{"id":183884,"date":"2020-07-07T23:10:51","date_gmt":"2020-07-07T22:10:51","guid":{"rendered":"https:\/\/www.realites.com.tn\/?p=183884"},"modified":"2020-07-07T23:10:51","modified_gmt":"2020-07-07T22:10:51","slug":"lhydroxychloroquine-au-long-cours-ne-protege-pas-des-formes-graves-de-covid-19","status":"publish","type":"post","link":"https:\/\/realites.com.tn\/fr\/lhydroxychloroquine-au-long-cours-ne-protege-pas-des-formes-graves-de-covid-19\/","title":{"rendered":"L&rsquo;hydroxychloroquine \u00ab\u00a0au long cours\u00a0\u00bb ne prot\u00e8ge pas des formes graves de Covid-19"},"content":{"rendered":"<div>Une \u00e9tude fran\u00e7aise ne rel\u00e8ve pas de r\u00f4le pr\u00e9ventif de l&rsquo;utilisation au long cours de la chloroquine ou de l&rsquo;hydroxychloroquine contre le Covid-19.<\/div>\n<div>Les patients trait\u00e9s \u00ab\u00a0au long cours\u00a0\u00bb avec de la chloroquine ou de l&rsquo;hydroxychloroquine, notamment pour des maladies auto-immunes, n&rsquo;ont pas \u00e9t\u00e9 moins touch\u00e9s par des formes graves de Covid-19 durant l&rsquo;\u00e9pid\u00e9mie, montre une \u00e9tude fran\u00e7aise publi\u00e9e ce mardi.<\/div>\n<div>Cette \u00e9tude a \u00e9t\u00e9 r\u00e9alis\u00e9e par Epi-phare, structure r\u00e9unissant l&rsquo;Agence du m\u00e9dicament (ANSM) et l&rsquo;Assurance Maladie, \u00e0 partir des donn\u00e9es de cette derni\u00e8re (en particulier les remboursements de m\u00e9dicaments) et des dossiers m\u00e9dicaux des h\u00f4pitaux (dates d&rsquo;hospitalisation, diagnostics, actes m\u00e9dicaux et m\u00e9dicaments d\u00e9livr\u00e9s&#8230;). Conduite sur pr\u00e8s de 55 000 patients, elle \u00ab\u00a0ne sugg\u00e8re pas de r\u00f4le pr\u00e9ventif de l&rsquo;utilisation des antipalud\u00e9ens de synth\u00e8se (APS) au long cours sur le risque de survenue d&rsquo;une hospitalisation, d&rsquo;une intubation ou d&rsquo;un d\u00e9c\u00e8s li\u00e9s au Covid-19\u00a0\u00bb, concluent ses auteurs.<\/div>\n<div>\u00ab\u00a0M\u00eame si la nature observationnelle de l&rsquo;\u00e9tude ne permet pas de conclure formellement \u00e0 l&rsquo;absence de b\u00e9n\u00e9fice des antipalud\u00e9ens de synth\u00e8se pour la pr\u00e9vention d&rsquo;une forme s\u00e9v\u00e8re de Covid-19, ces r\u00e9sultats ne plaident pas en faveur d&rsquo;une utilisation pr\u00e9ventive de l&rsquo;hydroxychloroquine dans la population, y compris la population la plus \u00e0 risque, et ce en dehors d&rsquo;essais th\u00e9rapeutiques d\u00e9di\u00e9s\u00a0\u00bb, insistent les chercheurs.<\/div>\n<div>Ils ont \u00e9tudi\u00e9 \u00ab\u00a0l&rsquo;ensemble des personnes ayant re\u00e7u au moins six d\u00e9livrances rembours\u00e9es d&rsquo;antipalud\u00e9ens de synth\u00e8se (hydroxychloroquine ou chloroquine) entre le 1er janvier 2019 et le 15 f\u00e9vrier 2020, dont la derni\u00e8re au cours du dernier trimestre 2019 ou d\u00e9but 2020\u00a0\u00bb. L&rsquo;hydroxychloroquine, d\u00e9riv\u00e9e de l&rsquo;antipalud\u00e9en chloroquine, est en particulier prescrite dans le traitement de maladies auto-immunes comme le lupus et ou la polyarthrite rhumato\u00efde.<\/div>\n<div><\/div>\n<div><strong>*Plusieurs \u00e9tudes concordantes<\/strong><\/div>\n<div>Les r\u00e9sultats mettent m\u00eame en \u00e9vidence \u00ab\u00a0un surrisque d&rsquo;hospitalisation, d&rsquo;intubation et de d\u00e9c\u00e8s li\u00e9s au Covid-19 parmi les patients sous APS au long cours par rapport \u00e0 la population g\u00e9n\u00e9rale fran\u00e7aise\u00a0\u00bb. Mais \u00ab\u00a0les analyses r\u00e9alis\u00e9es sugg\u00e8rent que ce surrisque est expliqu\u00e9 par les caract\u00e9ristiques li\u00e9es \u00e0 la pathologie chronique sous-jacente\u00a0\u00bb de ces patients, \u00ab\u00a0notamment la co-m\u00e9dication par cortico\u00efdes oraux, plut\u00f4t que par l&rsquo;exposition aux APS elle-m\u00eame\u00a0\u00bb.<\/div>\n<div>La plupart des essais cliniques testant l&rsquo;hydroxychloroquine ont \u00e9t\u00e9 stopp\u00e9s fin mai, apr\u00e8s la publication d&rsquo;une \u00e9tude n\u00e9gative dans la revue m\u00e9dicale The Lancet (r\u00e9tract\u00e9e par la suite apr\u00e8s des soup\u00e7ons de fraude), puis apr\u00e8s les r\u00e9sultats d\u00e9but juin d&rsquo;un vaste essai britannique, Recovery, selon lesquels l&rsquo;hydroxychloroquine ne montre \u00ab\u00a0pas d&rsquo;effet b\u00e9n\u00e9fique\u00a0\u00bb pour les malades du Covid-19.<\/div>\n<div style=\"text-align: right;\"><span style=\"text-transform: initial;\">(L&rsquo;Express, avec AFP)<\/span><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Une \u00e9tude fran\u00e7aise ne rel\u00e8ve pas de r\u00f4le pr\u00e9ventif de l&rsquo;utilisation au long cours de la chloroquine ou de l&rsquo;hydroxychloroquine contre le Covid-19. Les patients trait\u00e9s \u00ab\u00a0au long cours\u00a0\u00bb avec&hellip;<\/p>\n","protected":false},"author":60,"featured_media":183885,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[2515],"tags":[],"class_list":["post-183884","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>L&#039;hydroxychloroquine &quot;au long cours&quot; ne prot\u00e8ge pas des formes graves de Covid-19 - R\u00e9alit\u00e9s Magazine<\/title>\n<meta name=\"description\" content=\"Une \u00e9tude fran\u00e7aise ne rel\u00e8ve pas de r\u00f4le pr\u00e9ventif de l&#039;utilisation au long cours de la chloroquine ou de l&#039;hydroxychloroquine contre le Covid-19. 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