{"id":25013,"date":"2026-02-23T12:00:00","date_gmt":"2026-02-23T12:00:00","guid":{"rendered":"https:\/\/www.africa-press.net\/sao-tome-e-principe\/politique\/efficacite-des-antibiotiques-pour-traiter-lappendicite"},"modified":"2026-02-24T03:31:08","modified_gmt":"2026-02-24T03:31:08","slug":"efficacite-des-antibiotiques-pour-traiter-lappendicite","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/efficacite-des-antibiotiques-pour-traiter-lappendicite","title":{"rendered":"Efficacit\u00e9 des Antibiotiques pour Traiter L\u2019Appendicite"},"content":{"rendered":"

Africa-Press – S\u00e3o Tom\u00e9 e Pr\u00edncipe. <\/strong><\/span>Dix ans apre\u0300s avoir rec\u0327u un traitement antibiotique pour une appendicite aigue\u0308 sans complication, plus de la moitie\u0301 des patients n\u2019ont pas eu de re\u0301cidive ni besoin d\u2019e\u0302tre ope\u0301re\u0301s pour cette indication montre une e\u0301quipe finlandaise de l\u2019universite\u0301 de Turku. Depuis les travaux pionniers de cette e\u0301quipe, il s\u2019ave\u0300re qu\u2019apre\u0300s ve\u0301rification par e\u0301chographie ou scanner du caracte\u0300re simple de l\u2019appendicite, un simple traitement antibiotique d\u2019une semaine peut suffire a\u0300 la soigner.<\/p>\n

Les antibiotiques face au risque de re\u0301cidive<\/b><\/p>\n

Cette approche re\u0301duit nettement les cou\u0302ts lie\u0301s a\u0300 une hospitalisation pour appendicectomie et e\u0301vite un recours au bloc ope\u0301ratoire, soulignent les auteurs dans la revue me\u0301dicale ame\u0301ricaine JAMA. \u00ab Cependant, l\u2019e\u0301tude montre aussi que pre\u0300s d\u2019un tiers de ces patients risque de refaire une appendicite dans les cinq ans. C\u2019est pourquoi les recommandations franc\u0327aises positionnent toujours la chirurgie comme le traitement de premie\u0300re intention pour l\u2019appendicite simple \u00bb, pre\u0301cise Maxime Collard, chirurgien a\u0300 l\u2019ho\u0302pital Saint-Antoine a\u0300 Paris.<\/p>\n

Sur la de\u0301cennie e\u0301tudie\u0301e, le taux de re\u0301cidive observe\u0301 chez les patients initialement traite\u0301s par antibiotiques e\u0301tait de 37,8 %. Et 44,3 % d\u2019entre eux ont finalement subi une appendicectomie au cours de la de\u0301cennie. Malgre\u0301 ce risque de nouvel e\u0301pisode, le taux global de complications a e\u0301te\u0301 significativement plus faible dans le groupe antibiotique, et aucune diffe\u0301rence notable de qualite\u0301 de vie n\u2019a e\u0301te\u0301 rapporte\u0301e entre les deux strate\u0301gies a\u0300 long terme.<\/p>\n

Une chirurgie mini-invasive en cours d\u2019e\u0301valuation<\/b><\/p>\n

L\u2019intervention elle-me\u0302me s\u2019est alle\u0301ge\u0301e ces dernie\u0300res anne\u0301es. Elle est de\u0301sormais le plus souvent re\u0301alise\u0301e par voie mini-invasive, sous c\u0153lioscopie, avec l\u2019avantage de ne laisser qu\u2019une petite cicatrice et de provoquer moins de douleurs post-ope\u0301ratoires. \u00ab De plus, cette ope\u0301ration est souvent effectue\u0301e en ambulatoire. Cette prise en charge plus le\u0301ge\u0300re est en cours d\u2019e\u0301valuation dans le pays, car elle re\u0301duit aussi les cou\u0302ts de l\u2019hospitalisation \u00bb, pre\u0301cise Maxime Collard.<\/p>\n

Son caracte\u0300re de\u0301finitif pre\u0301sente aussi l\u2019avantage d\u2019e\u0301viter au patient l\u2019incertitude lie\u0301e a\u0300 une possible re\u0301cidive. Le traitement antibiotique peut ne\u0301anmoins e\u0302tre utilise\u0301 dans certains cas, par exemple a\u0300 titre pre\u0301ventif si la chirurgie ne peut e\u0302tre pratique\u0301e rapidement apre\u0300s la crise d\u2019appendicite, mais \u00ab s\u2019ave\u0300re exclu chez la femme enceinte car il pre\u0301sente un risque ave\u0301re\u0301 d\u2019induire une fausse couche \u00bb, conclut le praticien.<\/p>\n

Pour plus d’informations et d’analyses sur la S\u00e3o Tom\u00e9 e Pr\u00edncipe<\/span>, suivez Africa-Press<\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Africa-Press – S\u00e3o Tom\u00e9 e Pr\u00edncipe. Dix ans apre\u0300s avoir rec\u0327u un traitement antibiotique pour une appendicite aigue\u0308 sans complication, plus de la moitie\u0301 des patients n\u2019ont pas eu de re\u0301cidive ni besoin d\u2019e\u0302tre ope\u0301re\u0301s pour cette indication montre une e\u0301quipe finlandaise de l\u2019universite\u0301 de Turku. Depuis les travaux pionniers de cette e\u0301quipe, il s\u2019ave\u0300re […]<\/p>\n","protected":false},"author":82,"featured_media":25012,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22,10],"tags":[56],"class_list":["post-25013","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-divers","category-toutes-les-actualites","tag-sao-tome-e-principe"],"yoast_head":"\nEfficacit\u00e9 des Antibiotiques pour Traiter L\u2019Appendicite - S\u00e3o Tom\u00e9 e Pr\u00edncipe<\/title>\n<meta name=\"description\" content=\"Dix ans apre\u0300s avoir rec\u0327u un traitement antibiotique pour une appendicite aigue\u0308 sans complication, plus de la moitie\u0301 ...\" \/>\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.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/efficacite-des-antibiotiques-pour-traiter-lappendicite\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Efficacit\u00e9 des Antibiotiques pour Traiter L\u2019Appendicite\" \/>\n<meta property=\"og:description\" content=\"Dix ans apre\u0300s avoir rec\u0327u un traitement antibiotique pour une appendicite aigue\u0308 sans complication, plus de la moitie\u0301 ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/efficacite-des-antibiotiques-pour-traiter-lappendicite\" \/>\n<meta property=\"og:site_name\" content=\"S\u00e3o Tom\u00e9 e Pr\u00edncipe\" \/>\n<meta property=\"article:published_time\" content=\"2026-02-23T12:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-02-24T03:31:08+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/static.africa-press.net\/sao-tome-e-principe\/sites\/59\/2026\/02\/sm_1771932263.559942.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1280\" \/>\n\t<meta property=\"og:image:height\" content=\"720\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"cfeditorfr\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"cfeditorfr\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/efficacite-des-antibiotiques-pour-traiter-lappendicite#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/efficacite-des-antibiotiques-pour-traiter-lappendicite\"},\"author\":{\"name\":\"cfeditorfr\",\"@id\":\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/#\/schema\/person\/2b1cf3cd81a31e3cd26889ca66d677f1\"},\"headline\":\"Efficacit\u00e9 des Antibiotiques pour Traiter L\u2019Appendicite\",\"datePublished\":\"2026-02-23T12:00:00+00:00\",\"dateModified\":\"2026-02-24T03:31:08+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/efficacite-des-antibiotiques-pour-traiter-lappendicite\"},\"wordCount\":490,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/efficacite-des-antibiotiques-pour-traiter-lappendicite#primaryimage\"},\"thumbnailUrl\":\"https:\/\/static.africa-press.net\/sao-tome-e-principe\/sites\/59\/2026\/02\/sm_1771932263.559942.jpg\",\"keywords\":[\"S\u00e3o Tom\u00e9 e Pr\u00edncipe\"],\"articleSection\":[\"Divers\",\"Toutes les actualit\u00e9s\"],\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/efficacite-des-antibiotiques-pour-traiter-lappendicite#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/efficacite-des-antibiotiques-pour-traiter-lappendicite\",\"url\":\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/efficacite-des-antibiotiques-pour-traiter-lappendicite\",\"name\":\"Efficacit\u00e9 des Antibiotiques pour Traiter L\u2019Appendicite - 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