{"id":69232,"date":"2021-08-04T18:28:53","date_gmt":"2021-08-04T18:28:53","guid":{"rendered":"https:\/\/www.nettali.com\/?p=69232"},"modified":"2021-08-04T18:28:53","modified_gmt":"2021-08-04T18:28:53","slug":"par-mame-thierno-dieng-covid-19-de-la-necessite-de-bien-prescrire","status":"publish","type":"post","link":"https:\/\/www.nettali.com\/2021\/08\/04\/par-mame-thierno-dieng-covid-19-de-la-necessite-de-bien-prescrire\/","title":{"rendered":"PAR MAME THIERNO DIENG - Covid-19, de la n\u00e9cessit\u00e9 de bien prescrire"},"content":{"rendered":"<p><strong>CONTRIBUTION - Fort d\u2019un engagement r\u00e9publicain et citoyen dans la lutte contre la Covid-19, le Professeur Mame Thierno Dieng a pr\u00e9f\u00e9r\u00e9 \u00ab Le T\u00e9moin \u00bb pour une Tribune aux allures d\u2019un excellent cours magistral.<\/strong><\/p>\n<p>Car il rappelle aux personnels soignants ou traitants les r\u00e8gles de bonne prescription des m\u00e9dicaments :<\/p>\n<p>\u00ab Je rappelle que la covid19 est une maladie virale donc pas du tout justiciable d\u2019une antibioth\u00e9rapie qui, par d\u00e9finition, s\u2019adresse aux maladies bact\u00e9riennes. Ainsi donc, les antibiotiques que l\u2019on prescrit aux malades de la covid19 sont, non pas pour le virus, mais pour les surinfections bact\u00e9riennes bien classiques dans toutes les infections virales des voies respiratoires. Comme on sait que ces surinfections sont le fait des staphylocoques et\/ou des germes intracellulaires, on prescrit volontiers des macrolides ou apparent\u00e9s pour ces cas.<\/p>\n<p>Le choix de l\u2019azithromycine est motiv\u00e9 par son efficacit\u00e9, sa tr\u00e8s bonne concentration intracellulaire et sa courte dur\u00e9e (3 jours) de prise qui en am\u00e9liore la compliance. L\u2019azithromycine ne peut pas \u00eatre le traitement du virus mais de la surinfection bact\u00e9rienne. Aucune le\u00e7on de maladie infectieuse n\u2019enseigne la prescription d\u2019un antibiotique pour une maladie virale non compliqu\u00e9e d\u2019une surinfection bact\u00e9rienne dont on a fait la preuve par des moyens appropri\u00e9s. C\u2019est aussi d\u00e9lirant et tr\u00e8s dangereux de prescrire l\u2019antiparasite et photoprotecteur qu\u2019est l\u2019hydroxychloroquine dans une maladie virale; ce d\u2019autant que sa longue utilisation dans beaucoup de maladies dermatologiques en fait d\u00e9couvrir les graves et mortelles torsades de pointe que tous les cardiologues connaissent bien. Il est \u00e9tabli que beaucoup de vieux malades de la covid19 sont morts, non pas de leur infection, mais d\u2019une torsade de pointe imputable \u00e0 la prise d\u2019hydroxychloroquine.<\/p>\n<p>Les scientifiques qui \u00e9taient les farouches d\u00e9fenseurs de cette mol\u00e9cule dans la covid19 ont, indubitablement, eu un comportement antiscientifique. Les innombrables canaux de communication et l\u2019influence de la presse dans le contexte actuel ne doivent pas nous faire oublier les r\u00e8gles qui doivent sous-tendre les bonnes prescriptions m\u00e9dicales qui sont celles qui se basent, non pas sur les opinions des \u00abexperts\u00bb, mais sur des faits prouv\u00e9s par une bonne m\u00e9thodologie. C\u2019est le principe de \u00abevidence based medecine\u00bb des anglo-saxons que les francophones traduisent, tr\u00e8s infid\u00e8lement, par la m\u00e9decine bas\u00e9e sur le niveau de preuves. Le respect d\u2019une d\u00e9marche scientifique rigoureuse Ce ne sont ni la discipline, ni l\u2019instrumentation qui font la bonne science mais c\u2019est la d\u00e9marche qui se base sur les faits qui donne \u00e0 la science toute sa noblesse et sa puissance. Poincar\u00e9 pr\u00e9cise qu\u2019on \u00ab fait de la science avec les faits comme on construit une maison avec des pierres, mais une accumulation des faits n\u2019est pas plus une science qu\u2019un tas de pierres n\u2019est une maison. C\u2019est la fa\u00e7on d\u2019agencer les pierres qui fait la maison et celle des faits, la science \u00bb.<\/p>\n<p>La bonne pratique clinique est une d\u00e9marche scientifique rigoureuse que nous nous devons de respecter pour la s\u00e9curit\u00e9 exclusive de nos semblables victimes d\u2019une quelconque maladie. La cacophonie entendue dans la covid19 nous appelle \u00e0 cette indispensable introspection qui doit guider nos d\u00e9cisions sur nos malades. Albert Camus : \u00ab mal nommer la chose, c\u2019est ajouter aux malheurs du monde et ne pas les nommer, c\u2019est nier l\u2019humanit\u00e9.\u00bb On a rarement bien nomm\u00e9 les choses dans la covid19 et on a beaucoup ajout\u00e9 aux malheurs du monde actuel. Amiti\u00e9s \u00e0 tous ! \u00bb.<\/p>\n<p>(Avec Le T\u00e9moin)<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<div class='share-to-whatsapp-wrapper'><div class='share-on-whsp'>PARTAGER SUR : <\/div><a data-text='PAR MAME THIERNO DIENG - Covid-19, de la n\u00e9cessit\u00e9 de bien prescrire' data-link='https:\/\/www.nettali.com\/2021\/08\/04\/par-mame-thierno-dieng-covid-19-de-la-necessite-de-bien-prescrire\/' class='whatsapp-button whatsapp-share'>WhatsApp<\/a><div class='clear '><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>CONTRIBUTION - Fort d\u2019un engagement r\u00e9publicain et citoyen dans la lutte contre la Covid-19, le Professeur Mame Thierno Dieng a pr\u00e9f\u00e9r\u00e9 \u00ab Le T\u00e9moin \u00bb pour une Tribune aux allures d\u2019un excellent cours magistral. Car il rappelle aux personnels soignants ou traitants les r\u00e8gles de bonne prescription des m\u00e9dicaments : \u00ab Je rappelle que la [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":69233,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":""},"categories":[23,34933],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v17.8 (Yoast SEO v17.8) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>PAR MAME THIERNO DIENG - Covid-19, de la n\u00e9cessit\u00e9 de bien prescrire | Nettali.com<\/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:\/\/www.nettali.com\/2021\/08\/04\/par-mame-thierno-dieng-covid-19-de-la-necessite-de-bien-prescrire\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"PAR MAME THIERNO DIENG - Covid-19, de la n\u00e9cessit\u00e9 de bien prescrire\" \/>\n<meta property=\"og:description\" content=\"CONTRIBUTION - Fort d\u2019un engagement r\u00e9publicain et citoyen dans la lutte contre la Covid-19, le Professeur Mame Thierno Dieng a pr\u00e9f\u00e9r\u00e9 \u00ab Le T\u00e9moin \u00bb pour une Tribune aux allures d\u2019un excellent cours magistral. 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