{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T11:57:52Z","timestamp":1774439872543,"version":"3.50.1"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,7,22]],"date-time":"2023-07-22T00:00:00Z","timestamp":1689984000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,22]]},"abstract":"<jats:title>R\u00e9sum\u00e9<\/jats:title>\n               <jats:p>Le risque que des infections maternelles ne soient ni d\u00e9cel\u00e9es ni trait\u00e9es augmente lorsque les soins pr\u00e9natals sont inappropri\u00e9s, ce qui met la sant\u00e9 de la m\u00e8re et de son nouveau-n\u00e9 \u00e0 risque. Lorsqu\u2019une femme enceinte se pr\u00e9sente tardivement pour recevoir des soins, les tests syst\u00e9matiques qui influent sur la prise en charge du nouveau-n\u00e9 devraient inclure l\u2019antig\u00e8ne de surface de l\u2019h\u00e9patite B (AgHBs), la s\u00e9rologie du virus de l\u2019h\u00e9patite C (VHC), du virus de l\u2019immunod\u00e9ficience humaine (VIH) et de la syphilis, de m\u00eame que le d\u00e9pistage de la Chlamydia trachomatis et de la Neisseria gonorrhoeae. Si la m\u00e8re ne s\u2019est pas soumise aux d\u00e9pistages avant ou apr\u00e8s l\u2019accouchement et qu\u2019elle n\u2019est pas disponible pour s\u2019y soumettre, il faudrait proc\u00e9der au d\u00e9pistage du VIH, du virus de l\u2019h\u00e9patite B (VHB), du VHC et de la syphilis chez le nouveau-n\u00e9. Le d\u00e9pistage de la C. trachomatis et de la N. gonorrhoeae est toutefois r\u00e9serv\u00e9 aux cas o\u00f9 le nouveau-n\u00e9 d\u00e9montre des manifestations cliniques compatibles avec ces infections. Il est optimal d\u2019obtenir rapidement les r\u00e9sultats du d\u00e9pistage du VIH, du VHB et de la syphilis, car l\u2019utilisation des traitements pr\u00e9ventifs est circonscrite dans le temps. Il existe des interventions pr\u00e9ventives pr\u00e9coces et efficaces pour les nouveau-n\u00e9s \u00e0 risque de VIH, de VHB, de syphilis ou de gonorrh\u00e9e. Un suivi clinique \u00e9troit et des tests de suivi s\u2019imposent aupr\u00e8s des nouveau-n\u00e9s de m\u00e8res dont les soins pr\u00e9natals \u00e9taient inappropri\u00e9s, car il est impossible d\u2019exclure pleinement toutes les infections pendant la p\u00e9riode p\u00e9rinatale.<\/jats:p>","DOI":"10.1093\/pch\/pxad015","type":"journal-article","created":{"date-parts":[[2023,7,22]],"date-time":"2023-07-22T17:14:23Z","timestamp":1690046063000},"page":"315-323","source":"Crossref","is-referenced-by-count":2,"title":["La r\u00e9duction du risque d\u2019infection p\u00e9rinatale chez les nouveau-n\u00e9s de m\u00e8res dont les soins pr\u00e9natals \u00e9taient inappropri\u00e9s"],"prefix":"10.1093","volume":"28","author":[{"given":"Ari","family":"Bitnun","sequence":"first","affiliation":[{"name":"Soci\u00e9t\u00e9 canadienne de p\u00e9diatrie, comit\u00e9 des maladies infectieuses et d\u2019immunisation , Ottawa (Ontario) 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