{"id":19279,"date":"2024-09-27T12:20:56","date_gmt":"2024-09-27T12:20:56","guid":{"rendered":"https:\/\/www.oxypharm.net\/?p=19279"},"modified":"2025-04-28T09:22:32","modified_gmt":"2025-04-28T09:22:32","slug":"sanivap-et-nocotech-un-processus-efficace-de-prevention-des-infections-a-bmr-et-bhre-2","status":"publish","type":"post","link":"https:\/\/www.oxypharm.net\/en\/sanivap-et-nocotech-un-processus-efficace-de-prevention-des-infections-a-bmr-et-bhre-2\/","title":{"rendered":"Sanivap et Nocotech : Un processus efficace de pr\u00e9vention des infections \u00e0 BMR et BHRe"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<p style=\"text-align: left;\"><strong>Les infections \u00e0 bact\u00e9ries multir\u00e9sistantes (BMR) et \u00e0 bact\u00e9ries hautement r\u00e9sistantes \u00e9mergentes (BHRe) repr\u00e9sentent un risque majeur pouvant aller jusqu&#8217;\u00e0 l&#8217;impasse th\u00e9rapeutique. La pr\u00e9vention des infections associ\u00e9es aux soins (IAS) par ces bact\u00e9ries dans les \u00e9tablissements de sant\u00e9 est donc de la plus haute importance. D\u00e9couvrez comment la mise en place du process d\u00e9velopp\u00e9 par Oxy\u2019Pharm avec Sanivap et Nocotech peut aider les \u00e9tablissements de sant\u00e9 \u00e0 pr\u00e9venir l\u2019acquisition et la diffusion des infections \u00e0 BMR et BHRe. <\/strong><\/p>\n<p>[\/vc_column_text][vc_single_image image=&#8221;19021&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"H2-2\"><span style=\"font-family: 'Lato',sans-serif;\">Les BMR et BHRe exposent au risque d\u2019impasse th\u00e9rapeutique.<\/span><\/h3>\n<p>[\/vc_column_text][vc_column_text css=&#8221;&#8221;]Les infections \u00e0 bact\u00e9ries multir\u00e9sistantes (BMR) et hautement r\u00e9sistantes \u00e9mergentes (BHRe) connaissent une croissance inqui\u00e9tante : + 35 % en 2023 \u00e0 l\u2019AP-HP. En France, 12 500 personnes meurent chaque ann\u00e9e d\u2019infections r\u00e9sistantes aux antibiotiques. &#8220;Dans les h\u00f4pitaux, on a utilis\u00e9 massivement et pendant des ann\u00e9es des antibiotiques. Les bact\u00e9ries ont d\u00e9velopp\u00e9 des strat\u00e9gies d&#8217;\u00e9vitement, de protection contre ces antibiotiques&#8221;, indique Mathieu Agnet, directeur scientifique chez Oxy\u2019Pharm. Cette situation est particuli\u00e8rement pr\u00e9occupante, car les patients infect\u00e9s deviennent de plus en plus difficiles \u00e0 soigner, d&#8217;autant plus que certaines souches bact\u00e9riennes d\u00e9veloppent une r\u00e9sistance \u00e0 un nombre croissant d&#8217;antibiotiques. Dans certains cas, on peut m\u00eame arriver \u00e0 des impasses th\u00e9rapeutiques o\u00f9 le patient se retrouve sans option de traitement efficace.[\/vc_column_text][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>Quelles mesures pour la ma\u00eetrise de la diffusion des BMR et BHRe ?<\/h3>\n<p>[\/vc_column_text][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>LES BACTERIES MULTI OU HAUTEMENT RESISTANTES AUX ANTIBIOTIQUES LES PLUS REDOUTEES DANS LES SERVICES DE SOINS AUX GRANDS BRULES.<\/h4>\n<p>[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text css=&#8221;&#8221;]Les Bact\u00e9ries Hautement R\u00e9sistantes aux antibiotiques \u00e9mergentes (BHRe) sont des bact\u00e9ries commensales du tube digestif et sont r\u00e9sistantes \u00e0 de nombreux antibiotiques. Parmi elles, les Ent\u00e9rocoques r\u00e9sistants \u00e0 la vancomycine ou ERG et les Ent\u00e9robact\u00e9ries productrices de carbap\u00e9n\u00e9mase ou EPC sont les bact\u00e9ries les plus redout\u00e9es dans les services de soins aux grands br\u00fbl\u00e9s.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;21435&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column_inner][\/vc_row_inner][vc_column_text css=&#8221;&#8221;]Les Bact\u00e9ries Multi R\u00e9sistantes aux antibiotiques (BMR) sont des bact\u00e9ries qui conjuguent plusieurs m\u00e9canismes de r\u00e9sistance \u00e0 plusieurs familles d\u2019antibiotiques. Staphylococcus aureus r\u00e9sistant \u00e0 la m\u00e9ticilline ou SARM et Acinetobacter baumannii r\u00e9sistant \u00e0 l\u2019imipen\u00e8me, ou ABRI, posent de r\u00e9els probl\u00e8mes, notamment dans les services de grands br\u00fbl\u00e9s. ABRI, bact\u00e9rie particuli\u00e8rement redoutable pour les personnes immunod\u00e9prim\u00e9es, est fr\u00e9quemment retrouv\u00e9e dans les services de grands br\u00fbl\u00e9s[\/vc_column_text][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>LES GRANDS BRULES SONT DES PATIENTS PARTICULIEREMENT VULNERABLES<\/h4>\n<p>[\/vc_column_text][vc_column_text css=&#8221;&#8221;]Les grands br\u00fbl\u00e9s courent un risque accru de colonisation et d\u2019infection par les BMR et BHRe pour une double raison. D\u2019une part, les grands br\u00fbl\u00e9s sont des personnes pour lesquelles la peau ne joue plus son r\u00f4le de barri\u00e8re protectrice. La p\u00e9n\u00e9tration des bact\u00e9ries dans l\u2019organisme est donc facilit\u00e9e. D\u2019autre part, ce sont des patients immunod\u00e9prim\u00e9s : leur syst\u00e8me immunitaire affaibli offre un terrain propice au d\u00e9veloppement rapide de ces bact\u00e9ries.[\/vc_column_text][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>LES MODES DE TRANSMISSION ET DE DIFFUSION DE CES PATHOGENES PROBLEMATIQUES<\/h4>\n<p>[\/vc_column_text][vc_column_text css=&#8221;&#8221;]Les BHRe sont nombreuses \u00e0 vivre dans les siphons des lavabos et des douches. Quant \u00e0 ABRI, elle vit tr\u00e8s bien sur les surfaces inertes. Le r\u00e9servoir \u00e9tant g\u00e9n\u00e9ralement humain, ABRI est donc apport\u00e9e soit par le patient lui-m\u00eame, soit par l\u2019\u00e9quipe soignante. La transmission se fait alors de mani\u00e8re directe de patient \u00e0 soignant ou de soignant \u00e0 patient et de mani\u00e8re indirecte par les mains, le mat\u00e9riel, le mobilier ou les dispositifs m\u00e9dicaux contamin\u00e9s. Le double probl\u00e8me que pose alors ABRI est d\u2019avoir la capacit\u00e9 \u00e0 survivre sur les surfaces inertes et d\u2019\u00eatre extr\u00eamement r\u00e9sistante \u00e0 de nombreux types d\u2019antibiotiques. <em>\u201cIl est donc tr\u00e8s difficile de s\u2019en d\u00e9barrasser, et ce, d\u2019autant plus que nous avons beaucoup de mal \u00e0 identifier le foyer infectieux qui entretient l\u2019infection dans le service ou la chambre du patient\u201d <\/em>souligne Mathieu Agnet<em>.<\/em><\/p>\n<p>[\/vc_column_text][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>Quelles mesures pour la ma\u00eetrise de la diffusion des BMR et BHRe ?<\/h3>\n<p>[\/vc_column_text][vc_column_text css=&#8221;&#8221;]La pr\u00e9vention des infections bact\u00e9riennes repose sur le respect des r\u00e8gles d\u2019hygi\u00e8ne hospitali\u00e8re. Il existe trois niveaux de pr\u00e9cautions :<\/p>\n<ul>\n<li>Les pr\u00e9cautions standard, parmi lesquelles l\u2019hygi\u00e8ne des mains, s\u2019appliquent en permanence pour tous les patients et dans toutes les chambres.<\/li>\n<\/ul>\n<ul>\n<li>Les pr\u00e9cautions compl\u00e9mentaires sont mises en \u0153uvre en cas de BMR et visent \u00e0 renforcer notablement l\u2019hygi\u00e8ne des mains et le bionettoyage dans l\u2019environnement.<\/li>\n<\/ul>\n<ul>\n<li>Les pr\u00e9cautions sp\u00e9cifiques aux BHRe consistent \u00e0 isoler le patient et la chambre pour \u00e9viter de disperser les BHRe, ce qui constitue un troisi\u00e8me niveau de pr\u00e9cautions dans ces cas-l\u00e0.<\/li>\n<\/ul>\n<p>Le bionettoyage n\u2019est pas parfaitement op\u00e9rant, car il ne parvient pas toujours \u00e0 \u00e9liminer la source d\u2019ABRI.<\/p>\n<p>D\u2019autres m\u00e9thodes de d\u00e9sinfection doivent alors \u00eatre mises en \u0153uvre.<\/p>\n<p>D\u2019une part, il est int\u00e9ressant de recourir \u00e0 la d\u00e9sinfection des surfaces par voie a\u00e9rienne (DSVA), une m\u00e9thode qui permet d\u2019\u00eatre en contact avec absolument toutes les surfaces d\u2019une pi\u00e8ce (chambre, bloc op\u00e9ratoire).<\/p>\n<p>D&#8217;ailleurs, la SF2H (Soci\u00e9t\u00e9 Fran\u00e7aise d&#8217;Hygi\u00e8ne Hospitali\u00e8re) a \u00e9mis des recommandations concernant la gestion des \u00e9pid\u00e9mies \u00e0 BHRe. Selon ces recommandations, lorsqu&#8217;une \u00e9pid\u00e9mie \u00e0 BHRe \u00e9chappe au contr\u00f4le, la d\u00e9sinfection par voie a\u00e9rienne s&#8217;av\u00e8re \u00eatre une solution particuli\u00e8rement efficace pour \u00e9radiquer la contamination environnementale.<\/p>\n<p>D\u2019autre part, l\u2019emploi de la vapeur est extr\u00eamement performant pour \u00e9liminer toutes les bact\u00e9ries dont les BMR et les BHRe<em>. \u201cLes propri\u00e9t\u00e9s d\u00e9sinfectantes de la vapeur sur un spectre large et homog\u00e8ne, indique Mathieu Agnet, permet d\u2019\u00e9viter la contamination et la diss\u00e9mination des BMR dans l\u2019environnement\u201d.<\/em>[\/vc_column_text][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"H2\" style=\"text-align: left; line-height: 115%;\" align=\"left\">La solution compl\u00e8te d\u2019Oxy\u2019Pharm : La combinaison Sanivap et Nocotech<\/h3>\n<p>[\/vc_column_text][vc_column_text css=&#8221;&#8221;]Les sources de contamination sont multiples et la contamination de l\u2019environnement est massive comme l\u2019indique une \u00e9tude de Jean Winoc Decousser intitul\u00e9e \u201cD\u00e9finition des BMR\/BHRe : Rien ne va !\u201d et pr\u00e9sent\u00e9e \u00e0 la SF2H.<\/p>\n<p>La seule solution est de travailler en amont pour \u00e9viter la contamination du patient.[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text css=&#8221;&#8221;]Oxy\u2019Pharm a d\u00e9velopp\u00e9 une solution d\u2019hygi\u00e8ne \u00e0 l\u2019efficacit\u00e9 prouv\u00e9e et \u00e9prouv\u00e9e qui s\u2019appuie sur la gamme de produits <strong>Sanivap<\/strong> et <strong>Nocotech<\/strong> :<\/p>\n<ul>\n<li><strong>Sanivap<\/strong> est un dispositif m\u00e9dical de bio nettoyage et de d\u00e9sinfection des surfaces par la vapeur.<\/li>\n<li><strong>Nocotech<\/strong> est une solution de bio d\u00e9sinfection des surfaces par voie a\u00e9rienne (DSVA) qui repose sur l\u2019action coupl\u00e9e d\u2019un appareil de traitement et d\u2019un produit d\u00e9sinfectant.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;18943&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column_inner][\/vc_row_inner][vc_column_text css=&#8221;&#8221;]\u201cLa combinaison vapeur et DSVA, expose Mathieu Agnet, est particuli\u00e8rement efficace et r\u00e8gle le probl\u00e8me de fa\u00e7on tr\u00e8s r\u00e9active dans toute situation \u00e9pid\u00e9mique impliquant des BMR ou des BHRe et \u00e0 fortiori dans les unit\u00e9s de grands br\u00fbl\u00e9s. En effet, cette solution s\u2019int\u00e8gre parfaitement bien \u00e0 la lutte contre les bact\u00e9ries r\u00e9sistantes : la vapeur dans les pr\u00e9cautions standard et le duo vapeur et d\u00e9sinfection des surfaces par voie a\u00e9rienne dans les pr\u00e9cautions compl\u00e9mentaires et sp\u00e9cifiques BHRe.\u201d<\/p>\n<p>Face \u00e0 ce type de probl\u00e9matique, il convient donc d&#8217;utiliser des strat\u00e9gies adapt\u00e9es au probl\u00e8me et \u00e0 son ampleur : travailler avec des solutions qui se r\u00e9v\u00e8lent efficaces et agir vite et de mani\u00e8re large lorsque la contamination s\u2019est d\u00e9j\u00e0 diss\u00e9min\u00e9e dans l\u2019ensemble d\u2019un service hospitalier. La combinaison vapeur et d\u00e9sinfection par voie a\u00e9rienne propos\u00e9e par Oxy&#8217;Pharm, le duo<strong> Sanivap<\/strong> et <strong>Nocotech<\/strong>, a prouv\u00e9 son potentiel probant \u00e0 plusieurs reprises sur ce genre de cas d&#8217;ABRI dans les services de grands br\u00fbl\u00e9s.[\/vc_column_text][vc_column_text css=&#8221;&#8221;]En conclusion, la combinaison <strong>Sanivap<\/strong> et <strong>Nocotech <\/strong>d\u2019 Oxy\u2019Pharm offre une solution compl\u00e8te et efficace pour lutter contre les BMR et BHRe dans les services de grands br\u00fbl\u00e9s :<\/p>\n<ul>\n<li><strong>Sanivap<\/strong> assure un bionettoyage performant par vapeur, \u00e9liminant efficacement les bact\u00e9ries r\u00e9sistantes.<\/li>\n<li><strong>Nocotech<\/strong> permet une d\u00e9sinfection par voie a\u00e9rienne, atteignant m\u00eame les surfaces difficiles d&#8217;acc\u00e8s.<\/li>\n<\/ul>\n<p>Cette approche double r\u00e9pond aux diff\u00e9rents niveaux de pr\u00e9cautions recommand\u00e9s par la SF2H.<\/p>\n<p>Pour en savoir plus, n&#8217;h\u00e9sitez pas \u00e0 contacter votre interlocuteur r\u00e9gional.[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Comment nos m\u00e9thodes aident les \u00e9tablissements de sant\u00e9 \u00e0 pr\u00e9venir les infections \u00e0 BMR et BHRe&#8230;<\/p>\n","protected":false},"author":3,"featured_media":19021,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[15],"tags":[],"class_list":["post-19279","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.1.1 - 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