Le Centre europ\u00e9en de pr\u00e9vention et de contr\u00f4le des maladies (ECDC), agence de l\u2019Union europ\u00e9enne, a \u00e9labor\u00e9 un protocole pour une enqu\u00eate pilote sur les ent\u00e9robact\u00e9ries du complexe Enterobacter cloacae r\u00e9sistantes aux carbap\u00e9n\u00e8mes (CRECC). Ce protocole vise \u00e0 harmoniser, dans les pays participants, la surveillance de ces bact\u00e9ries multir\u00e9sistantes en milieu de soins, en d\u00e9finissant un cadre m\u00e9thodologique commun.<\/p>\n
Le document pr\u00e9cise les objectifs de l\u2019enqu\u00eate pilote, centr\u00e9s sur la d\u00e9tection, la confirmation microbiologique et la notification standardis\u00e9e des cas de CRECC, ainsi que sur la collecte de donn\u00e9es \u00e9pid\u00e9miologiques comparables entre pays europ\u00e9ens. Il d\u00e9crit les crit\u00e8res de cas, les modalit\u00e9s de pr\u00e9l\u00e8vement et d\u2019analyse des souches, les m\u00e9thodes de laboratoire \u00e0 utiliser, ainsi que les informations cliniques et contextuelles \u00e0 renseigner (type d\u2019\u00e9tablissement, contexte de d\u00e9tection, \u00e9ventuels liens \u00e9pid\u00e9miologiques).<\/p>\n
Le protocole indique le r\u00f4le des laboratoires de microbiologie et des autorit\u00e9s nationales de sant\u00e9 dans l\u2019organisation de cette surveillance pilote, la transmission des donn\u00e9es \u00e0 l\u2019ECDC et l\u2019agr\u00e9gation des r\u00e9sultats au niveau europ\u00e9en. Il encadre \u00e9galement les aspects de qualit\u00e9 des donn\u00e9es (standardisation, validation) et de protection des informations individuelles, en coh\u00e9rence avec les exigences europ\u00e9ennes.<\/p>\n
L\u2019enqu\u00eate pilote doit permettre de tester la faisabilit\u00e9 op\u00e9rationnelle d\u2019une surveillance sp\u00e9cifique des CRECC, d\u2019identifier les difficult\u00e9s techniques ou organisationnelles et de pr\u00e9ciser les besoins de renforcement des capacit\u00e9s (diagnostic microbiologique, syst\u00e8mes d\u2019information, coordination entre \u00e9tablissements et autorit\u00e9s sanitaires). Les r\u00e9sultats attendus concernent principalement la description de la distribution des CRECC dans les pays participants, la caract\u00e9risation des m\u00e9canismes de r\u00e9sistance, ainsi que l\u2019\u00e9valuation du risque de diffusion au sein des \u00e9tablissements de sant\u00e9.<\/p>\n
Le protocole souligne que les donn\u00e9es issues de cette enqu\u00eate pilote pourront \u00e9clairer les d\u00e9cisions de sant\u00e9 publique en mati\u00e8re de pr\u00e9vention et de contr\u00f4le des infections \u00e0 bact\u00e9ries hautement r\u00e9sistantes, notamment en appui aux politiques de lutte contre la r\u00e9sistance aux antibiotiques et de s\u00e9curit\u00e9 des patients dans les \u00c9tats membres de l\u2019UE. Il reconna\u00eet cependant le caract\u00e8re exploratoire de l\u2019exercice, les limites li\u00e9es \u00e0 une participation volontaire et \u00e0 des capacit\u00e9s nationales h\u00e9t\u00e9rog\u00e8nes, et la n\u00e9cessit\u00e9 d\u2019interpr\u00e9ter les r\u00e9sultats avec prudence en l\u2019absence de couverture exhaustive et uniforme. (contenu r\u00e9sum\u00e9 en fran\u00e7ais par l’IA)\u00a0Lire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" Le Centre europ\u00e9en de pr\u00e9vention et de contr\u00f4le des maladies (ECDC), agence de l\u2019Union europ\u00e9enne, a \u00e9labor\u00e9 un protocole pour une enqu\u00eate pilote sur les ent\u00e9robact\u00e9ries du complexe Enterobacter cloacae […]<\/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-20771","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\/20771","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=20771"}],"version-history":[{"count":0,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/20771\/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=20771"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20771"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20771"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}