L\u2019European Centre for Disease Prevention and Control (ECDC), agence de l\u2019Union europ\u00e9enne, publie un guide m\u00e9thodologique pour la collecte de donn\u00e9es dans l\u2019UE\/EEE sur l\u2019utilisation de la doxycycline en prophylaxie des infections sexuellement transmissibles (IST) bact\u00e9riennes. Le document vise \u00e0 harmoniser et structurer la remont\u00e9e d\u2019informations dans les \u00c9tats membres, afin de suivre le recours \u00e0 cette strat\u00e9gie de pr\u00e9vention, ses effets et ses \u00e9ventuels risques.<\/p>\n
Le guide porte sur la prophylaxie par doxycycline apr\u00e8s exposition sexuelle (doxy-PEP) ou en usage pr\u00e9ventif, dans le contexte de la pr\u00e9vention des IST bact\u00e9riennes (notamment syphilis, chlamydia et gonorrh\u00e9e). Il fournit un cadre pour la d\u00e9finition des populations cibl\u00e9es, la description des protocoles de prise, et l\u2019identification des indicateurs de suivi. Il s\u2019adresse prioritairement aux autorit\u00e9s sanitaires nationales, aux services de surveillance \u00e9pid\u00e9miologique et aux structures impliqu\u00e9es dans la pr\u00e9vention et le traitement des IST.<\/p>\n
L\u2019ECDC y pr\u00e9cise les types de donn\u00e9es \u00e0 collecter dans les pays de l\u2019UE\/EEE : caract\u00e9ristiques des personnes expos\u00e9es \u00e0 la doxycycline prophylactique (par exemple groupes de population cl\u00e9s, pratiques sexuelles, comorbidit\u00e9s pertinentes), modalit\u00e9s de prescription ou de d\u00e9livrance (cadre m\u00e9dical, programmes de sant\u00e9 sexuelle, \u00e9ventuels dispositifs pilotes), ainsi que donn\u00e9es sur l\u2019incidence des IST bact\u00e9riennes et l\u2019\u00e9volution de la r\u00e9sistance aux antimicrobiens. Le guide insiste sur la n\u00e9cessit\u00e9 de documenter les effets b\u00e9n\u00e9fiques potentiels (r\u00e9duction de l\u2019incidence de certaines IST) mais aussi les effets ind\u00e9sirables, les in\u00e9galit\u00e9s d\u2019acc\u00e8s, et les cons\u00e9quences sur la r\u00e9sistance bact\u00e9rienne.<\/p>\n
L\u2019ECDC souligne l\u2019importance d\u2019une approche coordonn\u00e9e au niveau europ\u00e9en, permettant des comparaisons entre pays et une \u00e9valuation agr\u00e9g\u00e9e des effets de la doxycycline prophylactique sur la dynamique des IST dans l\u2019UE\/EEE. Le document rappelle que l\u2019\u00e9vidence scientifique reste en \u00e9volution et que des incertitudes persistent, notamment sur l\u2019impact \u00e0 moyen et long terme en termes de r\u00e9sistance aux antibiotiques et sur l\u2019\u00e9quilibre b\u00e9n\u00e9fices\/risques selon les groupes de population. Le guide recommande donc une collecte syst\u00e9matique, standardis\u00e9e et document\u00e9e des donn\u00e9es, condition n\u00e9cessaire \u00e0 l\u2019adaptation des politiques de pr\u00e9vention et de prise en charge des IST au niveau national et europ\u00e9en. (contenu r\u00e9sum\u00e9 en fran\u00e7ais par l’IA)\u00a0Lire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" L\u2019European Centre for Disease Prevention and Control (ECDC), agence de l\u2019Union europ\u00e9enne, publie un guide m\u00e9thodologique pour la collecte de donn\u00e9es dans l\u2019UE\/EEE sur l\u2019utilisation de la doxycycline en prophylaxie […]<\/p>\n","protected":false},"author":1,"featured_media":10372,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[2],"tags":[230,227,226],"class_list":["post-18134","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante-publique-et-systeme-de-soins","tag-ecdc","tag-ia","tag-sources-etrangeres"],"_links":{"self":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/18134","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=18134"}],"version-history":[{"count":0,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/18134\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/media\/10372"}],"wp:attachment":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18134"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18134"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18134"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}