{"id":165,"date":"2025-08-01T22:23:47","date_gmt":"2025-08-01T22:23:47","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=165"},"modified":"2025-08-02T21:19:15","modified_gmt":"2025-08-02T21:19:15","slug":"sars-cov-2-covid-19-et-transmission-sexuelle-donnees-actuelles","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/ist-emergentes-ou-exceptionnellement-transmissibles-sexuellement\/sars-cov-2-covid-19-et-transmission-sexuelle-donnees-actuelles\/","title":{"rendered":"\ud83e\udda0 SARS-CoV-2 \u2013 COVID-19 et transmission sexuelle : donn\u00e9es actuelles"},"content":{"rendered":"\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><\/h2>\n\n\n\n<p><em>Virus respiratoire pand\u00e9mique, avec persistance g\u00e9nitale document\u00e9e mais transmission sexuelle non prouv\u00e9e<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udccc <strong>Qu\u2019est-ce que le SARS-CoV-2 ?<\/strong><\/h3>\n\n\n\n<p>Le <strong>SARS-CoV-2<\/strong> est un <strong>coronavirus \u00e0 ARN<\/strong> responsable de la <strong>COVID-19<\/strong>, une infection respiratoire aigu\u00eb pand\u00e9mique qui a entra\u00een\u00e9 plus de 6 millions de d\u00e9c\u00e8s dans le monde.<br>La transmission est principalement <strong>respiratoire<\/strong>, par <strong>a\u00e9rosols<\/strong> et <strong>gouttelettes<\/strong>, mais la <strong>pr\u00e9sence du virus dans les s\u00e9cr\u00e9tions g\u00e9nitales<\/strong>, notamment le <strong>sperme<\/strong>, a \u00e9t\u00e9 explor\u00e9e d\u00e8s 2020.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u00c0 ce jour, <strong>la transmission sexuelle directe n\u2019a pas \u00e9t\u00e9 formellement prouv\u00e9e<\/strong>, mais une <strong>persistance virale dans le sperme ou les s\u00e9cr\u00e9tions vaginales<\/strong> a \u00e9t\u00e9 d\u00e9tect\u00e9e dans certains cas.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd2c <strong>Ce que montrent les \u00e9tudes<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>SARS-CoV-2 a \u00e9t\u00e9 d\u00e9tect\u00e9 dans le <strong>sperme<\/strong> chez certains hommes <strong>symptomatiques ou en convalescence<\/strong>, jusqu\u2019\u00e0 <strong>35 jours<\/strong> apr\u00e8s le d\u00e9but des sympt\u00f4mes.<\/li>\n\n\n\n<li>Aucune preuve de <strong>virus viable<\/strong> ni de <strong>transmission sexuelle<\/strong> document\u00e9e \u00e0 ce jour.<\/li>\n\n\n\n<li><strong>SARS-CoV-2 n\u2019est pas class\u00e9 comme IST<\/strong> par l\u2019OMS ni par les CDC.<\/li>\n\n\n\n<li>Certaines \u00e9tudes sugg\u00e8rent un <strong>impact transitoire sur la spermatogen\u00e8se<\/strong>, mais sans effet prouv\u00e9 \u00e0 long terme sur la fertilit\u00e9.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u26a0\ufe0f <strong>Implications cliniques limit\u00e9es<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>La <strong>voie sexuelle<\/strong> ne constitue pas une voie significative de transmission.<\/li>\n\n\n\n<li>Toutefois, en contexte <strong>d\u2019intimit\u00e9 rapproch\u00e9e<\/strong>, le <strong>contact prolong\u00e9<\/strong>, les <strong>baisers profonds<\/strong> et la <strong>respiration \u00e0 courte distance<\/strong> exposent au <strong>risque respiratoire classique<\/strong>.<\/li>\n\n\n\n<li>En p\u00e9riode de contagiosit\u00e9, les rapports non prot\u00e9g\u00e9s restent <strong>\u00e0 \u00e9viter par pr\u00e9caution<\/strong>, m\u00eame si le risque sexuel direct est n\u00e9gligeable.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddea <strong>Pr\u00e9sence du virus dans les fluides sexuels<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Fluide biologique<\/th><th>D\u00e9tection SARS-CoV-2<\/th><th>Risque de transmission<\/th><\/tr><\/thead><tbody><tr><td>Sperme<\/td><td>Oui (ARN viral)<\/td><td>Non prouv\u00e9<\/td><\/tr><tr><td>S\u00e9cr\u00e9tions vaginales<\/td><td>Tr\u00e8s rarement<\/td><td>Non prouv\u00e9<\/td><\/tr><tr><td>Liquide pr\u00e9-\u00e9jaculatoire<\/td><td>Donn\u00e9es absentes<\/td><td>&#8211;<\/td><\/tr><tr><td>Sang, salive<\/td><td>Oui<\/td><td>Oui (contact direct)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddd1\ud83c\udffd\u200d\u2695\ufe0f <strong>Prise en charge dermatologique post-COVID (au cabinet Dr Hadi HAKIM)<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c9valuation des <strong>s\u00e9quelles cutan\u00e9es post-infectieuses<\/strong> : \u00e9ryth\u00e8me, engelures, exanth\u00e8mes viraux<\/li>\n\n\n\n<li>Prise en charge des effets <strong>cutan\u00e9s des vaccins ou de la COVID longue<\/strong><\/li>\n\n\n\n<li>\u00c9ducation des couples s\u00e9ro-diff\u00e9rents ou en convalescence<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udcde <strong>Conseil m\u00e9dical post-COVID &amp; sexualit\u00e9<\/strong><\/h3>\n\n\n\n<p>\ud83d\udcde <strong>+221 33 821 31 22<\/strong><br>\ud83d\udcac <strong>WhatsApp m\u00e9dical s\u00e9curis\u00e9<\/strong><br>\ud83d\udccd <em>Cabinet de Dermatologie, M\u00e9decine infectieuse &amp; sexuelle \u2013 Dakar<\/em><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Virus respiratoire pand\u00e9mique, avec persistance g\u00e9nitale document\u00e9e mais transmission sexuelle non prouv\u00e9e \ud83d\udccc Qu\u2019est-ce que le SARS-CoV-2 ? Le SARS-CoV-2 est un coronavirus \u00e0 ARN responsable de la COVID-19, une infection respiratoire aigu\u00eb pand\u00e9mique qui a entra\u00een\u00e9 plus de 6 millions de d\u00e9c\u00e8s dans le monde.La transmission est principalement respiratoire, par a\u00e9rosols et gouttelettes, mais [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":222,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-165","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/165","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/comments?post=165"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/165\/revisions"}],"predecessor-version":[{"id":166,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/165\/revisions\/166"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/222"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=165"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}