{"id":37,"date":"2025-08-01T18:11:58","date_gmt":"2025-08-01T18:11:58","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=37"},"modified":"2025-08-10T21:38:05","modified_gmt":"2025-08-10T21:38:05","slug":"prise-en-charge-des-infections-sexuellement-transmissibles-ist","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/","title":{"rendered":"\ud83e\udda0 Infections Sexuellement Transmissibles (IST)"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\u2705 <strong>Pourquoi consulter ?<\/strong><\/h2>\n\n\n\n<p>Les IST peuvent entra\u00eener :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Douleurs, g\u00eane, infertilit\u00e9<\/li>\n\n\n\n<li>Transmission \u00e0 un partenaire ou au f\u0153tus<\/li>\n\n\n\n<li>Risques accrus d\u2019infection par le VIH<\/li>\n<\/ul>\n\n\n\n<p>Un <strong>diagnostic rapide<\/strong> permet une <strong>prise en charge efficace<\/strong> et limite les complications.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">1\ufe0f\u20e3 <strong>IST \u00e0 pr\u00e9sentation ulc\u00e9reuse (l\u00e9sions g\u00e9nitales douloureuses ou non douloureuses)<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd2c Causes fr\u00e9quentes :<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Syphilis<\/strong> (Treponema pallidum) : ulc\u00e8re indolore (chancre), ad\u00e9nopathie<\/li>\n\n\n\n<li><strong>Herp\u00e8s g\u00e9nital<\/strong> (HSV-2 ou HSV-1) : v\u00e9sicules douloureuses en bouquets, r\u00e9cidivantes<\/li>\n\n\n\n<li><strong>Chancre mou<\/strong> (Haemophilus ducreyi) : ulc\u00e8re douloureux, sales bords<\/li>\n\n\n\n<li><strong>Donovanose<\/strong> (Klebsiella granulomatis) : ulc\u00e8re chronique, saignant au contact<\/li>\n\n\n\n<li><strong>Lichen scl\u00e9reux<\/strong> ou <strong>aphtose g\u00e9nitale<\/strong> : diagnostics diff\u00e9rentiels<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddea Examens utiles :<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u00e9rologie syphilitique (TPHA-VDRL)<\/li>\n\n\n\n<li>PCR HSV (\u00e9couvillon)<\/li>\n\n\n\n<li>Frottis ou biopsie selon besoin<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc8a Traitement :<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Adapt\u00e9 au germe<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">2\ufe0f\u20e3 <strong>IST \u00e0 pr\u00e9sentation avec \u00e9coulement (pertes g\u00e9nitales ou ur\u00e9trales)<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd2c Causes fr\u00e9quentes :<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Gonorrh\u00e9e<\/strong> (Neisseria gonorrhoeae) : \u00e9coulement purulent, ur\u00e9trite aigu\u00eb<\/li>\n\n\n\n<li><strong>Chlamydia<\/strong> (Chlamydia trachomatis) : \u00e9coulement clair, parfois asymptomatique<\/li>\n\n\n\n<li><strong>Mycoplasma genitalium<\/strong> : ur\u00e9trite persistante ou r\u00e9cidivante<\/li>\n\n\n\n<li><strong>Trichomonase<\/strong> (Trichomonas vaginalis) : pertes mousseuses, prurit<\/li>\n\n\n\n<li><strong>Vaginose bact\u00e9rienne<\/strong> : pertes naus\u00e9abondes, sans inflammation<\/li>\n\n\n\n<li><strong>Candidose g\u00e9nitale<\/strong> : leucorrh\u00e9e \u00e9paissie, prurit intense<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddea Examens :<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Frottis vaginal \/ ur\u00e9tral<\/li>\n\n\n\n<li>PCR multiplex IST<\/li>\n\n\n\n<li>Bandelette urinaire pour recherche de leucocyturie<\/li>\n\n\n\n<li>Examen direct \/ culture<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc8a Traitement :<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Antibiotique ou antifongique adapt\u00e9<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">3\ufe0f\u20e3 <strong>Autres IST ou manifestations syst\u00e9miques<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\udda0 Infections virales :<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>VIH<\/strong> : s\u00e9rologie obligatoire en contexte IST<\/li>\n\n\n\n<li><strong>H\u00e9patites B, C<\/strong> : d\u00e9pistage recommand\u00e9<\/li>\n\n\n\n<li><strong>HPV<\/strong> : condylomes, l\u00e9sions pr\u00e9canc\u00e9reuses<\/li>\n\n\n\n<li><strong>Molluscum contagiosum<\/strong> : papules ombiliqu\u00e9es<\/li>\n\n\n\n<li><strong>Gale ou morpions<\/strong> : parasites transmis sexuellement<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udccb Prise en charge :<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Traitement sp\u00e9cifique selon l\u2019agent<\/li>\n\n\n\n<li>\u00c9ducation sexuelle et hygi\u00e8ne<\/li>\n\n\n\n<li>Notification et traitement des partenaires<\/li>\n\n\n\n<li>Vaccination (h\u00e9patite B, HPV)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\ud83d\udee1\ufe0f <strong>Pr\u00e9vention et d\u00e9pistage<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pr\u00e9servatif syst\u00e9matique<\/strong><\/li>\n\n\n\n<li><strong>D\u00e9pistage r\u00e9gulier<\/strong> (VIH, syphilis, chlamydia, gonorrh\u00e9e)<\/li>\n\n\n\n<li><strong>Traitement simultan\u00e9 des partenaires<\/strong><\/li>\n\n\n\n<li><strong>\u00c9viction des rapports pendant le traitement<\/strong><\/li>\n\n\n\n<li><strong>Vaccination<\/strong> : VHB, HPV (pr\u00e9conis\u00e9e d\u00e8s 11 ans)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\ud83d\udcde <strong>Consultation &amp; orientation sp\u00e9cialis\u00e9e<\/strong><\/h2>\n\n\n\n<p>Dr Hadi HAKIM propose une prise en charge confidentielle et respectueuse, incluant :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Consultation m\u00e9dicale sp\u00e9cialis\u00e9e<\/li>\n\n\n\n<li>Bilan complet IST<\/li>\n\n\n\n<li>Conseils de pr\u00e9vention<\/li>\n\n\n\n<li>Traitements adapt\u00e9s \u00e0 chaque situation<\/li>\n<\/ul>\n\n\n\n<p><strong> T\u00e9l : +221 33 821 31 22<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2705 Pourquoi consulter ? Les IST peuvent entra\u00eener : Un diagnostic rapide permet une prise en charge efficace et limite les complications. 1\ufe0f\u20e3 IST \u00e0 pr\u00e9sentation ulc\u00e9reuse (l\u00e9sions g\u00e9nitales douloureuses ou non douloureuses) \ud83d\udd2c Causes fr\u00e9quentes : \ud83e\uddea Examens utiles : \ud83d\udc8a Traitement : 2\ufe0f\u20e3 IST \u00e0 pr\u00e9sentation avec \u00e9coulement (pertes g\u00e9nitales ou ur\u00e9trales) \ud83d\udd2c [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-37","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/37","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=37"}],"version-history":[{"count":2,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/37\/revisions"}],"predecessor-version":[{"id":237,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/37\/revisions\/237"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=37"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}