Lignes directrices quant à la prise en charge des patientes en obstétrique chez lesquelles la présence du syndrome respiratoire aigu sévère (SRAS) est soupçonnée ou probable, et des nouveau-nés issus de ces patientes
Identifieur interne : 001205 ( Pmc/Corpus ); précédent : 001204; suivant : 001206Lignes directrices quant à la prise en charge des patientes en obstétrique chez lesquelles la présence du syndrome respiratoire aigu sévère (SRAS) est soupçonnée ou probable, et des nouveau-nés issus de ces patientes
Auteurs : Cynthia MaxwellSource :
- Journal of Obstetrics and Gynaecology Canada [ 1701-2163 ] ; 2009.
Url:
DOI: 10.1016/S1701-2163(16)34156-1
PubMed: NONE
PubMed Central: 7128647
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Lignes directrices quant à la prise en charge des patientes en obstétrique chez lesquelles la présence du syndrome respiratoire aigu sévère (SRAS) est soupçonnée ou probable, et des nouveau-nés issus de ces patientes</title><author><name sortKey="Maxwell, Cynthia" sort="Maxwell, Cynthia" uniqKey="Maxwell C" first="Cynthia" last="Maxwell">Cynthia Maxwell</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmc">7128647</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7128647</idno><idno type="RBID">PMC:7128647</idno><idno type="doi">10.1016/S1701-2163(16)34156-1</idno><idno type="pmid">NONE</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">001205</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001205</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Lignes directrices quant à la prise en charge des patientes en obstétrique chez lesquelles la présence du syndrome respiratoire aigu sévère (SRAS) est soupçonnée ou probable, et des nouveau-nés issus de ces patientes</title><author><name sortKey="Maxwell, Cynthia" sort="Maxwell, Cynthia" uniqKey="Maxwell C" first="Cynthia" last="Maxwell">Cynthia Maxwell</name></author></analytic><series><title level="j">Journal of Obstetrics and Gynaecology Canada</title><idno type="ISSN">1701-2163</idno><idno type="eISSN">1701-2163</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Sante Canada" uniqKey="Sante Canada">Santé Canada</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ksiazek, T J" uniqKey="Ksiazek T">T.J. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Obstet Gynaecol Can</journal-id><journal-id journal-id-type="iso-abbrev">J Obstet Gynaecol Can</journal-id><journal-title-group><journal-title>Journal of Obstetrics and Gynaecology Canada</journal-title></journal-title-group><issn pub-type="ppub">1701-2163</issn><issn pub-type="epub">1701-2163</issn><publisher><publisher-name>Society of Obstetricians and Gynaecologists of Canada. Published by Elsevier Inc.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">7128647</article-id><article-id pub-id-type="publisher-id">S1701-2163(16)34156-1</article-id><article-id pub-id-type="doi">10.1016/S1701-2163(16)34156-1</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Lignes directrices quant à la prise en charge des patientes en obstétrique chez lesquelles la présence du syndrome respiratoire aigu sévère (SRAS) est soupçonnée ou probable, et des nouveau-nés issus de ces patientes</article-title></title-group><contrib-group><contrib contrib-type="author" id="au2315"><name><surname>Maxwell</surname><given-names>Cynthia</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1649">Toronto (Ont.)</aff><contrib-group><contrib contrib-type="author" id="au2320"><name><surname>McGeer</surname><given-names>Alison</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1650">Toronto (Ont.)</aff><contrib-group><contrib contrib-type="author" id="au2325"><name><surname>Tai</surname><given-names>Kin Fan Young</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1651">Toronto (Ont.)</aff><contrib-group><contrib contrib-type="author" id="au2330"><name><surname>Sermer</surname><given-names>Mathew</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1652">Toronto (Ont.)</aff><contrib-group><contrib contrib-type="author"><collab>COMITÉ DE MÉDECINE FOETO-MATERNELLE<contrib-group><contrib contrib-type="author" id="au2335"><name><surname>Farine</surname><given-names>Dan</given-names></name><degrees>MD</degrees><role>président</role></contrib></contrib-group><aff id="af1653">Toronto (Ont.)</aff><contrib-group><contrib contrib-type="author" id="au2340"><name><surname>Basso</surname><given-names>Melanie</given-names></name><role>inf.aut.</role></contrib></contrib-group><aff id="af1654">Vancouver (C.-B.)</aff><contrib-group><contrib contrib-type="author" id="au2345"><name><surname>Delisle</surname><given-names>Marie-France</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1655">Vancouver (C.-B.)</aff><contrib-group><contrib contrib-type="author" id="au2350"><name><surname>Grabowska</surname><given-names>Kirsten</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1656">Vancouver (C.-B.)</aff><contrib-group><contrib contrib-type="author" id="au2355"><name><surname>Hudon</surname><given-names>Lynda</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1657">Montréal (Québec)</aff><contrib-group><contrib contrib-type="author" id="au2360"><name><surname>Menticoglou</surname><given-names>Savas</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1658">Winnipeg (Man.)</aff><contrib-group><contrib contrib-type="author" id="au2365"><name><surname>Mundle</surname><given-names>William</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1659">Windsor (Ont.)</aff><contrib-group><contrib contrib-type="author" id="au2370"><name><surname>Ouellet</surname><given-names>Annie</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1660">Sherbrooke (Québec)</aff></collab></contrib></contrib-group><contrib-group><contrib contrib-type="author"><collab>COMITÉ SUR LES MALADIES INFECTIEUSES<contrib-group><contrib contrib-type="author" id="au2375"><name><surname>Yudin</surname><given-names>Mark H.</given-names></name><degrees>MD</degrees><role>président</role></contrib></contrib-group><aff id="af1661">Toronto (Ont.)</aff><contrib-group><contrib contrib-type="author" id="au2380"><name><surname>Boucher</surname><given-names>Marc</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1662">Montréal (Québec)</aff><contrib-group><contrib contrib-type="author" id="au2385"><name><surname>Castillo</surname><given-names>Eliana</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1663">Vancouver (C.-B.)</aff><contrib-group><contrib contrib-type="author" id="au2390"><name><surname>Cormier</surname><given-names>Béatrice</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1664">Montréal (Québec)</aff><contrib-group><contrib contrib-type="author" id="au2395"><name><surname>Gruslin</surname><given-names>Andrée</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1665">Ottawa (Ont.)</aff><contrib-group><contrib contrib-type="author" id="au2400"><name><surname>Money</surname><given-names>Deborah M.</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1666">Vancouver (C.-B.)</aff><contrib-group><contrib contrib-type="author" id="au2405"><name><surname>Murphy</surname><given-names>Kellie</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1667">Toronto (Ont.)</aff><contrib-group><contrib contrib-type="author" id="au2410"><name><surname>Paquet</surname><given-names>Caroline</given-names></name><role>sage-femme aut.</role></contrib></contrib-group><aff id="af1668">Trois-Rivières (Québec)</aff><contrib-group><contrib contrib-type="author" id="au2415"><name><surname>Steenbeek</surname><given-names>Audrey</given-names></name><role>inf. aut.</role></contrib></contrib-group><aff id="af1669">Halifax (N.-É.)</aff><contrib-group><contrib contrib-type="author" id="au2420"><name><surname>Eyk</surname><given-names>Nancy Van</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1670">Halifax (N.-É.)</aff><contrib-group><contrib contrib-type="author" id="au2425"><name><surname>van Schalkwyk</surname><given-names>Julie</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1671">Vancouver (C.-B.)</aff><contrib-group><contrib contrib-type="author" id="au2430"><name><surname>Wong</surname><given-names>Thomas</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="af1672">Ottawa (Ont.)</aff></collab></contrib></contrib-group><pub-date pub-type="pmc-release"><day>24</day><month>2</month><year>2016</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>4</month><year>2009</year></pub-date><pub-date pub-type="epub"><day>24</day><month>2</month><year>2016</year></pub-date><volume>31</volume><issue>4</issue><fpage>365</fpage><lpage>372</lpage><permissions><copyright-statement>© 2009 Society of Obstetricians and Gynaecologists of Canada</copyright-statement><copyright-year>2009</copyright-year><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><trans-abstract xml:lang="fr"><title>Résumé</title><sec><title>Objectif</title><p>Le présent document résume notre expérience limitée quant à la présence du SRAS pendant la grossesse et suggère des lignes directrices quant à sa prise en charge.</p></sec><sec><title>Issues</title><p>Les exposés de cas issus d’Asie laissent entendre que les issues maternelles et fœtales sont aggravées par la présence du SRAS pendant la grossesse.</p></sec><sec><title>Résultats</title><p>Des recherches ont été menées dans Medline afin d’en tirer les articles pertinents publiés en anglais entre 2000 et 2007. Des exposés de cas ont été analysés et nous avons sollicité l’opinion de spécialistes.</p></sec><sec><title>Valeurs</title><p>Les recommandations ont été formulées conformément aux lignes directrices élaborées par le Groupe d’étude canadien sur les soins de santé préventifs.</p></sec><sec><title>Commanditaire</title><p>La Société des obstétriciens et gynécologues du Canada.</p></sec><sec><title>Recommandations</title><p><list list-type="simple" id="l0010"><list-item id="o1075"><label>1.</label><p id="p1905">Tous les hôpitaux devraient mettre en œuvre des systèmes de prévention des infections, afin de s’assurer que des alertes au sujet des modifications que connaissent les facteurs de risque d’exposition au SRAS ou à d’autres maladies transmissibles potentiellement graves sont communiquées sans tarder aux unités cliniques, y compris l’unité de travail et d’accouchement. (III-C)</p></list-item><list-item id="o1080"><label>2.</label><p id="p1910">En présence d’une éclosion de SRAS, toutes les patientes enceintes évaluées ou admises à l’hôpital devraient faire l’objet d’un dépistage des symptômes et des facteurs de risque du SRAS. (III-C)</p></list-item><list-item id="o1085"><label>3.</label><p id="p1915">À leur arrivée au sein de l’unité de triage quant au travail, les patientes enceintes chez lesquelles la présence du SRAS est soupçonnée et probable devraient être placées dans une salle d’isolement dotée d’un système de ventilation à pression négative comptant au moins six renouvellements d’air à l’heure. Toutes les unités de travail et d’accouchement offrant des soins à des patientes chez lesquelles la présence du SRAS est soupçonnée et probable devraient disposer d’au moins une salle dans laquelle ces patientes peuvent connaître leur travail et leur accouchement en toute sûreté, et ce, malgré la nécessité d’assurer un isolement aérogène. (III-C)</p></list-item><list-item id="o1090"><label>4.</label><p id="p1920">Dans la mesure du possible, le travail et l’accouchement (y compris l’accouchement opératoire ou la césarienne) devraient être pris en charge, dans une salle d’isolement désignée dotée d’un système de ventilation à pression négative, par du personnel désigné disposant d’une tenue de protection et d’une formation spécialisée en prévention des infections. (III-C)</p></list-item><list-item id="o1095"><label>5.</label><p id="p1925">Tant l’anesthésie régionale que générale peuvent s’avérer adéquates pour l’accouchement des patientes atteintes du SRAS. (III-C)</p></list-item><list-item id="o1100"><label>6.</label><p id="p1930">Les nouveau-nés issus de mères atteintes du SRAS devraient être isolés au sein d’une unité désignée jusqu’à ce que leur état ait été satisfaisant pendant 10 jours ou jusqu’à ce que la période d’isolement de la mère ait pris fin. La mère ne devrait pas allaiter pendant cette période. (III-C)</p></list-item><list-item id="o1105"><label>7.</label><p id="p1935">Une équipe multidisciplinaire (comprenant des obstétriciens, des infirmières, des pédiatres, des spécialistes de la prévention des infections, des inhalothérapeutes et des anesthésiologistes) devrait être nommée au sein de chaque unité et être responsable de l’organisation et de la mise en œuvre des protocoles de prise en charge du SRAS de l’unité. (III-C)</p></list-item><list-item id="o1110"><label>8.</label><p id="p1940">Le personnel offrant des soins aux patientes enceintes atteintes du SRAS ne devraient pas offrir leurs services aux autres patientes enceintes. Le personnel offrant des soins aux patientes enceintes atteintes du SRAS devraient activement faire l’objet d’une surveillance visant la fièvre et d’autres symptômes du SRAS. Ces personnes ne devraient pas travailler en présence de tout symptôme du SRAS se manifestant dans les 10 jours suivant une exposition à un patient atteint du SRAS. (III-C)</p></list-item><list-item id="o1115"><label>9.</label><p id="p1945">Tous les professionnels des soins de santé, les résidents et les membres du personnel de soutien devraient bénéficier d’une formation sur la prise en charge et le confinement des infections afin de prévenir la propagation du virus du SRAS. (III-A)</p></list-item><list-item id="o1120"><label>10.</label><p id="p1950">Les autorités sanitaires régionales, conjointement avec le personnel hospitalier, devraient envisager la désignation d’établissements ou d’unités de soins de santé particulières (y compris des centres de soins primaires, secondaires ou tertiaires) en ce qui concerne l’offre de soins aux patients atteints du SRAS ou de maladies semblables. 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of Severe Acute Respiratory Syndrome on a hospital obstetrics and gynaecology service</article-title><source>BJOG</source><volume>110</volume><year>2003</year><fpage>643</fpage><lpage>645</lpage><pub-id pub-id-type="pmid">12842053</pub-id></element-citation></ref><ref id="bb1700"><label>40.</label><element-citation publication-type="journal" id="rf1670"><person-group person-group-type="author"><name><surname>Woolf</surname><given-names>S.H.</given-names></name><name><surname>Battista</surname><given-names>R.N.</given-names></name><name><surname>Angerson</surname><given-names>G.M.</given-names></name><name><surname>Logan</surname><given-names>A.G.</given-names></name><name><surname>Eel</surname><given-names>W.</given-names></name></person-group><article-title>Canadian Task Force on Preventive Health Care. « New grades for recommendations from the Canadian Task Force on Preventive Health Care »</article-title><source>CMAJ</source><volume>169</volume><issue>3</issue><year>2003</year><fpage>207</fpage><lpage>208</lpage><pub-id pub-id-type="pmid">12900479</pub-id></element-citation></ref></ref-list><fn-group><fn id="d32e446"><p id="np0010">La présente directive clinique a été rédigée par le comité de médecine fœto-maternelle, analysée par le comité sur les maladies infectieuses et approuvée par le comité exécutif et le Conseil de la Société des obstétriciens et gynécologues du Canada.</p></fn><fn id="d32e449"><p id="np0050">Tous les membres du comité nous ont fait parvenir une déclaration de divulgation.</p></fn><fn id="d32e452"><p id="np0040"><bold>Ce document fait état des percées récentes et des progrès cliniques et scientifiques à la date de sa publication et peut faire l’objet de modifications. Il ne faut pas interpréter l’information qui y figure comme l’imposition d’un mode de traitement exclusif à suivre. Un établissement hospitalier est libre de dicter des modifications à apporter à ces opinions. En l’occurrence, il faut qu’il y ait documentation à l’appui de cet établissement. Aucune partie de ce document ne peut être reproduite sans une permission écrite de la SOGC.</bold></p></fn></fn-group></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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