{"id":4471,"date":"2025-02-20T14:55:57","date_gmt":"2025-02-20T13:55:57","guid":{"rendered":"https:\/\/rvh-synergie.org\/actualites\/les-cliniciens-de-californie-augmentent-les-prescriptions-de-buprenorphine-aidant-les-efforts-de-recuperation\/"},"modified":"2025-02-20T14:55:57","modified_gmt":"2025-02-20T13:55:57","slug":"les-cliniciens-de-californie-augmentent-les-prescriptions-de-buprenorphine-aidant-les-efforts-de-recuperation","status":"publish","type":"post","link":"https:\/\/rvh-synergie.org\/actualites\/les-cliniciens-de-californie-augmentent-les-prescriptions-de-buprenorphine-aidant-les-efforts-de-recuperation\/","title":{"rendered":"Les cliniciens de Californie augmentent les prescriptions de bupr\u00e9norphine, aidant les efforts de r\u00e9cup\u00e9ration"},"content":{"rendered":"
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Face au nombre alarmant de d\u00e9c\u00e8s li\u00e9s aux opio\u00efdes aux \u00c9tats-Unis, il y a eu des efforts nationaux pour augmenter la prescription de la bupr\u00e9norphine des cliniciens d’urgence, un m\u00e9dicament utilis\u00e9 pour traiter le trouble de l’utilisation des opio\u00efdes. Dans une \u00e9tude publi\u00e9e dans Jama<\/i>UCLA Health Researchers Rapport sur l’\u00e9tendue et le taux de r\u00e9ussite de ces efforts en Californie.<\/p>\n

Les visites, les hospitalisations et les d\u00e9c\u00e8s li\u00e9s aux opio\u00efdes (ED), et les d\u00e9c\u00e8s ont augment\u00e9 de mani\u00e8re nette depuis 1999, et le nombre croissant de cas a \u00e9t\u00e9 d\u00e9clar\u00e9 urgence de sant\u00e9 publique en 2024. Psychoth\u00e9rapie et m\u00e9dicament combin\u00e9s, soit la m\u00e9thadone, la bupr\u00e9norphine ou la naltrexone, est la traitement standard pour cette condition.<\/p>\n

La bupr\u00e9norphine fonctionne en se liant aux r\u00e9cepteurs opio\u00efdes \u00e0 la surface de la cellule dans le cerveau; Il r\u00e9duit les envies et les sympt\u00f4mes de sevrage mais ne produit pas le sentiment euphorique que d’autres m\u00e9dicaments opio\u00efdes induisent. Bridge, une organisation d\u00e9di\u00e9e \u00e0 l’am\u00e9lioration de l’acc\u00e8s au traitement des troubles de la consommation de substances, a lanc\u00e9 une initiative \u00e0 l’\u00e9chelle de la Californie en 2019 pour que l’EDS commence \u00e0 prescrire la bupr\u00e9norphine pour le trouble de la consommation d’opio\u00efdes avec le lien avec le traitement de la toxicomanie.<\/p>\n

\u00ab\u00a0Pour beaucoup de gens qui utilisent des opio\u00efdes, le service d’urgence pourrait \u00eatre le seul point de contact qu’ils ont avec le syst\u00e8me de sant\u00e9, c’est donc une \u00e9norme fen\u00eatre d’occasion pour faire une diff\u00e9rence\u00a0\u00bb, a d\u00e9clar\u00e9 la Dre Annette Dekker, professeur adjoint \u00e0 Le minist\u00e8re de la m\u00e9decine d’urgence de l’UCLA et premier auteur de l’\u00e9tude.<\/p>\n

\u00ab\u00a0Nous commen\u00e7ons ces patients sous bupr\u00e9norphine, mais nous n’avons aucun moyen de savoir s’ils poursuivent ce m\u00e9dicament ou non, donc l’\u00e9tude a \u00e9t\u00e9 priv\u00e9e de l’int\u00e9r\u00eat de comprendre les trajectoires des patients apr\u00e8s l’initiation \u00e0 l’urgence.\u00a0\u00bb<\/p>\n

Pour mener l’\u00e9tude, les chercheurs ont analys\u00e9 les donn\u00e9es sur les prescriptions de bupr\u00e9norphine dans le syst\u00e8me de revue et d’\u00e9valuation des substances contr\u00f4l\u00e9es en Californie de 2017 \u00e0 2022.<\/p>\n

L’\u00e9tude a r\u00e9v\u00e9l\u00e9 que le nombre de cliniciens de m\u00e9decine d’urgence qui prescrivait la bupr\u00e9norphine est pass\u00e9 de 2% \u00e0 16% de tous les prescripteurs de bupr\u00e9norphine de Californie et les prescriptions d’initiation de la bupr\u00e9norphine de l’urgence ont augment\u00e9 de 0,1% \u00e0 5%.<\/p>\n

\u00ab\u00a0Nous voyons cet \u00e9norme changement de prescriptions sur une p\u00e9riode de cinq ans – les efforts fonctionnent\u00a0\u00bb, a d\u00e9clar\u00e9 Dekker.<\/p>\n

L’\u00e9tude a \u00e9galement r\u00e9v\u00e9l\u00e9 qu’au moins un patient sur trois remplit une deuxi\u00e8me prescription de bupr\u00e9norphine dans les 40 jours suivant la prescription d’initiation de l’urgence et un patient sur neuf re\u00e7oit des prescriptions continues de bupr\u00e9norphine dans l’ann\u00e9e suivant une prescription d’initiation d’urgence.<\/p>\n

\u00ab\u00a0Je suis tr\u00e8s encourag\u00e9 par les r\u00e9sultats\u00a0\u00bb, a d\u00e9clar\u00e9 Dekker.<\/p>\n

\u00ab\u00a0N\u00e9anmoins, le pourcentage de patients li\u00e9s au traitement continu baisse, ce qui me sugg\u00e8re que nous devons continuer \u00e0 investir dans ces liens avec des soins ambulatoires du service d’urgence, tels que Bridge et une capacit\u00e9 de traitement ambulatoire qui peut fournir un traitement continu. \u00ab\u00a0<\/p>\n

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Face au nombre alarmant de d\u00e9c\u00e8s li\u00e9s aux opio\u00efdes aux \u00c9tats-Unis, il y a eu<\/p>\n","protected":false},"author":1,"featured_media":4176,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[4009,880,684,1297,4138,1332,49,1506,3441],"class_list":["post-4471","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-les-addictions","tag-aidant","tag-augmentent","tag-buprenorphine","tag-californie","tag-cliniciens","tag-efforts","tag-les","tag-prescriptions","tag-recuperation","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-50","resize-featured-image"],"yoast_head":"\nLes cliniciens de Californie augmentent les prescriptions de bupr\u00e9norphine, aidant les efforts de r\u00e9cup\u00e9ration - RVH-Synergie.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/rvh-synergie.org\/actualites\/les-cliniciens-de-californie-augmentent-les-prescriptions-de-buprenorphine-aidant-les-efforts-de-recuperation\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Les cliniciens de Californie augmentent les prescriptions de bupr\u00e9norphine, aidant les efforts de r\u00e9cup\u00e9ration - 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