{"id":2600,"date":"2016-04-01T17:54:00","date_gmt":"2016-04-01T17:54:00","guid":{"rendered":"https:\/\/cdafound.org\/?p=2600"},"modified":"2025-01-15T20:30:03","modified_gmt":"2025-01-15T20:30:03","slug":"achieving-who-recommendations-for-hepatitis-c-virus-elimination-in-belgium","status":"publish","type":"post","link":"https:\/\/cdafound.org\/fr\/achieving-who-recommendations-for-hepatitis-c-virus-elimination-in-belgium\/","title":{"rendered":"Mise en \u0153uvre des recommandations de l&#039;OMS pour l&#039;\u00e9limination du virus de l&#039;h\u00e9patite C en Belgique"},"content":{"rendered":"<h2 class=\"wp-block-heading\">R\u00e9sum\u00e9<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Arri\u00e8re-plan<\/h3>\n\n\n\n<p>L&#039;Organisation mondiale de la sant\u00e9 (OMS) a publi\u00e9 des directives mises \u00e0 jour pour le d\u00e9pistage, les soins et le traitement des patients atteints d&#039;une infection chronique par le virus de l&#039;h\u00e9patite C (VHC).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">M\u00e9thodes<\/h3>\n\n\n\n<p>Un mod\u00e8le de fardeau de la maladie du VHC d\u00e9crit pr\u00e9c\u00e9demment a \u00e9t\u00e9 utilis\u00e9 pour d\u00e9velopper un \u00absc\u00e9nario OMS\u00bb pour atteindre les recommandations de l&#039;OMS d&#039;une r\u00e9duction de 90% de l&#039;incidence et 65% des d\u00e9c\u00e8s li\u00e9s au foie. Apr\u00e8s avoir d\u00e9termin\u00e9 les \u00e9tapes n\u00e9cessaires pour atteindre cet objectif, l&#039;impact des contraintes r\u00e9alistes a \u00e9t\u00e9 mod\u00e9lis\u00e9.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">R\u00e9sultats<\/h3>\n\n\n\n<p>En 2015, il y a eu 66.200 infections vir\u00e9miques, dont 43% diagnostiqu\u00e9es et 1.350 trait\u00e9es. Afin de r\u00e9duire les nouvelles infections, le traitement doit \u00eatre \u00e9tendu aux patients \u2265 F0, y compris les personnes qui s&#039;injectent des drogues et les autres personnes \u00e0 risque de transmettre le VHC. -En outre, le diagnostic et le traitement de 3,030 et 4,060 patients, respectivement, seraient n\u00e9cessaires. L&#039;att\u00e9nuation la plus importante du sc\u00e9nario de l&#039;OMS se produirait si aucun nouveau cas n&#039;\u00e9tait diagnostiqu\u00e9 apr\u00e8s 2018 (300% plus d&#039;infections vir\u00e9miques d&#039;ici 2030). Limiter le traitement \u00e0 \u2265 patients F2 ou traiter moins de patients (3.000) entra\u00eenerait respectivement 220% ou 140% plus de cas vir\u00e9miques par rapport au sc\u00e9nario de l&#039;OMS.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Conclusion<\/h3>\n\n\n\n<p>La r\u00e9alisation des lignes directrices de l&#039;OMS en Belgique n\u00e9cessite un effort coordonn\u00e9 pour intensifier les efforts de traitement et de pr\u00e9vention et pour permettre l&#039;acc\u00e8s au traitement aux patients \u00e0 tous les stades de la fibrose. Cependant, une extension du traitement n\u00e9cessite que les patients soient \u00e0 la fois diagnostiqu\u00e9s et li\u00e9s aux soins, ce qui sugg\u00e8re la n\u00e9cessit\u00e9 d&#039;une sensibilisation accrue et des efforts de d\u00e9pistage \u00e9largis. Enfin, la pr\u00e9vention des nouvelles infections par le VHC n\u00e9cessite une compr\u00e9hension globale de la population \u00e0 risque de transmettre le VHC.<\/p>\n\n\n\n<p><strong>Des pays:<\/strong> Belgique<\/p>\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-text-color wp-element-button\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27382942\" target=\"_blank\" rel=\"noreferrer noopener\">Lire le rapport complet<\/a><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Summary Background The World Health Organization (WHO) released updated guidelines for the screening, care and treatment of patients with chronic hepatitis C virus (HCV) infection. Methods A previously described HCV disease burden model was used to develop a &#8220;WHO scenario&#8221; to achieve the WHO recommendations of a 90% reduction in incidence and 65% reduction in [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":3493,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9],"tags":[10],"publication-author":[1133,488,1124,1134,1122,1123,1137,1099,1136,895,1132,1138,1135],"class_list":["post-2600","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-publication","tag-hcv","publication-author-blach-c","publication-author-blach-s","publication-author-bourgeois-s","publication-author-laleman-w","publication-author-mathei-c","publication-author-mulkay-jp","publication-author-ravazi-h","publication-author-robaeys-g","publication-author-starkel-p","publication-author-van-damme-p","publication-author-van-vlierberghe-h","publication-author-vandijck-c","publication-author-vandijck-d"],"acf":[],"_links":{"self":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/2600","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/users\/24"}],"replies":[{"embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/comments?post=2600"}],"version-history":[{"count":6,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/2600\/revisions"}],"predecessor-version":[{"id":7582,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/2600\/revisions\/7582"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/media\/3493"}],"wp:attachment":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/media?parent=2600"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/categories?post=2600"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/tags?post=2600"},{"taxonomy":"publication-author","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/publication-author?post=2600"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}