{"id":137,"date":"2020-12-14T14:06:22","date_gmt":"2020-12-14T13:06:22","guid":{"rendered":"https:\/\/onetech.dev\/covid\/?page_id=137"},"modified":"2026-04-22T15:08:09","modified_gmt":"2026-04-22T14:08:09","slug":"onco-hematologie","status":"publish","type":"page","link":"https:\/\/onetech.dev\/covid\/onco-hematologie","title":{"rendered":"Onco-H\u00e9matologie"},"content":{"rendered":"<section class=\"l-section wpb_row height_small\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container type_sticky\"><div class=\"vc_column-inner\" style=\"top:180px\"><div class=\"w-image us_custom_fb33871a us_animate_this has_height align_center\"><div class=\"w-image-h\"><img decoding=\"async\" width=\"900\" height=\"127\" src=\"https:\/\/onetech.dev\/covid\/data\/irc_logo.png\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/onetech.dev\/covid\/data\/irc_logo.png 900w, https:\/\/onetech.dev\/covid\/data\/irc_logo-300x42.png 300w, https:\/\/onetech.dev\/covid\/data\/irc_logo-150x21.png 150w\" sizes=\"auto, (max-width: 900px) 100vw, 900px\" \/><\/div><\/div><div class=\"ult-spacer spacer-69f4102d90834\" data-id=\"69f4102d90834\" data-height=\"35\" data-height-mobile=\"35\" data-height-tab=\"35\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div><h3 class=\"w-text us_custom_7ccf62ca has_text_color\"><span class=\"w-text-h\"><span class=\"w-text-value\">RECOMMANDATIONS G\u00c9N\u00c9RALES<\/span><\/span><\/h3><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_small\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"g-cols wpb_row via_grid cols_2-1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"aio-icon-component    style_2\"><a class=\"aio-icon-box-link\" ><div id=\"Info-box-wrap-7540\" class=\"aio-icon-box left-icon\" style=\"\"  ><div class=\"aio-icon-left\"><div class=\"ult-just-icon-wrapper  \"><div class=\"align-icon\" style=\"text-align:center;\">\n<div class=\"aio-icon-img \" style=\"font-size:50px;background:#03254C;border-style:solid;border-color:#03254C;border-width:1px;padding:20px;border-radius:500px;display:inline-block;\" >\n\t<img decoding=\"async\" class=\"img-icon\" alt=\"null\" src=\"https:\/\/onetech.dev\/covid\/data\/blood-test.png\"\/>\n<\/div><\/div><\/div><\/div><div class=\"aio-ibd-block\"><div class=\"aio-icon-header\" ><h6 class=\"aio-icon-title ult-responsive\"  data-ultimate-target='#Info-box-wrap-7540 .aio-icon-title'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}'  style=\"font-weight:bold;color:#03254C;\">Onco-H\u00e9matologie<\/h6><\/div> <!-- header --><\/div> <!-- aio-ibd-block --><\/div> <!-- aio-icon-box --><\/a><\/div> <!-- aio-icon-component --><\/div><\/div><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"w-btn-wrapper align_right\"><a class=\"w-btn us-btn-style_1 icon_atleft\" href=\"https:\/\/onetech.dev\/covid\/\"><i class=\"far fa-backward\"><\/i><span class=\"w-btn-label\">Retour<\/span><\/a><\/div><\/div><\/div><\/div><div class=\"ult-spacer spacer-69f4102d9164e\" data-id=\"69f4102d9164e\" data-height=\"25\" data-height-mobile=\"25\" data-height-tab=\"25\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div><div class=\"g-cols wpb_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container us_custom_7e20fa79 us_animate_this\"><div class=\"vc_column-inner\"><div class=\"w-tabs us_custom_064d3121 style_default switch_click accordion has_scrolling\" style=\"--sections-title-size:18px\"><div class=\"w-tabs-sections titles-align_none icon_chevron cpos_right\"><div class=\"w-tabs-section active\" id=\"d042\"><button class=\"w-tabs-section-header active\" aria-controls=\"content-d042\" aria-expanded=\"true\"><div class=\"w-tabs-section-title\">1) Sp\u00e9cificit\u00e9 des patients d\u2019Onco-h\u00e9matologie<\/div><div class=\"w-tabs-section-control\"><\/div><\/button><div  class=\"w-tabs-section-content us_custom_ea76afbe\" id=\"content-d042\"><div class=\"w-tabs-section-content-h i-cf\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p style=\"text-align: justify;\">Les patients d\u2019h\u00e9matologie pr\u00e9sentent des particularit\u00e9s importantes \u00e0\u00a0\u00a0 souligner :<\/p>\n<ul>\n<li style=\"text-align: justify;\">Les patients d\u2019h\u00e9matologie n\u2019ont pas, \u00e0 priori, un risque plus important de contracter le virus, n\u00e9anmoins, ce sont des patients fragiles avec une immunod\u00e9pression plus ou moins profonde du fait de leur pathologie ou des traitements institu\u00e9s.<\/li>\n<li style=\"text-align: justify;\">Il a \u00e9t\u00e9 observ\u00e9 en Chine que les patients d\u2019onco-h\u00e9matologie sous chimioth\u00e9rapie lourde d\u00e9veloppent, quand ils sont infect\u00e9s, des formes graves de l\u2019infection \u00e0 Covid-19 avec plus de 50% de d\u00e9c\u00e8s.<\/li>\n<li style=\"text-align: justify;\">La corticoth\u00e9rapie souvent \u00e0 forte dose, d\u00e9conseill\u00e9e en cette p\u00e9riode d\u2019\u00e9pid\u00e9mie, fait partie de l\u2019arsenal th\u00e9rapeutique de plusieurs affections h\u00e9matologiques (H\u00e9mopathies lympho\u00efdes, Cytop\u00e9nies auto-immunes\u2026)<\/li>\n<li style=\"text-align: justify;\">Pour certaines pathologies lourdes avec des traitements intensifs, le recours \u00e0 des transferts en r\u00e9animation est parfois n\u00e9cessaire. Il semble actuellement extr\u00eamement difficile de disposer facilement de lits de r\u00e9animation pour nos patients.<\/li>\n<li style=\"text-align: justify;\">La transfusion de PSL est de pratique courante en h\u00e9matologie et semble actuellement relativement probl\u00e9matique.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><div class=\"w-tabs-section\" id=\"w3a5\"><button class=\"w-tabs-section-header\" aria-controls=\"content-w3a5\" aria-expanded=\"false\"><div class=\"w-tabs-section-title\">2) Recommandations<\/div><div class=\"w-tabs-section-control\"><\/div><\/button><div  class=\"w-tabs-section-content us_custom_71d3e3d1\" id=\"content-w3a5\"><div class=\"w-tabs-section-content-h i-cf\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p style=\"text-align: justify;\">&#8211; Les visites \u00e0 l\u2019h\u00f4pital augmentent le risque de contracter l\u2019infection \u00e0 Covid-19. Il est recommand\u00e9 de minimiser au maximum la fr\u00e9quence des visites des patients dans les unit\u00e9s de soins:<\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Reporter les visites de surveillance.<\/li>\n<li>D\u00e9velopper les t\u00e9l\u00e9consultations.<\/li>\n<li>Renouveler des ordonnances par t\u00e9l\u00e9consultation.<\/li>\n<li>Privil\u00e9gier les traitements per os quand c\u2019est possible.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">&#8211; Privil\u00e9gier les traitements moins intensifs quand c\u2019est possible.<br \/>\n&#8211; Baisser les seuils transfusionnels :<\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"list-style-type: none;\">\n<ul>\n<li>&lt; 7 g\/dl pour la transfusion de globules rouges en cas de bonne tol\u00e9rance.<\/li>\n<li>&lt; 10.000 \/mm<sup>3<\/sup> ou avec Syndrome h\u00e9morragique pour la transfusion de plaquettes.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">&#8211; En cas de n\u00e9cessit\u00e9 de visite dans les structures de soins, Il faut au maximum \u201csanctuariser\u201d les services d\u2019h\u00e9matologie pour \u00e9viter d\u2019admettre un patient \u00e9ventuellement infect\u00e9 par le Covid-19.<\/p>\n<p style=\"text-align: justify;\">&#8211; Il faut demander aux patients de venir seuls sauf ceux qui ont des probl\u00e8mes pour se d\u00e9placer.<\/p>\n<p style=\"text-align: left;\">&#8211; A L\u2019accueil :<\/p>\n<ul style=\"text-align: justify;\">\n<li>Port de masque obligatoire au cas o\u00f9 le patient n\u2019en porte pas<\/li>\n<li>Prise de temp\u00e9rature par thermom\u00e8tre frontal sans contact<\/li>\n<li>Recherche de signes respiratoires<\/li>\n<li>En cas de suspicion d\u2019infection Covid-19, isoler le patient et l\u2019orienter vers une fili\u00e8re Covid-19.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">&#8211; Les consultations :<\/p>\n<ul style=\"text-align: justify;\">\n<li>Reporter les consultations de surveillance. Ceci pourra r\u00e9duire de 30 \u00e0 40% l\u2019activit\u00e9 de consultation.<\/li>\n<li>Maintenir une distanciation dans les salles d\u2019attente et de consultation<\/li>\n<li>R\u00e9duire au maximum le temps de consultation.<\/li>\n<li>Les nouveaux patients seront pris en charge normalement<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">&#8211; Les Hospitalisations<\/p>\n<ul>\n<li style=\"text-align: justify;\">Mettre les patients en chambre individuelle<\/li>\n<li style=\"text-align: justify;\">Interdire les visites dans la mesure du possible<\/li>\n<li style=\"text-align: justify;\">Le patient doit porter un masque quand un soignant doit rentrer dans sa chambre.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"ult-spacer spacer-69f4102d92775\" data-id=\"69f4102d92775\" data-height=\"35\" data-height-mobile=\"35\" data-height-tab=\"35\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div><div class=\"g-cols wpb_row us_custom_60e9caca us_animate_this via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"w-text us_custom_7ccf62ca has_text_color\"><span class=\"w-text-h\"><span class=\"w-text-value\">PARTENAIRES<\/span><\/span><\/div><\/div><\/div><\/div><div class=\"w-image align_center\"><div class=\"w-image-h\"><img decoding=\"async\" width=\"1300\" height=\"231\" src=\"https:\/\/onetech.dev\/covid\/data\/partenaire.png\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/onetech.dev\/covid\/data\/partenaire.png 1300w, https:\/\/onetech.dev\/covid\/data\/partenaire-300x53.png 300w, https:\/\/onetech.dev\/covid\/data\/partenaire-1024x182.png 1024w, https:\/\/onetech.dev\/covid\/data\/partenaire-150x27.png 150w\" sizes=\"auto, (max-width: 1300px) 100vw, 1300px\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"RECOMMANDATIONS G\u00c9N\u00c9RALES Onco-H\u00e9matologie Retour1) Sp\u00e9cificit\u00e9 des patients d\u2019Onco-h\u00e9matologie Les patients d\u2019h\u00e9matologie pr\u00e9sentent des particularit\u00e9s importantes \u00e0\u00a0\u00a0 souligner : Les patients d\u2019h\u00e9matologie n\u2019ont pas, \u00e0 priori, un risque plus important de contracter le virus, n\u00e9anmoins, ce sont des patients fragiles avec une immunod\u00e9pression plus ou moins profonde du fait de leur pathologie ou des traitements institu\u00e9s....","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-137","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/pages\/137","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/comments?post=137"}],"version-history":[{"count":1,"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/pages\/137\/revisions"}],"predecessor-version":[{"id":138,"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/pages\/137\/revisions\/138"}],"wp:attachment":[{"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/media?parent=137"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}