyme.fr\/site\/wp-content\/uploads\/2019\/05\/francelyme-site.gif","contentUrl":"https:\/\/francelyme.fr\/site\/wp-content\/uploads\/2019\/05\/francelyme-site.gif","width":180,"height":180,"caption":"France Lyme"},"image":{"@id":"https:\/\/francelyme.fr\/site\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/france.lyme","https:\/\/x.com\/francelyme","https:\/\/www.youtube.com\/channel\/UClMCGl3dvkz0iAgXFR1NH1A"]}]}},"_links":{"self":[{"href":"https:\/\/francelyme.fr\/site\/wp-json\/wp\/v2\/ufaq\/19458","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/francelyme.fr\/site\/wp-json\/wp\/v2\/ufaq"}],"about":[{"href":"https:\/\/francelyme.fr\/site\/wp-json\/wp\/v2\/types\/ufaq"}],"author":[{"embeddable":true,"href":"https:\/\/francelyme.fr\/site\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/francelyme.fr\/site\/wp-json\/wp\/v2\/comments?post=19458"}],"wp:attachment":[{"href":"https:\/\/francelyme.fr\/site\/wp-json\/wp\/v2\/media?parent=19458"}],"wp:term":[{"taxonomy":"ufaq-category","embeddable":true,"href":"https:\/\/francelyme.fr\/site\/wp-json\/wp\/v2\/ufaq-category?post=19458"},{"taxonomy":"ufaq-tag","embeddable":true,"href":"https:\/\/francelyme.fr\/site\/wp-json\/wp\/v2\/ufaq-tag?post=19458"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}