{"id":5338,"date":"2022-01-26T09:29:42","date_gmt":"2022-01-26T08:29:42","guid":{"rendered":"http:\/\/10.14.1.26\/website\/?post_type=service&#038;p=5338"},"modified":"2024-02-23T16:24:11","modified_gmt":"2024-02-23T15:24:11","slug":"unite-derscheid-tuberculose","status":"publish","type":"service","link":"https:\/\/www.stpierre-bru.be\/en\/service\/maladies-infectieuses\/unite-derscheid-tuberculose\/","title":{"rendered":"Hospitalisation"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2><span style=\"color: #33cccc;\">Deux unit\u00e9s aigu\u00ebs de maladies infectieuses de 15 lits chacune<\/span><\/h2>\n<p>En chambre seule, avec sas, permettent l<strong>\u2019isolement<\/strong> de patients \u00e0 <strong>haut risque infectieux<\/strong> ou porteurs de pathologies contagieuses.<\/p>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #33cccc;\">Centre de r\u00e9f\u00e9rence national pour les maladies \u00e0 haute contagiosit\u00e9<\/span><\/h2>\n<ul>\n<li><strong>SARS, MERS-CoV<\/strong><\/li>\n<li><strong>grippe aviaire<\/strong><\/li>\n<li><strong>Tuberculose multir\u00e9sistante<\/strong><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #33cccc;\">Centre de r\u00e9f\u00e9rence pour la tuberculose<\/span><\/h2>\n<p><span> Unit\u00e9 d\u2019hospitalisation en isolement respiratoire de 10 lits (<strong>Unit\u00e9 de long s\u00e9jour Gustave Derscheid<\/strong>). Prise en charge des tuberculoses difficiles \u00e0 traiter en ambulatoire. . Travail en collaboration avec le <a href=\"https:\/\/www.fares.be\/\">FARES<\/a> et la <a href=\"https:\/\/tuberculose.vrgt.be\/\" target=\"_blank\" rel=\"noopener\">VRGT<\/a>.<\/span><\/p>\n<p>Le CHU Saint-Pierre est reconnu comme un centre de r\u00e9f\u00e9rence pour la prise en charge de la <strong>tuberculose<\/strong>, en particulier les formes <em><strong>multi-r\u00e9sistante<\/strong>s.<\/em> En collaboration avec <a href=\"https:\/\/www.stpierre-bru.be\/service\/pneumologie\/\">le Service de Pneumologie<\/a>, le <a href=\"https:\/\/www.fares.be\/\" target=\"_blank\" rel=\"noopener\">FARES<\/a> et la <a href=\"https:\/\/tuberculose.vrgt.be\/\" target=\"_blank\" rel=\"noopener\">VRGT<\/a>, ce sont chaque ann\u00e9e entre 100 et 200 patients atteints de tuberculose qui y sont hospitalis\u00e9s. Le maintien en isolement respiratoire dans un service aigu est difficile, tant pour les patients que pour le personnel soignant.<\/p>\n<p>La cr\u00e9ation d\u2019une unit\u00e9 de long s\u00e9jour d\u00e9di\u00e9e aux personnes atteintes de tuberculose est une r\u00e9ponse \u00e0 ce probl\u00e8me de sant\u00e9 publique. Tous les patients, y compris les plus d\u00e9favoris\u00e9s, y b\u00e9n\u00e9ficient d\u2019un traitement individualis\u00e9 de qualit\u00e9 et de conditions de s\u00e9jour plus humaines. L\u2019unit\u00e9 a \u00e9t\u00e9 con\u00e7ue dans le respect des normes internationales pour les infections \u00e0 transmission a\u00e9rienne, tout en am\u00e9nageant des espaces de vie humanis\u00e9s pour les patients.<\/p>\n<p>[\/et_pb_text][et_pb_accordion open_toggle_text_color=&#8221;#E09900&#8243; icon_color=&#8221;#E09900&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; toggle_text_color=&#8221;#E09900&#8243; width=&#8221;100%&#8221; custom_margin=&#8221;|-198px||||&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_accordion_item title=&#8221;Tuberculose&#8221; open=&#8221;on&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p><span>La tuberculose est un probl\u00e8me de sant\u00e9 publique majeur. Si son incidence globale reste stable et basse en Belgique, la maladie se concentre dans les grandes villes o\u00f9 elle touche les personnes les plus pr\u00e9caris\u00e9es. Ces derni\u00e8res ann\u00e9es, la proportion de patients sans domicile fixe ou en grandes difficult\u00e9s socio-\u00e9conomiques a beaucoup augment\u00e9, atteignant 28% en 2017. Par ailleurs, des formes de tuberculoses dites multi-r\u00e9sistantes, n\u00e9cessitant un traitement plus long et complexe, ont \u00e9merg\u00e9.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Prise en charge&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; open=&#8221;off&#8221;]<\/p>\n<p><span>La prise en charge de la tuberculose implique une phase d\u2019hospitalisation en isolement respiratoire strict, suivie d\u2019une longue p\u00e9riode de traitement ambulatoire. L\u2019adh\u00e9rence au traitement est primordiale pour assurer la gu\u00e9rison et \u00e9viter la transmission de la maladie. Pour la plupart des patients, le maintien prolong\u00e9 en isolement est psychologiquement difficile. La phase ambulatoire est \u00e9galement une p\u00e9riode \u00e0 risque de d\u00e9crochage m\u00e9dical.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;L&#8217;unit\u00e9 Derscheid&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; open=&#8221;off&#8221;]<\/p>\n<div class=\"panel-heading\">\n<div class=\"panel-title\">\n<p>Elle comporte deux \u00e9tages reli\u00e9s par un ascenseur propre. Au premier niveau, les chambres des patients occupent une aire totalement s\u00e9par\u00e9e de la zone r\u00e9serv\u00e9e au personnel soignant. Le second niveau, d\u00e9di\u00e9 aux activit\u00e9s r\u00e9cr\u00e9atives et psycho-\u00e9ducationnelles (biblioth\u00e8que, ordinateurs, salle d\u2019ergoth\u00e9rapie et de fitness, salle \u00e0 manger) donne acc\u00e8s \u00e0 une vaste terrasse.<\/p>\n<p>Au-del\u00e0 de la prise en charge m\u00e9dicale, l\u2019ambition du centre est de mettre ces longs s\u00e9jours \u00e0 profit pour contribuer \u00e0 la r\u00e9insertion sociale des patients. Les \u00e9ducateurs pr\u00e9sents dans l\u2019unit\u00e9 les aideront \u00e0 d\u00e9velopper leurs comp\u00e9tences. L\u2019unit\u00e9 propose \u00e9galement des cours d\u2019alphab\u00e9tisation.<\/p>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;En pratique&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; open=&#8221;off&#8221;]<\/p>\n<p><span>Les demandes d\u2019admission pourront \u00eatre obtenues aupr\u00e8s du service social. Apr\u00e8s accord du m\u00e9decin responsable, les patients seront transf\u00e9r\u00e9s depuis les services d\u2019hospitalisation aigu\u00eb (CHU Saint-Pierre ou tout autre h\u00f4pital en Belgique), d\u00e8s que leur \u00e9tat clinique est stable. L\u2019admission sera aussi possible pour des patients dont le suivi ambulatoire s\u2019av\u00e8re difficile, malgr\u00e9 l\u2019intervention du FARES ou de la VRGT en collaboration avec les m\u00e9decins g\u00e9n\u00e9ralistes. Ils y s\u00e9journeront aussi longtemps qu\u2019ils sont contagieux et\/ou qu\u2019un continuum de soins ambulatoires est impossible.<\/p>\n<p>Contact: <a href=\"mailto:admissions808@stpierre-bru.be\">admissions808@stpierre-bru.be<\/a><br \/><\/span><\/p>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][et_pb_video src=&#8221;https:\/\/youtu.be\/zWzfK8EuYcI&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_video][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_cta title=&#8221;Formulaire d&#8217;admission de l&#8217;Unit\u00e9 808A&#8221; button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9hdHRhY2htZW50Iiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjM0NTU5In19@&#8221; button_text=&#8221;T\u00e9l\u00e9chargez-le ici &#8221; _builder_version=&#8221;4.23.1&#8243; _dynamic_attributes=&#8221;button_url&#8221; _module_preset=&#8221;default&#8221; header_font=&#8221;|||||on|||&#8221; background_color=&#8221;#FFFFFF&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;16px&#8221; button_text_color=&#8221;#FFFFFF&#8221; button_bg_color=&#8221;#E09900&#8243; button_border_color=&#8221;#FFFFFF&#8221; button_border_radius=&#8221;210px&#8221; button_use_icon=&#8221;off&#8221; button_alignment=&#8221;right&#8221; button_rel=&#8221;off|off|off|off|off&#8221; transform_translate_linked=&#8221;off&#8221; text_orientation=&#8221;left&#8221; background_layout=&#8221;light&#8221; max_width=&#8221;49%&#8221; height=&#8221;250px&#8221; border_radii=&#8221;on|20px|20px|20px|20px&#8221; border_color_all=&#8221;#E09900&#8243; border_width_left=&#8221;3px&#8221; border_color_left=&#8221;#F7C504&#8243; box_shadow_style=&#8221;preset1&#8243; box_shadow_style_button=&#8221;preset1&#8243; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|-20px&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_cta][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Deux unit\u00e9s aigu\u00ebs de maladies infectieuses de 15 lits chacune En chambre seule, avec sas, permettent l\u2019isolement de patients \u00e0 haut risque infectieux ou porteurs de pathologies contagieuses. &nbsp; Centre [&hellip;]<\/p>\n","protected":false},"featured_media":864,"parent":828,"menu_order":0,"template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"<h2>Attention:\u00a0<\/h2>\r\n<ul>\r\n \t<li>D\u00e9m\u00e9nagement du CETIM- A partir du lundi\u00a0<u>27 septembre 2021<\/u> les consultations auront lieu sur <u>le site C\u00e9sar de Paepe <\/u>(13, rue des Alexiens \u00e0 1000 Bruxelles) au 1er \u00e9tage.\u00a0<\/li>\r\n<\/ul>\r\n<h2>\r\nCoronavirus\u00a0: quel impact pour les personnes vivant avec le VIH\u00a0?<\/h2>\r\nDans tous les cas, il faut bien respecter les mesures pr\u00e9ventives de base (se laver les mains r\u00e9guli\u00e8rement, ne pas s\u2019embrasser, ne pas se serrer la main, \u2026) et les mesures mises en place en Belgique.\r\n\r\nSi l\u2019infection par le VIH est bien contr\u00f4l\u00e9e (charge virale ind\u00e9tectable et CD4 stable), les premi\u00e8res donn\u00e9es disponibles ne montrent pas plus de probl\u00e8mes en cas d\u2019infection par le coronavirus que pour les personnes non infect\u00e9es par le VIH.\r\n\r\nSi l\u2019infection par le VIH n\u2019est pas bien contr\u00f4l\u00e9e ou que vous pr\u00e9sentez un risque d\u2019infection par le coronavirus plus s\u00e9v\u00e8re (\u00e2ge >65 ans, hypertension art\u00e9rielle, diab\u00e8te, pathologie cardiaque ou pulmonaire,\u2026), il faut \u00eatre encore plus prudent.\r\n\r\nLes fumeurs sont aussi plus \u00e0 risque de complications.\r\n\r\nLe CETIM est un centre conventionn\u00e9 avec l\u2019INAMI qui permet d\u2019offrir au patient un accompagnement social, psychologique, di\u00e9t\u00e9tique, et sexologique gratuit.\r\n\r\nLe centre se compose d'une \u00e9quipe m\u00e9dicale pluridisciplinaire comprenant des sp\u00e9cialistes en maladies infectieuses, h\u00e9patologues, gyn\u00e9cologues, psychiatres, ...\r\n\r\nLe CETIM comprend une unit\u00e9 de recherche de renomm\u00e9e internationale dans le domaine du VIH, r\u00e9alisant des \u00e9tudes de phase I, II, III et IV.\u00a0","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false},"categories":[1863,44],"tags":[2662,1548,2663,2661,2664,1159,121,120],"class_list":["post-5338","service","type-service","status-publish","has-post-thumbnail","hentry","category-maladies-infectieuses","category-specialite","tag-cov","tag-derscheid","tag-grippe-aviaire","tag-mers","tag-multiresistance","tag-sars","tag-tbc","tag-tuberculose"],"acf":[],"yoast_head":"<!-- This site is optimized with the 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