{"id":6837,"date":"2022-02-23T11:44:04","date_gmt":"2022-02-23T11:44:04","guid":{"rendered":"https:\/\/aboutsmallruminants.com\/?p=6837"},"modified":"2022-02-23T11:44:04","modified_gmt":"2022-02-23T11:44:04","slug":"diagnostic-controle-resistances-antibiotiques","status":"publish","type":"post","link":"https:\/\/aboutsmallruminants.com\/fr\/diagnostic-controle-resistances-antibiotiques\/","title":{"rendered":"Le diagnostic : un point cl\u00e9 dans le contr\u00f4le des r\u00e9sistances"},"content":{"rendered":"

\"\"<\/a><\/p>\n

L\u2019OMS a \u00e9labor\u00e9 un plan mondial d\u2019action contre l\u2019\u00e9mergence des r\u00e9sistances<\/a>, qui pr\u00e9voit notamment d\u2019encourager le diagnostic pour optimiser les traitements antibiotiques. En m\u00e9decine v\u00e9t\u00e9rinaire, le diagnostic rapide et pr\u00e9cis constitue un grand avantage pour concevoir le plan d\u2019action le plus appropri\u00e9 contre un agent pathog\u00e8ne. <\/strong><\/div>\n

 <\/p>\n

Une priorit\u00e9<\/h2>\n

L\u2019utilisation des antibiotiques<\/a>\u00a0doit \u00eatre th\u00e9rapeutique<\/strong> et limit\u00e9e aux cas o\u00f9 ils sont strictement n\u00e9cessaires. C\u2019est pourquoi la d\u00e9cision de les administrer ou non doit se fonder sur un diagnostic efficace et rapide<\/strong>.<\/p>\n

\u00ab\u00a0Le diagnostic permet une utilisation rationnelle et appropri\u00e9e des antibiotiques\u00a0\u00bb.<\/span><\/strong><\/p><\/blockquote>\n

Souvent, la raison pour laquelle les maladies ne sont pas diagnostiqu\u00e9es chez les animaux de production tient au co\u00fbt du diagnostic. Pourtant, un diagnostic pr\u00e9cis<\/a> pr\u00e9sente de grands avantages pour l\u2019exploitation : il am\u00e9liore la sant\u00e9, le bien-\u00eatre et la productivit\u00e9<\/strong> des animaux<\/p>\n

\"diagnostic
Figure 1. Identifier l\u2019agent pathog\u00e8ne permet de r\u00e9duire les prescriptions inutiles d\u2019antibiotiques.<\/figcaption><\/figure>\n

Le diagnostic permet \u00e9galement d\u2019\u00e9tablir un plan de pr\u00e9vention sp\u00e9cifique<\/strong>, par exemple en mettant en \u0153uvre des mesures de bios\u00e9curit\u00e9<\/strong> appropri\u00e9es et un bon plan de vaccination<\/a>.<\/p>\n

\u201cDiagnostiquer, c\u2019est aussi concevoir un plan de pr\u00e9vention et r\u00e9duire ainsi la pr\u00e9valence et les cas cliniques\u201d.<\/span><\/strong><\/p><\/blockquote>\n

 <\/p>\n

Qu\u2019apporte le diagnostic\u00a0?<\/h2>\n

Le diagnostic<\/a>\u00a0est important car\u00a0:<\/p>\n

\u25cf Il permet d\u2019identifier l\u2019agent pathog\u00e8ne<\/strong>\u00a0: il est crucial de savoir \u00e0 quoi on a affaire et d\u2019agir en fonction des particularit\u00e9s de chaque cas. Plus on en sait sur l\u2019agent pathog\u00e8ne, mieux on pourra le contr\u00f4ler.<\/p>\n

\u25cf Choisir le bon traitement<\/strong>\u00a0: gr\u00e2ce \u00e0 des tests compl\u00e9mentaires tels que les antibiogrammes<\/strong>, il est possible de d\u00e9terminer la sensibilit\u00e9 de l\u2019agent pathog\u00e8ne afin d\u2019utiliser l\u2019antibiotique le plus efficace.<\/p>\n

\u201cLes antibiogrammes permettent \u00e9galement de suivre l\u2019\u00e9mergence et la propagation des r\u00e9sistances\u201d.<\/span><\/strong><\/p><\/blockquote>\n

 <\/p>\n

Comment le diagnostic aide-t-il \u00e0 combattre les r\u00e9sistances ?<\/h2>\n

Le diagnostic contribue \u00e0 la lutte contre les r\u00e9sistances de deux mani\u00e8res\u00a0:<\/p>\n

\u25cf R\u00e9duire l\u2019utilisation d\u2019antibiotiques<\/strong>\u00a0: gr\u00e2ce \u00e0 l\u2019\u00e9tablissement du plan de traitement le plus appropri\u00e9<\/strong>. Par exemple, s\u2019il s\u2019agit d\u2019un virus, il n\u2019est pas n\u00e9cessaire de prescrire des antibiotiques. Cela contribue ainsi \u00e0 pr\u00e9venir l\u2019\u00e9mergence des r\u00e9sistances<\/a> en \u00e9vitant l\u2019exposition des bact\u00e9ries aux antimicrobiens.<\/p>\n

\u25cf Emp\u00eacher les bact\u00e9ries de d\u00e9velopper des r\u00e9sistances<\/strong>\u00a0: l\u2019utilisation du traitement le plus efficace emp\u00eache les agents pathog\u00e8nes de se multiplier davantage et de d\u00e9velopper des r\u00e9sistances susceptibles de se propager.<\/p>\n

 <\/p>\n

Conclusions<\/h2>\n

\u25cf Le diagnostic aide \u00e0 r\u00e9duire l\u2019utilisation des antibiotiques<\/strong> et, lorsque n\u00e9cessaire, \u00e0 choisir l\u2019antibiotique le plus appropri\u00e9.<\/p>\n

\u25cf Les b\u00e9n\u00e9fices de l\u2019identification de l\u2019agent pathog\u00e8ne<\/strong> l\u2019emportent sur le co\u00fbt du diagnostic.<\/p>\n

\u25cf Il est n\u00e9cessaire de d\u00e9velopper de nouveaux tests de diagnostic rapides, efficaces et abordables<\/strong> ax\u00e9s sur la sant\u00e9 animale.<\/p>\n

 <\/p>\n

Article r\u00e9dig\u00e9 par <\/strong>
\nTania Per\u00e1lvarez Puerta. Product Manager Small Ruminants Unit \u2013 HIPRA<\/p>\n","protected":false},"excerpt":{"rendered":"

L\u2019OMS a \u00e9labor\u00e9 un plan mondial d\u2019action contre l\u2019\u00e9mergence des r\u00e9sistances, qui pr\u00e9voit notamment d\u2019encourager le diagnostic pour optimiser les traitements antibiotiques. En m\u00e9decine v\u00e9t\u00e9rinaire, le diagnostic rapide et pr\u00e9cis constitue un grand avantage pour concevoir le plan d\u2019action le plus appropri\u00e9 contre un agent pathog\u00e8ne.   Une priorit\u00e9 L\u2019utilisation des antibiotiques\u00a0doit \u00eatre th\u00e9rapeutique et […]<\/p>\n","protected":false},"author":10,"featured_media":6811,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[58],"tags":[],"class_list":["post-6837","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-reduction-antibiotiques"],"yoast_head":"\nImportance du diagnostic pour r\u00e9duire l\u2019utilisation des antibiotiques<\/title>\n<meta name=\"description\" content=\"Le diagnostic pr\u00e9alable \u00e0 la prescription est indispensable \u00e0 une utilisation appropri\u00e9e et une r\u00e9duction des antibiotiques.\" \/>\n<meta name=\"robots\" content=\"index, follow, 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