{"id":54018,"date":"2026-02-18T19:39:54","date_gmt":"2026-02-18T19:39:54","guid":{"rendered":"https:\/\/www.africa-press.net\/congo-brazzaville\/politique\/haute-autorite-de-sante-recommande-darreter-test-sanguin-2"},"modified":"2026-02-18T20:12:20","modified_gmt":"2026-02-18T20:12:20","slug":"haute-autorite-de-sante-recommande-darreter-test-sanguin-2","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/congo-brazzaville\/toutes-les-actualites\/haute-autorite-de-sante-recommande-darreter-test-sanguin-2","title":{"rendered":"Haute Autorit\u00e9 de Sant\u00e9 Recommande D’Arr\u00eater Test Sanguin"},"content":{"rendered":"

Africa-Press – Congo Brazzaville. <\/strong> <\/span>\u00ab\u00a0La mesure de la vitesse de se\u0301dimentation n\u2019a pas de\u0301montre\u0301 d’inte\u0301re\u0302t me\u0301dical dans les indications e\u0301value\u0301es et recommande d\u2019arre\u0302ter sa prescription et son utilisation, quelle que soit la situation clinique\u00a0\u00bb, annonce dans un communique\u0301 la HAS, dont les recommandations n’ont qu’une valeur consultative mais sont ge\u0301ne\u0301ralement suivies par l\u2019E\u0301tat.<\/p>\n

Le test est re\u0301alise\u0301 a\u0300 partir d’une prise de sang. Celui-ci est place\u0301 dans un tube et l’on mesure a\u0300 quelle vitesse les globules rouges tombent au fond. L’objectif est de mesurer le degre\u0301 d’inflammation dans l’organisme. En effet, une re\u0301action inflammatoire acce\u0301le\u0300re la vitesse a\u0300 laquelle les globules rouges se se\u0301dimentent.<\/p>\n

\u00ab\u00a0Cette mesure a e\u0301te\u0301 tre\u0300s largement utilise\u0301e depuis plusieurs de\u0301cennies\u00a0\u00bb, souligne la HAS, notant ne\u0301anmoins qu’elle devient de moins en moins fre\u0301quente.<\/p>\n

La Haute Autorite\u0301 de sante\u0301 a e\u0301te\u0301 saisie par l\u2019Union nationale des caisses d’assurance maladie (UNCAM) afin d\u2019e\u0301valuer la pertinence de ce test. Il reste encore prescrit dans plusieurs indications comme un bilan de routine chez un patient asymptomatique, le lupus syste\u0301mique, la polyarthrite rhumatoi\u0308de, le lymphome de Hodgkin, le mye\u0301lome multiple…<\/p>\n

L\u2019e\u0301valuation de la HAS a mis en e\u0301vidence trois inconve\u0301nients majeurs de la vitesse de se\u0301dimentation:<\/p>\n

Elle sert notamment a\u0300 des bilans de routine chez des patients ne pre\u0301sentant aucun sympto\u0302me particulier. Selon la HAS, elle a e\u0301te\u0301 effectue\u0301e a\u0300 16 millions de reprises en 2023, cou\u0302tant 12 millions d’euros a\u0300 l’Assurance maladie. Or, juge l’autorite\u0301, ce test apparai\u0302t de\u0301sormais largement obsole\u0300te, en raison de ses nombreuses lacunes. D’abord, il manque de pre\u0301cision: si on le re\u0301alise plusieurs fois sur un me\u0302me e\u0301chantillon, on constate que les re\u0301sultats varient beaucoup.<\/p>\n

Ensuite, il manque de re\u0301activite\u0301. L’inflammation met longtemps a\u0300 se traduire par une vitesse de se\u0301dimentation plus e\u0301leve\u0301e. On peut donc avoir des re\u0301sultats normaux alors qu’une inflammation est en cours.<\/p>\n

Enfin, il manque de spe\u0301cificite\u0301. D’autres facteurs, a\u0300 commencer par l’a\u0302ge et le sexe, peuvent jouer sur la vitesse de se\u0301dimentation, ce qui limite sa porte\u0301e comme indicateur de la seule inflammation.<\/p>\n

La HAS appelle donc a\u0300 privile\u0301gier d’autres tests, qu’elle estime plus performants, comme le dosage de la prote\u0301ine C-re\u0301active (CRP). Elle souligne qu’ils sont de\u0301ja\u0300 rembourse\u0301s par l’Assurance maladie.<\/p>\n

Retrouvez plus d\u2019actualit\u00e9s et d\u2019analyses sur Congo Brazzaville<\/span> sur le site Africa Press<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Africa-Press – Congo Brazzaville. \u00ab\u00a0La mesure de la vitesse de se\u0301dimentation n\u2019a pas de\u0301montre\u0301 d’inte\u0301re\u0302t me\u0301dical dans les indications e\u0301value\u0301es et recommande d\u2019arre\u0302ter sa prescription et son utilisation, quelle que soit la situation clinique\u00a0\u00bb, annonce dans un communique\u0301 la HAS, dont les recommandations n’ont qu’une valeur consultative mais sont ge\u0301ne\u0301ralement suivies par l\u2019E\u0301tat. Le test […]<\/p>\n","protected":false},"author":82,"featured_media":54017,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22,10],"tags":[46],"class_list":["post-54018","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-divers","category-toutes-les-actualites","tag-congo-brazzaville"],"yoast_head":"\nHaute Autorit\u00e9 de Sant\u00e9 Recommande D'Arr\u00eater Test Sanguin - Congo Brazzaville<\/title>\n<meta name=\"description\" content=\"-article-header-tag"> Africa-Press - Congo Brazzaville. 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