Votre navigateur n'est pas compatible avec Ordotype

Malheureusement, Internet Explorer est un navigateur obsolète et nous ne le prenons pas en charge.
Pour avoir la meilleure expérience de navigation, veuillez passer à Microsoft Edge, Google Chrome ou Safari.

cHANGER DE NAVIGATEUR

<table cellpadding="5"><caption>Tableau 1 - Diagnostic de la grippe</caption><tbody><tr><th>G&eacute;n&eacute;ralit&eacute;s</th></tr><tr><td><ul><li><strong data-w-id="82669d38-c015-1db8-9090-fd85959ccdd1" data-wf-id="[&quot;82669d38-c015-1db8-9090-fd85959ccdd1&quot;]" data-automation-id="dyn-item-diagnostics-input">Contagiosit&eacute; :</strong> 1 jour avant le d&eacute;but des sympt&ocirc;mes et jusqu'&agrave; 6 jours apr&egrave;s.</li><li><strong data-w-id="abdc272d-7edb-6663-b104-433fd03808e8" data-wf-id="[&quot;abdc272d-7edb-6663-b104-433fd03808e8&quot;]" data-automation-id="dyn-item-diagnostics-input">&Eacute;volution :</strong> r&eacute;gression des sympt&ocirc;mes en 5 &agrave; 7 jours sauf l'asth&eacute;nie et la toux qui peuvent durer plusieurs semaines.</li></ul></td></tr><tr><th>Clinique</th></tr><tr><td><ul><li data-w-id="b0634fd3-5f6e-b614-43ec-5c103a64ab5c" data-wf-id="[&quot;b0634fd3-5f6e-b614-43ec-5c103a64ab5c&quot;]" data-automation-id="dyn-item-diagnostics-input">Pic entre novembre et f&eacute;vrier,</li><li data-w-id="e6e67ad5-f383-e1cc-5015-7e068f2976a2" data-wf-id="[&quot;e6e67ad5-f383-e1cc-5015-7e068f2976a2&quot;]" data-automation-id="dyn-item-diagnostics-input">D&eacute;but brutal,</li><li data-w-id="c94506d6-d248-fcd6-a106-ada1949a7182" data-wf-id="[&quot;c94506d6-d248-fcd6-a106-ada1949a7182&quot;]" data-automation-id="dyn-item-diagnostics-input">Fi&egrave;vre &eacute;lev&eacute;e,</li><li data-w-id="4451374e-35ed-2ccb-647f-99781584caaf" data-wf-id="[&quot;4451374e-35ed-2ccb-647f-99781584caaf&quot;]" data-automation-id="dyn-item-diagnostics-input">Frissons,</li><li data-w-id="aa78d014-fc2b-4a61-e106-d86d286d0d12" data-wf-id="[&quot;aa78d014-fc2b-4a61-e106-d86d286d0d12&quot;]" data-automation-id="dyn-item-diagnostics-input">Arthro-myalgies,</li><li data-w-id="1848b3a9-8fa3-7c90-0a3e-2e4901423bae" data-wf-id="[&quot;1848b3a9-8fa3-7c90-0a3e-2e4901423bae&quot;]" data-automation-id="dyn-item-diagnostics-input">C&eacute;phal&eacute;es,</li><li data-w-id="afde689f-5b84-9d78-abd0-74ce9893070f" data-wf-id="[&quot;afde689f-5b84-9d78-abd0-74ce9893070f&quot;]" data-automation-id="dyn-item-diagnostics-input">Obstruction nasale, rhinorrh&eacute;e,</li><li data-w-id="03e569bc-3246-5d20-c4c1-4717dda687e3" data-wf-id="[&quot;03e569bc-3246-5d20-c4c1-4717dda687e3&quot;]" data-automation-id="dyn-item-diagnostics-input">Odynophagie,</li><li data-w-id="23633aac-150a-20ef-1f15-021959f220e7" data-wf-id="[&quot;23633aac-150a-20ef-1f15-021959f220e7&quot;]" data-automation-id="dyn-item-diagnostics-input">Toux.</li></ul></td></tr><tr><th>Paraclinique</th></tr><tr><td><ul><li data-w-id="ebb8b1aa-c188-a6dc-ae31-faa4267ee03e" data-wf-id="[&quot;ebb8b1aa-c188-a6dc-ae31-faa4267ee03e&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong data-w-id="89298bb4-cf5e-a975-8390-7ef368ecdebe" data-wf-id="[&quot;89298bb4-cf5e-a975-8390-7ef368ecdebe&quot;]" data-automation-id="dyn-item-diagnostics-input">Aucun examen n'est indiqu&eacute; pour confirmer le diagnostic, en l'absence de complication,</strong></li><li data-w-id="28c9b060-75b0-638e-62ae-de002964b05d" data-wf-id="[&quot;28c9b060-75b0-638e-62ae-de002964b05d&quot;]" data-automation-id="dyn-item-diagnostics-input">En p&eacute;riode d'&eacute;pid&eacute;mie,&nbsp;un test de diagnostic COVID-19 devra &ecirc;tre propos&eacute; pour &eacute;liminer le diagnostic (<a href="http://www.ordotype.fr/ordonnances-types/grippe-pcr-sars-cov-2-covid" target="_blank" rel="noopener">ordonnance test Covid-19</a>)</li><li data-w-id="6db0d50a-f81d-80a4-5e6c-55689ede5942" data-wf-id="[&quot;6db0d50a-f81d-80a4-5e6c-55689ede5942&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong data-w-id="b6c331fb-42ce-a1c4-0efe-38a33c7742ba" data-wf-id="[&quot;b6c331fb-42ce-a1c4-0efe-38a33c7742ba&quot;]" data-automation-id="dyn-item-diagnostics-input">En cas de complications</strong> (patient(e) hospitalis&eacute;(e)) ou dans le cadre d'&eacute;tudes &eacute;pid&eacute;miologiques : pr&eacute;l&egrave;vement nasopharyng&eacute; pour PCR ou test antig&eacute;nique</li></ul></td></tr></tbody></table><p>&nbsp;</p><table cellpadding="5"><caption>Tableau 2 - Prise en charge de la grippe</caption><tbody><tr><th colspan="3">Traitement symptomatique</th></tr><tr><td colspan="3"><ul><li data-w-id="6a528a4c-968c-79c1-dede-09ee3d6fce35" data-wf-id="[&quot;6a528a4c-968c-79c1-dede-09ee3d6fce35&quot;]" data-automation-id="dyn-item-diagnostics-input">Arr&ecirc;t de travail,</li><li data-w-id="1e14b847-ae2c-0842-f642-72bc0ff67c01" data-wf-id="[&quot;1e14b847-ae2c-0842-f642-72bc0ff67c01&quot;]" data-automation-id="dyn-item-diagnostics-input">Bonne hydratation,</li><li data-w-id="10c4a0a1-e8e0-140c-f5f5-c05942bb3164" data-wf-id="[&quot;10c4a0a1-e8e0-140c-f5f5-c05942bb3164&quot;]" data-automation-id="dyn-item-diagnostics-input">Gestes barri&egrave;res et isolement si possible,</li><li data-w-id="adaaaad8-d209-135c-acaa-bd5be1f69320" data-wf-id="[&quot;adaaaad8-d209-135c-acaa-bd5be1f69320&quot;]" data-automation-id="dyn-item-diagnostics-input">Parac&eacute;tamol (&eacute;viter les AINS et les cortico&iuml;des) :<ul><li data-w-id="adaaaad8-d209-135c-acaa-bd5be1f69320" data-wf-id="[&quot;adaaaad8-d209-135c-acaa-bd5be1f69320&quot;]" data-automation-id="dyn-item-diagnostics-input"><a href="http://www.ordotype.fr/ordonnances-types/grippe-symptomatique-adulte" target="_blank" rel="noopener">ordonnance adulte</a>,</li><li data-w-id="adaaaad8-d209-135c-acaa-bd5be1f69320" data-wf-id="[&quot;adaaaad8-d209-135c-acaa-bd5be1f69320&quot;]" data-automation-id="dyn-item-diagnostics-input"><a href="http://www.ordotype.fr/ordonnances-types/grippe-symptomatique-enfant" target="_blank" rel="noopener">ordonnance enfant</a>.</li></ul></li></ul></td></tr><tr><th colspan="3">Traitement antiviral</th></tr><tr><td style="background-color: #bef2d3; text-align: center;" colspan="3"><strong>Curatif</strong></td></tr><tr><td style="text-align: center;"><strong>Indications</strong></td><td style="text-align: center;" colspan="2"><ul><li style="text-align: left;">&Agrave; d&eacute;buter dans les 48h suivant le d&eacute;but des sympt&ocirc;mes,</li><li style="text-align: left;"><strong>Indications :</strong><ul><li style="text-align: left;">Grippe et :<ul><li>crit&egrave;res de gravit&eacute; ou hospitalisation n&eacute;cessaire,</li><li>sujet &agrave; risque de forme grave (voir la liste des indications vaccinales, tableau 4),</li></ul></li><li>Sujet partageant le m&ecirc;me toit qu'un cas index ET :<ul><li style="text-align: left;">porteur d'une affection cardiaque/pulmonaire grave, ou</li><li style="text-align: left;">immunod&eacute;prim&eacute;.</li></ul></li></ul></li></ul></td></tr><tr><td style="text-align: center;" rowspan="6"><strong>Traitement</strong></td><td style="text-align: center;"><strong>Adulte</strong></td><td style="text-align: left;">Inhibiteur de la neuraminidase type oseltamivir 75 mg x2/j pendant 5 jours&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-adulte-oseltamivir-curatif-2" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;"><strong>Poids/&acirc;ge</strong></td><td style="text-align: center;"><strong>Posologie oseltamivir (5 jours)</strong></td></tr><tr><td style="text-align: center;">23 kg &agrave; 40 kg</td><td style="text-align: center;">60 mg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-adulte-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">15 kg &agrave; 23 kg</td><td style="text-align: center;">45 mg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-15-23kg-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">10 kg &agrave; 15 kg</td><td style="text-align: center;">30 mg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-10-15kg-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">Enfant 6 mois - 1 an</td><td style="text-align: center;">3 mg/kg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-1-an-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="background-color: #bef2d3; text-align: center;" colspan="3"><strong>Pr&eacute;ventif</strong></td></tr><tr><td style="text-align: center;"><strong>Indications</strong></td><td style="text-align: center;" colspan="2"><ul><li style="text-align: left;">&Agrave; d&eacute;buter dans les 48h suivant le contage,</li><li style="text-align: left;"><strong>Indications :&nbsp;</strong><strong>sujet partageant le m&ecirc;me lieu de vie que le cas index ET :</strong><ul><li style="text-align: left;"><strong>&agrave; risque de forme grave (voir la liste des indications vaccinales tableau 4), ou</strong></li><li style="text-align: left;"><strong>vivant en collectivit&eacute; &agrave; risque (EHPAD...).</strong></li></ul></li></ul></td></tr><tr><td style="text-align: center;" rowspan="5"><strong>Traitement</strong></td><td style="text-align: center;"><strong>Adulte</strong></td><td>Oseltamivir 75 mg 1 fois par jour pendant 10 jours (<a href="http://www.ordotype.fr/ordonnances-types/grippe-adulte-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;"><strong>Poids/&acirc;ge</strong></td><td style="text-align: center;"><strong>Posologie oseltamivir (10 jours)</strong></td></tr><tr><td style="text-align: center;">23 kg &agrave; 40 kg</td><td style="text-align: center;">60 mg x1/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-23-40kg-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">15 kg &agrave; 23 kg</td><td style="text-align: center;">45 mg x1j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-15-23kg-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">10 kg &agrave; 15 kg</td><td style="text-align: center;">30 mg x1/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-10-15kg-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr></tbody></table><p>&nbsp;</p><table cellpadding="5"><caption>Tableau 3 - Complications</caption><tbody><tr><th>Complications</th></tr><tr><td><ul><li data-w-id="0ea72bbf-07cb-0400-c8a2-9d4a1b834781" data-wf-id="[&quot;0ea72bbf-07cb-0400-c8a2-9d4a1b834781&quot;]" data-automation-id="dyn-item-diagnostics-input">Grippe maligne primaire : pneumopathie alv&eacute;olo-interstitielle &eacute;voluant vers le SDRA</li><li data-w-id="9b206055-3b74-0b7a-5b4c-d1cdb7223216" data-wf-id="[&quot;9b206055-3b74-0b7a-5b4c-d1cdb7223216&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Surinfection bact&eacute;rienne :</strong><ul><li data-w-id="1849379e-fa65-0bdd-d8ce-7cf99188356e" data-wf-id="[&quot;1849379e-fa65-0bdd-d8ce-7cf99188356e&quot;]" data-automation-id="dyn-item-diagnostics-input">pneumopathie bact&eacute;rienne secondaire post-grippale :<ul><li data-w-id="a99270ed-7e65-bc70-c1b5-cf1ee9d1a0fa" data-wf-id="[&quot;a99270ed-7e65-bc70-c1b5-cf1ee9d1a0fa&quot;]" data-automation-id="dyn-item-diagnostics-input">Signes :<ul><li data-w-id="5e36e460-e320-5ec3-9668-28c59b457335" data-wf-id="[&quot;5e36e460-e320-5ec3-9668-28c59b457335&quot;]" data-automation-id="dyn-item-diagnostics-input">R&eacute;apparition de sympt&ocirc;mes apr&egrave;s une am&eacute;lioration initiale,</li><li data-w-id="ada0cb64-c5d0-1412-709d-1da53bc1a57c" data-wf-id="[&quot;ada0cb64-c5d0-1412-709d-1da53bc1a57c&quot;]" data-automation-id="dyn-item-diagnostics-input">Fi&egrave;vre,</li><li data-w-id="6345f597-5697-01b4-ab1f-1d0710c706ed" data-wf-id="[&quot;6345f597-5697-01b4-ab1f-1d0710c706ed&quot;]" data-automation-id="dyn-item-diagnostics-input">Expectoration purulentes +/- h&eacute;mopto&iuml;ques,</li><li data-w-id="0d0128a8-7dbf-21b4-787a-ec1fa6e0a92a" data-wf-id="[&quot;0d0128a8-7dbf-21b4-787a-ec1fa6e0a92a&quot;]" data-automation-id="dyn-item-diagnostics-input">Dyspn&eacute;e,</li><li data-w-id="2d33a8d3-d2bd-893c-309e-2364e0227db9" data-wf-id="[&quot;2d33a8d3-d2bd-893c-309e-2364e0227db9&quot;]" data-automation-id="dyn-item-diagnostics-input">Syndrome inflammatoire biologique (<a href="http://www.ordotype.fr/ordonnances-types/grippe-bilan-inflammatoire" target="_blank" rel="noopener">ordonnance</a>) : CRP &eacute;lev&eacute;e.</li></ul></li><li data-w-id="0f798425-7a63-e972-f41d-a1fe23d2d6d1" data-wf-id="[&quot;0f798425-7a63-e972-f41d-a1fe23d2d6d1&quot;]" data-automation-id="dyn-item-diagnostics-input">Faire une radio de thorax : recherche de foyer (<a href="http://www.ordotype.fr/ordonnances-types/grippe-radio-de-thorax" target="_blank" rel="noopener">ordonnance</a>),</li><li data-w-id="85c73f19-aabc-dcbb-1975-cf71b1cfca4c" data-wf-id="[&quot;85c73f19-aabc-dcbb-1975-cf71b1cfca4c&quot;]" data-automation-id="dyn-item-diagnostics-input">Antibioth&eacute;rapie par :<ul><li data-w-id="fe625c75-ffc2-2031-1435-26fbeb88a32d" data-wf-id="[&quot;fe625c75-ffc2-2031-1435-26fbeb88a32d&quot;]" data-automation-id="dyn-item-diagnostics-input">Amoxicilline/Acide clavulanique&nbsp;pendant 7 jours (<a href="http://www.ordotype.fr/ordonnances-types/grippe-pneumopathie-post-grippale" target="_blank" rel="noopener">ordonnance</a>),</li><li data-w-id="0d6ff46c-34c4-8e06-a54f-3739b5079837" data-wf-id="[&quot;0d6ff46c-34c4-8e06-a54f-3739b5079837&quot;]" data-automation-id="dyn-item-diagnostics-input">Si allergie &agrave; la p&eacute;nicilline :Pristinamycine&nbsp;durant 10 jours (<a href="http://www.ordotype.fr/ordonnances-types/grippe-pneumopathie-post-grippale-pristinamycine" target="_blank" rel="noopener">ordonnance</a>).</li></ul></li><li data-w-id="980cd020-30eb-c91a-aaf6-b45ec2c38f32" data-wf-id="[&quot;980cd020-30eb-c91a-aaf6-b45ec2c38f32&quot;]" data-automation-id="dyn-item-diagnostics-input">Hospitalisation en cas de :<ul><li data-w-id="274bb9ed-ea6b-45ad-f69e-94f53c01026d" data-wf-id="[&quot;274bb9ed-ea6b-45ad-f69e-94f53c01026d&quot;]" data-automation-id="dyn-item-diagnostics-input">Signe de gravit&eacute;,</li><li data-w-id="ea929149-8852-bcd2-9d92-7720744d4bec" data-wf-id="[&quot;ea929149-8852-bcd2-9d92-7720744d4bec&quot;]" data-automation-id="dyn-item-diagnostics-input">Age &gt; 65 ans,</li><li data-w-id="ef76ceaa-849a-33e6-aa22-0ca46559d41a" data-wf-id="[&quot;ef76ceaa-849a-33e6-aa22-0ca46559d41a&quot;]" data-automation-id="dyn-item-diagnostics-input">Comorbidit&eacute;,</li><li data-w-id="b1b0a9ca-9d95-f42f-2ff7-ffc8a4060ec0" data-wf-id="[&quot;b1b0a9ca-9d95-f42f-2ff7-ffc8a4060ec0&quot;]" data-automation-id="dyn-item-diagnostics-input">Absence d'am&eacute;lioration &agrave; 48 h de traitement,</li><li data-w-id="dcdcaf94-e190-e6f4-27eb-ac6e8a6df29a" data-wf-id="[&quot;dcdcaf94-e190-e6f4-27eb-ac6e8a6df29a&quot;]" data-automation-id="dyn-item-diagnostics-input">Incertitude sur l'observance ou la possibilit&eacute; de surveillance.</li></ul></li></ul></li><li data-w-id="8688cec2-8da9-fa5a-bbf4-44314364be06" data-wf-id="[&quot;8688cec2-8da9-fa5a-bbf4-44314364be06&quot;]" data-automation-id="dyn-item-diagnostics-input">Otite moyenne aigu&euml;</li><li data-w-id="7d7bfdaf-7557-2c98-f12c-9c429b722ac0" data-wf-id="[&quot;7d7bfdaf-7557-2c98-f12c-9c429b722ac0&quot;]" data-automation-id="dyn-item-diagnostics-input">Sinusite aigu&euml;</li><li data-w-id="43e34b2b-1438-5912-a58d-6c462df91ae5" data-wf-id="[&quot;43e34b2b-1438-5912-a58d-6c462df91ae5&quot;]" data-automation-id="dyn-item-diagnostics-input">Bronchite aigu&euml;</li></ul></li><li data-w-id="d942604b-27c8-6018-58ac-b3753b8b0bad" data-wf-id="[&quot;d942604b-27c8-6018-58ac-b3753b8b0bad&quot;]" data-automation-id="dyn-item-diagnostics-input">Myocardite, p&eacute;ricardite,</li><li data-w-id="2dd9c057-0b35-ff4c-c013-4ae9a2f5e5cd" data-wf-id="[&quot;2dd9c057-0b35-ff4c-c013-4ae9a2f5e5cd&quot;]" data-automation-id="dyn-item-diagnostics-input">Enc&eacute;phalite,</li><li data-w-id="d130ea35-84d2-b840-377b-40619ccd4743" data-wf-id="[&quot;d130ea35-84d2-b840-377b-40619ccd4743&quot;]" data-automation-id="dyn-item-diagnostics-input">Troubles digestifs,</li><li data-w-id="a4f9b6f5-0779-82b5-adcc-77d5596ea3cd" data-wf-id="[&quot;a4f9b6f5-0779-82b5-adcc-77d5596ea3cd&quot;]" data-automation-id="dyn-item-diagnostics-input">Rhabdomyolyse,</li><li data-w-id="909046ec-cda9-f635-e8de-3109660c5ace" data-wf-id="[&quot;909046ec-cda9-f635-e8de-3109660c5ace&quot;]" data-automation-id="dyn-item-diagnostics-input">Syndrome de Reye :<ul><li data-w-id="03b80640-20f8-eaa8-f1cd-9b21d4b799ae" data-wf-id="[&quot;03b80640-20f8-eaa8-f1cd-9b21d4b799ae&quot;]" data-automation-id="dyn-item-diagnostics-input">Contexte de traitement par aspirine,</li><li data-w-id="11902558-8b24-ddb7-8948-0773638c4089" data-wf-id="[&quot;11902558-8b24-ddb7-8948-0773638c4089&quot;]" data-automation-id="dyn-item-diagnostics-input">Enc&eacute;phalite aigu&euml;,</li><li data-w-id="012ad4bd-9555-05e5-45ca-fe3093ceb45d" data-wf-id="[&quot;012ad4bd-9555-05e5-45ca-fe3093ceb45d&quot;]" data-automation-id="dyn-item-diagnostics-input">H&eacute;patite aigu&euml; fulminante.</li></ul></li></ul></td></tr></tbody></table><p>&nbsp;</p><table style="width: 498px;" cellpadding="5"><caption>Tableau 4 - Vaccination contre la grippe</caption><tbody><tr><th style="width: 480px;" colspan="3">Vaccination anti-grippale</th></tr><tr><td style="width: 480px; background-color: #bef2d3; text-align: center;" colspan="3"><strong>Indications</strong></td></tr><tr><td style="width: 480px;" colspan="3"><ul><li data-w-id="a7a00969-6ce8-1f3e-8340-202acf2efb5b" data-wf-id="[&quot;a7a00969-6ce8-1f3e-8340-202acf2efb5b&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Populations &agrave; risque de forme grave&nbsp;(sujets de plus de 6 mois):</strong><ul><li data-w-id="15b273a8-3036-cb1b-463e-f744fb7551c5" data-wf-id="[&quot;15b273a8-3036-cb1b-463e-f744fb7551c5&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Patient(e)s &ge; 65 ans</strong>,</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Diab&egrave;tes de type 1 et de type 2</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Pneumologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladies respiratoires chroniques risquant d'&ecirc;tre aggrav&eacute;es ou d&eacute;compens&eacute;e par une affection grippale</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Dysplasies broncho-pulmonaires</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Mucoviscidose&nbsp;</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Cardiologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Cardiopathies cong&eacute;nitales cyanog&egrave;nes ou avec une HTAP et/ou une insuffisance cardiaque,</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Insuffisances cardiaques graves</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Valvulopathies graves&nbsp;</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Troubles du rythme graves justifiant un traitement au long cours</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladies des coronaires</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Neurologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Ant&eacute;c&eacute;dents d&rsquo;accident vasculaire c&eacute;r&eacute;bral</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Formes graves des affections neurologiques et musculaires (dont myopathie, poliomy&eacute;lite, myasth&eacute;nie et maladie de Charcot)</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Parapl&eacute;gies et t&eacute;trapl&eacute;gies avec atteinte diaphragmatique</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">N&eacute;phrologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">N&eacute;phropathies chroniques graves</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Syndromes n&eacute;phrotiques&nbsp;</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">IMC&nbsp;&ge; 40 kg/m<sup>2</sup></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladie h&eacute;patique chronique avec ou sans cirrhose</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">D&eacute;ficits immunitaires</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Pathologies oncologiques et h&eacute;matologiques, transplantations d&rsquo;organe et de cellules souches<br />h&eacute;matopo&iuml;&eacute;tiques</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladies inflammatoires et/ou auto-immunes recevant un traitement immunosuppresseur</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Personnes vivant avec le VIH quels que soient leur &acirc;ge et leur statut immunovirologique</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Personnes s&eacute;journant dans un &eacute;tablissement de soins de suite ainsi que dans un &eacute;tablissement<br />m&eacute;dico-social d&rsquo;h&eacute;bergement quel que soit leur &acirc;ge</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Entourage des nourrissons de moins de 6 mois pr&eacute;sentant des facteurs de risque de grippe grave<br />ainsi d&eacute;finis : pr&eacute;matur&eacute;s, notamment ceux porteurs de s&eacute;quelles &agrave; type de broncho-dysplasie, et<br />enfants atteints de cardiopathie cong&eacute;nitale, de d&eacute;ficit immunitaire cong&eacute;nital, de pathologie pulmonaire, neurologique ou neuromusculaire ou d&rsquo;une affection de longue dur&eacute;e ainsi que l&rsquo;entourage des personnes immunod&eacute;prim&eacute;es.</li><li>Dr&eacute;panocytoses, homozygotes et doubles h&eacute;t&eacute;rozygotes S/C, thalasso-dr&eacute;panocytose</li></ul></li><li data-w-id="f6c50ae3-e69a-ae3f-ec46-03a7b1f19746" data-wf-id="[&quot;f6c50ae3-e69a-ae3f-ec46-03a7b1f19746&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Professionnels :</strong><ul><li data-w-id="05078b35-5bdd-deef-d92f-dbc6249e072b" data-wf-id="[&quot;05078b35-5bdd-deef-d92f-dbc6249e072b&quot;]" data-automation-id="dyn-item-diagnostics-input">Tout professionel en contact r&eacute;guliers et prolong&eacute; avec des personnes &agrave; risque de grippe grave,</li><li data-w-id="4cccd9bf-a038-e5c4-9346-19f22c737e5c" data-wf-id="[&quot;4cccd9bf-a038-e5c4-9346-19f22c737e5c&quot;]" data-automation-id="dyn-item-diagnostics-input">Personnel navigant des bateaux de croisi&egrave;re et des avions et personnel de l&rsquo;industrie des voyages accompagnant les groupes de voyageurs (guides).</li></ul></li></ul></td></tr><tr><td style="width: 480px; background-color: #bef2d3; text-align: center;" colspan="3"><strong>Sch&eacute;ma vaccinal</strong></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>Age</strong></td><td style="width: 124.844px; text-align: center;"><strong>Vaccins autoris&eacute;s</strong></td><td style="width: 293.906px; text-align: center;"><strong>Sch&eacute;ma vaccinal</strong></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>6 mois &agrave; 3 ans</strong></td><td style="width: 124.844px;"><ul><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><ul><li>primovaccination : M0, M1</li><li>puis 1 dose par an</li></ul></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>3 ans &agrave; 8 ans</strong></td><td style="width: 124.844px;"><ul><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><ul><li>primovaccination : M0, M1</li><li>puis 1 dose par an</li></ul></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>9 ans &agrave; 65 ans</strong></td><td style="width: 124.844px;"><ul><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><p>1 dose par an d&egrave;s la 1<sup>&egrave;re</sup> dose</p></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>&gt;65 ans</strong></td><td style="width: 124.844px;"><br /><ul><li><strong><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-efluelda" target="_blank" rel="noopener" data-w-id="1562631e-25d0-f80a-fc8f-9a3c55b2ab5f" data-wf-id="[&quot;1562631e-25d0-f80a-fc8f-9a3c55b2ab5f&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Efluelda</a></strong>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><ul><li>1 dose par an d&egrave;s la 1<sup>&egrave;re</sup> dose</li><li>La Soci&eacute;t&eacute; Fran&ccedil;aise de G&eacute;riatrie et G&eacute;rontologie recommande l'utilisation d'<a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-efluelda" target="_blank" rel="noopener" data-w-id="1562631e-25d0-f80a-fc8f-9a3c55b2ab5f" data-wf-id="[&quot;1562631e-25d0-f80a-fc8f-9a3c55b2ab5f&quot;]" data-automation-id="dyn-item-diagnostics-input">Efluelda</a>&reg; chez les patients &gt; 65 ans</li></ul></td></tr></tbody></table><p></p><p></p>

<table cellpadding="5"><caption>Tableau 1 - Diagnostic de la grippe</caption><tbody><tr><th>G&eacute;n&eacute;ralit&eacute;s</th></tr><tr><td><ul><li><strong data-w-id="82669d38-c015-1db8-9090-fd85959ccdd1" data-wf-id="[&quot;82669d38-c015-1db8-9090-fd85959ccdd1&quot;]" data-automation-id="dyn-item-diagnostics-input">Contagiosit&eacute; :</strong> 1 jour avant le d&eacute;but des sympt&ocirc;mes et jusqu'&agrave; 6 jours apr&egrave;s.</li><li><strong data-w-id="abdc272d-7edb-6663-b104-433fd03808e8" data-wf-id="[&quot;abdc272d-7edb-6663-b104-433fd03808e8&quot;]" data-automation-id="dyn-item-diagnostics-input">&Eacute;volution :</strong> r&eacute;gression des sympt&ocirc;mes en 5 &agrave; 7 jours sauf l'asth&eacute;nie et la toux qui peuvent durer plusieurs semaines.</li></ul></td></tr><tr><th>Clinique</th></tr><tr><td><ul><li data-w-id="b0634fd3-5f6e-b614-43ec-5c103a64ab5c" data-wf-id="[&quot;b0634fd3-5f6e-b614-43ec-5c103a64ab5c&quot;]" data-automation-id="dyn-item-diagnostics-input">Pic entre novembre et f&eacute;vrier,</li><li data-w-id="e6e67ad5-f383-e1cc-5015-7e068f2976a2" data-wf-id="[&quot;e6e67ad5-f383-e1cc-5015-7e068f2976a2&quot;]" data-automation-id="dyn-item-diagnostics-input">D&eacute;but brutal,</li><li data-w-id="c94506d6-d248-fcd6-a106-ada1949a7182" data-wf-id="[&quot;c94506d6-d248-fcd6-a106-ada1949a7182&quot;]" data-automation-id="dyn-item-diagnostics-input">Fi&egrave;vre &eacute;lev&eacute;e,</li><li data-w-id="4451374e-35ed-2ccb-647f-99781584caaf" data-wf-id="[&quot;4451374e-35ed-2ccb-647f-99781584caaf&quot;]" data-automation-id="dyn-item-diagnostics-input">Frissons,</li><li data-w-id="aa78d014-fc2b-4a61-e106-d86d286d0d12" data-wf-id="[&quot;aa78d014-fc2b-4a61-e106-d86d286d0d12&quot;]" data-automation-id="dyn-item-diagnostics-input">Arthro-myalgies,</li><li data-w-id="1848b3a9-8fa3-7c90-0a3e-2e4901423bae" data-wf-id="[&quot;1848b3a9-8fa3-7c90-0a3e-2e4901423bae&quot;]" data-automation-id="dyn-item-diagnostics-input">C&eacute;phal&eacute;es,</li><li data-w-id="afde689f-5b84-9d78-abd0-74ce9893070f" data-wf-id="[&quot;afde689f-5b84-9d78-abd0-74ce9893070f&quot;]" data-automation-id="dyn-item-diagnostics-input">Obstruction nasale, rhinorrh&eacute;e,</li><li data-w-id="03e569bc-3246-5d20-c4c1-4717dda687e3" data-wf-id="[&quot;03e569bc-3246-5d20-c4c1-4717dda687e3&quot;]" data-automation-id="dyn-item-diagnostics-input">Odynophagie,</li><li data-w-id="23633aac-150a-20ef-1f15-021959f220e7" data-wf-id="[&quot;23633aac-150a-20ef-1f15-021959f220e7&quot;]" data-automation-id="dyn-item-diagnostics-input">Toux.</li></ul></td></tr><tr><th>Paraclinique</th></tr><tr><td><ul><li data-w-id="ebb8b1aa-c188-a6dc-ae31-faa4267ee03e" data-wf-id="[&quot;ebb8b1aa-c188-a6dc-ae31-faa4267ee03e&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong data-w-id="89298bb4-cf5e-a975-8390-7ef368ecdebe" data-wf-id="[&quot;89298bb4-cf5e-a975-8390-7ef368ecdebe&quot;]" data-automation-id="dyn-item-diagnostics-input">Aucun examen n'est indiqu&eacute; pour confirmer le diagnostic, en l'absence de complication,</strong></li><li data-w-id="28c9b060-75b0-638e-62ae-de002964b05d" data-wf-id="[&quot;28c9b060-75b0-638e-62ae-de002964b05d&quot;]" data-automation-id="dyn-item-diagnostics-input">En p&eacute;riode d'&eacute;pid&eacute;mie,&nbsp;un test de diagnostic COVID-19 devra &ecirc;tre propos&eacute; pour &eacute;liminer le diagnostic (<a href="http://www.ordotype.fr/ordonnances-types/grippe-pcr-sars-cov-2-covid" target="_blank" rel="noopener">ordonnance test Covid-19</a>)</li><li data-w-id="6db0d50a-f81d-80a4-5e6c-55689ede5942" data-wf-id="[&quot;6db0d50a-f81d-80a4-5e6c-55689ede5942&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong data-w-id="b6c331fb-42ce-a1c4-0efe-38a33c7742ba" data-wf-id="[&quot;b6c331fb-42ce-a1c4-0efe-38a33c7742ba&quot;]" data-automation-id="dyn-item-diagnostics-input">En cas de complications</strong> (patient(e) hospitalis&eacute;(e)) ou dans le cadre d'&eacute;tudes &eacute;pid&eacute;miologiques : pr&eacute;l&egrave;vement nasopharyng&eacute; pour PCR ou test antig&eacute;nique</li></ul></td></tr></tbody></table><p>&nbsp;</p><table cellpadding="5"><caption>Tableau 2 - Prise en charge de la grippe</caption><tbody><tr><th colspan="3">Traitement symptomatique</th></tr><tr><td colspan="3"><ul><li data-w-id="6a528a4c-968c-79c1-dede-09ee3d6fce35" data-wf-id="[&quot;6a528a4c-968c-79c1-dede-09ee3d6fce35&quot;]" data-automation-id="dyn-item-diagnostics-input">Arr&ecirc;t de travail,</li><li data-w-id="1e14b847-ae2c-0842-f642-72bc0ff67c01" data-wf-id="[&quot;1e14b847-ae2c-0842-f642-72bc0ff67c01&quot;]" data-automation-id="dyn-item-diagnostics-input">Bonne hydratation,</li><li data-w-id="10c4a0a1-e8e0-140c-f5f5-c05942bb3164" data-wf-id="[&quot;10c4a0a1-e8e0-140c-f5f5-c05942bb3164&quot;]" data-automation-id="dyn-item-diagnostics-input">Gestes barri&egrave;res et isolement si possible,</li><li data-w-id="adaaaad8-d209-135c-acaa-bd5be1f69320" data-wf-id="[&quot;adaaaad8-d209-135c-acaa-bd5be1f69320&quot;]" data-automation-id="dyn-item-diagnostics-input">Parac&eacute;tamol (&eacute;viter les AINS et les cortico&iuml;des) :<ul><li data-w-id="adaaaad8-d209-135c-acaa-bd5be1f69320" data-wf-id="[&quot;adaaaad8-d209-135c-acaa-bd5be1f69320&quot;]" data-automation-id="dyn-item-diagnostics-input"><a href="http://www.ordotype.fr/ordonnances-types/grippe-symptomatique-adulte" target="_blank" rel="noopener">ordonnance adulte</a>,</li><li data-w-id="adaaaad8-d209-135c-acaa-bd5be1f69320" data-wf-id="[&quot;adaaaad8-d209-135c-acaa-bd5be1f69320&quot;]" data-automation-id="dyn-item-diagnostics-input"><a href="http://www.ordotype.fr/ordonnances-types/grippe-symptomatique-enfant" target="_blank" rel="noopener">ordonnance enfant</a>.</li></ul></li></ul></td></tr><tr><th colspan="3">Traitement antiviral</th></tr><tr><td style="background-color: #bef2d3; text-align: center;" colspan="3"><strong>Curatif</strong></td></tr><tr><td style="text-align: center;"><strong>Indications</strong></td><td style="text-align: center;" colspan="2"><ul><li style="text-align: left;">&Agrave; d&eacute;buter dans les 48h suivant le d&eacute;but des sympt&ocirc;mes,</li><li style="text-align: left;"><strong>Indications :</strong><ul><li style="text-align: left;">Grippe et :<ul><li>crit&egrave;res de gravit&eacute; ou hospitalisation n&eacute;cessaire,</li><li>sujet &agrave; risque de forme grave (voir la liste des indications vaccinales, tableau 4),</li></ul></li><li>Sujet partageant le m&ecirc;me toit qu'un cas index ET :<ul><li style="text-align: left;">porteur d'une affection cardiaque/pulmonaire grave, ou</li><li style="text-align: left;">immunod&eacute;prim&eacute;.</li></ul></li></ul></li></ul></td></tr><tr><td style="text-align: center;" rowspan="6"><strong>Traitement</strong></td><td style="text-align: center;"><strong>Adulte</strong></td><td style="text-align: left;">Inhibiteur de la neuraminidase type oseltamivir 75 mg x2/j pendant 5 jours&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-adulte-oseltamivir-curatif-2" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;"><strong>Poids/&acirc;ge</strong></td><td style="text-align: center;"><strong>Posologie oseltamivir (5 jours)</strong></td></tr><tr><td style="text-align: center;">23 kg &agrave; 40 kg</td><td style="text-align: center;">60 mg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-adulte-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">15 kg &agrave; 23 kg</td><td style="text-align: center;">45 mg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-15-23kg-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">10 kg &agrave; 15 kg</td><td style="text-align: center;">30 mg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-10-15kg-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">Enfant 6 mois - 1 an</td><td style="text-align: center;">3 mg/kg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-1-an-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="background-color: #bef2d3; text-align: center;" colspan="3"><strong>Pr&eacute;ventif</strong></td></tr><tr><td style="text-align: center;"><strong>Indications</strong></td><td style="text-align: center;" colspan="2"><ul><li style="text-align: left;">&Agrave; d&eacute;buter dans les 48h suivant le contage,</li><li style="text-align: left;"><strong>Indications :&nbsp;</strong><strong>sujet partageant le m&ecirc;me lieu de vie que le cas index ET :</strong><ul><li style="text-align: left;"><strong>&agrave; risque de forme grave (voir la liste des indications vaccinales tableau 4), ou</strong></li><li style="text-align: left;"><strong>vivant en collectivit&eacute; &agrave; risque (EHPAD...).</strong></li></ul></li></ul></td></tr><tr><td style="text-align: center;" rowspan="5"><strong>Traitement</strong></td><td style="text-align: center;"><strong>Adulte</strong></td><td>Oseltamivir 75 mg 1 fois par jour pendant 10 jours (<a href="http://www.ordotype.fr/ordonnances-types/grippe-adulte-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;"><strong>Poids/&acirc;ge</strong></td><td style="text-align: center;"><strong>Posologie oseltamivir (10 jours)</strong></td></tr><tr><td style="text-align: center;">23 kg &agrave; 40 kg</td><td style="text-align: center;">60 mg x1/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-23-40kg-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">15 kg &agrave; 23 kg</td><td style="text-align: center;">45 mg x1j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-15-23kg-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">10 kg &agrave; 15 kg</td><td style="text-align: center;">30 mg x1/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-10-15kg-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr></tbody></table><p>&nbsp;</p><table cellpadding="5"><caption>Tableau 3 - Complications</caption><tbody><tr><th>Complications</th></tr><tr><td><ul><li data-w-id="0ea72bbf-07cb-0400-c8a2-9d4a1b834781" data-wf-id="[&quot;0ea72bbf-07cb-0400-c8a2-9d4a1b834781&quot;]" data-automation-id="dyn-item-diagnostics-input">Grippe maligne primaire : pneumopathie alv&eacute;olo-interstitielle &eacute;voluant vers le SDRA</li><li data-w-id="9b206055-3b74-0b7a-5b4c-d1cdb7223216" data-wf-id="[&quot;9b206055-3b74-0b7a-5b4c-d1cdb7223216&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Surinfection bact&eacute;rienne :</strong><ul><li data-w-id="1849379e-fa65-0bdd-d8ce-7cf99188356e" data-wf-id="[&quot;1849379e-fa65-0bdd-d8ce-7cf99188356e&quot;]" data-automation-id="dyn-item-diagnostics-input">pneumopathie bact&eacute;rienne secondaire post-grippale :<ul><li data-w-id="a99270ed-7e65-bc70-c1b5-cf1ee9d1a0fa" data-wf-id="[&quot;a99270ed-7e65-bc70-c1b5-cf1ee9d1a0fa&quot;]" data-automation-id="dyn-item-diagnostics-input">Signes :<ul><li data-w-id="5e36e460-e320-5ec3-9668-28c59b457335" data-wf-id="[&quot;5e36e460-e320-5ec3-9668-28c59b457335&quot;]" data-automation-id="dyn-item-diagnostics-input">R&eacute;apparition de sympt&ocirc;mes apr&egrave;s une am&eacute;lioration initiale,</li><li data-w-id="ada0cb64-c5d0-1412-709d-1da53bc1a57c" data-wf-id="[&quot;ada0cb64-c5d0-1412-709d-1da53bc1a57c&quot;]" data-automation-id="dyn-item-diagnostics-input">Fi&egrave;vre,</li><li data-w-id="6345f597-5697-01b4-ab1f-1d0710c706ed" data-wf-id="[&quot;6345f597-5697-01b4-ab1f-1d0710c706ed&quot;]" data-automation-id="dyn-item-diagnostics-input">Expectoration purulentes +/- h&eacute;mopto&iuml;ques,</li><li data-w-id="0d0128a8-7dbf-21b4-787a-ec1fa6e0a92a" data-wf-id="[&quot;0d0128a8-7dbf-21b4-787a-ec1fa6e0a92a&quot;]" data-automation-id="dyn-item-diagnostics-input">Dyspn&eacute;e,</li><li data-w-id="2d33a8d3-d2bd-893c-309e-2364e0227db9" data-wf-id="[&quot;2d33a8d3-d2bd-893c-309e-2364e0227db9&quot;]" data-automation-id="dyn-item-diagnostics-input">Syndrome inflammatoire biologique (<a href="http://www.ordotype.fr/ordonnances-types/grippe-bilan-inflammatoire" target="_blank" rel="noopener">ordonnance</a>) : CRP &eacute;lev&eacute;e.</li></ul></li><li data-w-id="0f798425-7a63-e972-f41d-a1fe23d2d6d1" data-wf-id="[&quot;0f798425-7a63-e972-f41d-a1fe23d2d6d1&quot;]" data-automation-id="dyn-item-diagnostics-input">Faire une radio de thorax : recherche de foyer (<a href="http://www.ordotype.fr/ordonnances-types/grippe-radio-de-thorax" target="_blank" rel="noopener">ordonnance</a>),</li><li data-w-id="85c73f19-aabc-dcbb-1975-cf71b1cfca4c" data-wf-id="[&quot;85c73f19-aabc-dcbb-1975-cf71b1cfca4c&quot;]" data-automation-id="dyn-item-diagnostics-input">Antibioth&eacute;rapie par :<ul><li data-w-id="fe625c75-ffc2-2031-1435-26fbeb88a32d" data-wf-id="[&quot;fe625c75-ffc2-2031-1435-26fbeb88a32d&quot;]" data-automation-id="dyn-item-diagnostics-input">Amoxicilline/Acide clavulanique&nbsp;pendant 7 jours (<a href="http://www.ordotype.fr/ordonnances-types/grippe-pneumopathie-post-grippale" target="_blank" rel="noopener">ordonnance</a>),</li><li data-w-id="0d6ff46c-34c4-8e06-a54f-3739b5079837" data-wf-id="[&quot;0d6ff46c-34c4-8e06-a54f-3739b5079837&quot;]" data-automation-id="dyn-item-diagnostics-input">Si allergie &agrave; la p&eacute;nicilline :Pristinamycine&nbsp;durant 10 jours (<a href="http://www.ordotype.fr/ordonnances-types/grippe-pneumopathie-post-grippale-pristinamycine" target="_blank" rel="noopener">ordonnance</a>).</li></ul></li><li data-w-id="980cd020-30eb-c91a-aaf6-b45ec2c38f32" data-wf-id="[&quot;980cd020-30eb-c91a-aaf6-b45ec2c38f32&quot;]" data-automation-id="dyn-item-diagnostics-input">Hospitalisation en cas de :<ul><li data-w-id="274bb9ed-ea6b-45ad-f69e-94f53c01026d" data-wf-id="[&quot;274bb9ed-ea6b-45ad-f69e-94f53c01026d&quot;]" data-automation-id="dyn-item-diagnostics-input">Signe de gravit&eacute;,</li><li data-w-id="ea929149-8852-bcd2-9d92-7720744d4bec" data-wf-id="[&quot;ea929149-8852-bcd2-9d92-7720744d4bec&quot;]" data-automation-id="dyn-item-diagnostics-input">Age &gt; 65 ans,</li><li data-w-id="ef76ceaa-849a-33e6-aa22-0ca46559d41a" data-wf-id="[&quot;ef76ceaa-849a-33e6-aa22-0ca46559d41a&quot;]" data-automation-id="dyn-item-diagnostics-input">Comorbidit&eacute;,</li><li data-w-id="b1b0a9ca-9d95-f42f-2ff7-ffc8a4060ec0" data-wf-id="[&quot;b1b0a9ca-9d95-f42f-2ff7-ffc8a4060ec0&quot;]" data-automation-id="dyn-item-diagnostics-input">Absence d'am&eacute;lioration &agrave; 48 h de traitement,</li><li data-w-id="dcdcaf94-e190-e6f4-27eb-ac6e8a6df29a" data-wf-id="[&quot;dcdcaf94-e190-e6f4-27eb-ac6e8a6df29a&quot;]" data-automation-id="dyn-item-diagnostics-input">Incertitude sur l'observance ou la possibilit&eacute; de surveillance.</li></ul></li></ul></li><li data-w-id="8688cec2-8da9-fa5a-bbf4-44314364be06" data-wf-id="[&quot;8688cec2-8da9-fa5a-bbf4-44314364be06&quot;]" data-automation-id="dyn-item-diagnostics-input">Otite moyenne aigu&euml;</li><li data-w-id="7d7bfdaf-7557-2c98-f12c-9c429b722ac0" data-wf-id="[&quot;7d7bfdaf-7557-2c98-f12c-9c429b722ac0&quot;]" data-automation-id="dyn-item-diagnostics-input">Sinusite aigu&euml;</li><li data-w-id="43e34b2b-1438-5912-a58d-6c462df91ae5" data-wf-id="[&quot;43e34b2b-1438-5912-a58d-6c462df91ae5&quot;]" data-automation-id="dyn-item-diagnostics-input">Bronchite aigu&euml;</li></ul></li><li data-w-id="d942604b-27c8-6018-58ac-b3753b8b0bad" data-wf-id="[&quot;d942604b-27c8-6018-58ac-b3753b8b0bad&quot;]" data-automation-id="dyn-item-diagnostics-input">Myocardite, p&eacute;ricardite,</li><li data-w-id="2dd9c057-0b35-ff4c-c013-4ae9a2f5e5cd" data-wf-id="[&quot;2dd9c057-0b35-ff4c-c013-4ae9a2f5e5cd&quot;]" data-automation-id="dyn-item-diagnostics-input">Enc&eacute;phalite,</li><li data-w-id="d130ea35-84d2-b840-377b-40619ccd4743" data-wf-id="[&quot;d130ea35-84d2-b840-377b-40619ccd4743&quot;]" data-automation-id="dyn-item-diagnostics-input">Troubles digestifs,</li><li data-w-id="a4f9b6f5-0779-82b5-adcc-77d5596ea3cd" data-wf-id="[&quot;a4f9b6f5-0779-82b5-adcc-77d5596ea3cd&quot;]" data-automation-id="dyn-item-diagnostics-input">Rhabdomyolyse,</li><li data-w-id="909046ec-cda9-f635-e8de-3109660c5ace" data-wf-id="[&quot;909046ec-cda9-f635-e8de-3109660c5ace&quot;]" data-automation-id="dyn-item-diagnostics-input">Syndrome de Reye :<ul><li data-w-id="03b80640-20f8-eaa8-f1cd-9b21d4b799ae" data-wf-id="[&quot;03b80640-20f8-eaa8-f1cd-9b21d4b799ae&quot;]" data-automation-id="dyn-item-diagnostics-input">Contexte de traitement par aspirine,</li><li data-w-id="11902558-8b24-ddb7-8948-0773638c4089" data-wf-id="[&quot;11902558-8b24-ddb7-8948-0773638c4089&quot;]" data-automation-id="dyn-item-diagnostics-input">Enc&eacute;phalite aigu&euml;,</li><li data-w-id="012ad4bd-9555-05e5-45ca-fe3093ceb45d" data-wf-id="[&quot;012ad4bd-9555-05e5-45ca-fe3093ceb45d&quot;]" data-automation-id="dyn-item-diagnostics-input">H&eacute;patite aigu&euml; fulminante.</li></ul></li></ul></td></tr></tbody></table><p>&nbsp;</p><table style="width: 498px;" cellpadding="5"><caption>Tableau 4 - Vaccination contre la grippe</caption><tbody><tr><th style="width: 480px;" colspan="3">Vaccination anti-grippale</th></tr><tr><td style="width: 480px; background-color: #bef2d3; text-align: center;" colspan="3"><strong>Indications</strong></td></tr><tr><td style="width: 480px;" colspan="3"><ul><li data-w-id="a7a00969-6ce8-1f3e-8340-202acf2efb5b" data-wf-id="[&quot;a7a00969-6ce8-1f3e-8340-202acf2efb5b&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Populations &agrave; risque de forme grave&nbsp;(sujets de plus de 6 mois):</strong><ul><li data-w-id="15b273a8-3036-cb1b-463e-f744fb7551c5" data-wf-id="[&quot;15b273a8-3036-cb1b-463e-f744fb7551c5&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Patient(e)s &ge; 65 ans</strong>,</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Diab&egrave;tes de type 1 et de type 2</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Pneumologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladies respiratoires chroniques risquant d'&ecirc;tre aggrav&eacute;es ou d&eacute;compens&eacute;e par une affection grippale</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Dysplasies broncho-pulmonaires</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Mucoviscidose&nbsp;</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Cardiologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Cardiopathies cong&eacute;nitales cyanog&egrave;nes ou avec une HTAP et/ou une insuffisance cardiaque,</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Insuffisances cardiaques graves</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Valvulopathies graves&nbsp;</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Troubles du rythme graves justifiant un traitement au long cours</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladies des coronaires</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Neurologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Ant&eacute;c&eacute;dents d&rsquo;accident vasculaire c&eacute;r&eacute;bral</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Formes graves des affections neurologiques et musculaires (dont myopathie, poliomy&eacute;lite, myasth&eacute;nie et maladie de Charcot)</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Parapl&eacute;gies et t&eacute;trapl&eacute;gies avec atteinte diaphragmatique</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">N&eacute;phrologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">N&eacute;phropathies chroniques graves</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Syndromes n&eacute;phrotiques&nbsp;</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">IMC&nbsp;&ge; 40 kg/m<sup>2</sup></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladie h&eacute;patique chronique avec ou sans cirrhose</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">D&eacute;ficits immunitaires</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Pathologies oncologiques et h&eacute;matologiques, transplantations d&rsquo;organe et de cellules souches<br />h&eacute;matopo&iuml;&eacute;tiques</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladies inflammatoires et/ou auto-immunes recevant un traitement immunosuppresseur</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Personnes vivant avec le VIH quels que soient leur &acirc;ge et leur statut immunovirologique</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Personnes s&eacute;journant dans un &eacute;tablissement de soins de suite ainsi que dans un &eacute;tablissement<br />m&eacute;dico-social d&rsquo;h&eacute;bergement quel que soit leur &acirc;ge</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Entourage des nourrissons de moins de 6 mois pr&eacute;sentant des facteurs de risque de grippe grave<br />ainsi d&eacute;finis : pr&eacute;matur&eacute;s, notamment ceux porteurs de s&eacute;quelles &agrave; type de broncho-dysplasie, et<br />enfants atteints de cardiopathie cong&eacute;nitale, de d&eacute;ficit immunitaire cong&eacute;nital, de pathologie pulmonaire, neurologique ou neuromusculaire ou d&rsquo;une affection de longue dur&eacute;e ainsi que l&rsquo;entourage des personnes immunod&eacute;prim&eacute;es.</li><li>Dr&eacute;panocytoses, homozygotes et doubles h&eacute;t&eacute;rozygotes S/C, thalasso-dr&eacute;panocytose</li></ul></li><li data-w-id="f6c50ae3-e69a-ae3f-ec46-03a7b1f19746" data-wf-id="[&quot;f6c50ae3-e69a-ae3f-ec46-03a7b1f19746&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Professionnels :</strong><ul><li data-w-id="05078b35-5bdd-deef-d92f-dbc6249e072b" data-wf-id="[&quot;05078b35-5bdd-deef-d92f-dbc6249e072b&quot;]" data-automation-id="dyn-item-diagnostics-input">Tout professionel en contact r&eacute;guliers et prolong&eacute; avec des personnes &agrave; risque de grippe grave,</li><li data-w-id="4cccd9bf-a038-e5c4-9346-19f22c737e5c" data-wf-id="[&quot;4cccd9bf-a038-e5c4-9346-19f22c737e5c&quot;]" data-automation-id="dyn-item-diagnostics-input">Personnel navigant des bateaux de croisi&egrave;re et des avions et personnel de l&rsquo;industrie des voyages accompagnant les groupes de voyageurs (guides).</li></ul></li></ul></td></tr><tr><td style="width: 480px; background-color: #bef2d3; text-align: center;" colspan="3"><strong>Sch&eacute;ma vaccinal</strong></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>Age</strong></td><td style="width: 124.844px; text-align: center;"><strong>Vaccins autoris&eacute;s</strong></td><td style="width: 293.906px; text-align: center;"><strong>Sch&eacute;ma vaccinal</strong></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>6 mois &agrave; 3 ans</strong></td><td style="width: 124.844px;"><ul><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><ul><li>primovaccination : M0, M1</li><li>puis 1 dose par an</li></ul></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>3 ans &agrave; 8 ans</strong></td><td style="width: 124.844px;"><ul><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><ul><li>primovaccination : M0, M1</li><li>puis 1 dose par an</li></ul></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>9 ans &agrave; 65 ans</strong></td><td style="width: 124.844px;"><ul><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><p>1 dose par an d&egrave;s la 1<sup>&egrave;re</sup> dose</p></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>&gt;65 ans</strong></td><td style="width: 124.844px;"><br /><ul><li><strong><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-efluelda" target="_blank" rel="noopener" data-w-id="1562631e-25d0-f80a-fc8f-9a3c55b2ab5f" data-wf-id="[&quot;1562631e-25d0-f80a-fc8f-9a3c55b2ab5f&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Efluelda</a></strong>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><ul><li>1 dose par an d&egrave;s la 1<sup>&egrave;re</sup> dose</li><li>La Soci&eacute;t&eacute; Fran&ccedil;aise de G&eacute;riatrie et G&eacute;rontologie recommande l'utilisation d'<a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-efluelda" target="_blank" rel="noopener" data-w-id="1562631e-25d0-f80a-fc8f-9a3c55b2ab5f" data-wf-id="[&quot;1562631e-25d0-f80a-fc8f-9a3c55b2ab5f&quot;]" data-automation-id="dyn-item-diagnostics-input">Efluelda</a>&reg; chez les patients &gt; 65 ans</li></ul></td></tr></tbody></table><p></p><p></p>

Tenez votre téléphone horizontalement pour accéder aux rappels cliniques.

<table cellpadding="5"><caption>Tableau 1 - Diagnostic de la grippe</caption><tbody><tr><th>G&eacute;n&eacute;ralit&eacute;s</th></tr><tr><td><ul><li><strong data-w-id="82669d38-c015-1db8-9090-fd85959ccdd1" data-wf-id="[&quot;82669d38-c015-1db8-9090-fd85959ccdd1&quot;]" data-automation-id="dyn-item-diagnostics-input">Contagiosit&eacute; :</strong> 1 jour avant le d&eacute;but des sympt&ocirc;mes et jusqu'&agrave; 6 jours apr&egrave;s.</li><li><strong data-w-id="abdc272d-7edb-6663-b104-433fd03808e8" data-wf-id="[&quot;abdc272d-7edb-6663-b104-433fd03808e8&quot;]" data-automation-id="dyn-item-diagnostics-input">&Eacute;volution :</strong> r&eacute;gression des sympt&ocirc;mes en 5 &agrave; 7 jours sauf l'asth&eacute;nie et la toux qui peuvent durer plusieurs semaines.</li></ul></td></tr><tr><th>Clinique</th></tr><tr><td><ul><li data-w-id="b0634fd3-5f6e-b614-43ec-5c103a64ab5c" data-wf-id="[&quot;b0634fd3-5f6e-b614-43ec-5c103a64ab5c&quot;]" data-automation-id="dyn-item-diagnostics-input">Pic entre novembre et f&eacute;vrier,</li><li data-w-id="e6e67ad5-f383-e1cc-5015-7e068f2976a2" data-wf-id="[&quot;e6e67ad5-f383-e1cc-5015-7e068f2976a2&quot;]" data-automation-id="dyn-item-diagnostics-input">D&eacute;but brutal,</li><li data-w-id="c94506d6-d248-fcd6-a106-ada1949a7182" data-wf-id="[&quot;c94506d6-d248-fcd6-a106-ada1949a7182&quot;]" data-automation-id="dyn-item-diagnostics-input">Fi&egrave;vre &eacute;lev&eacute;e,</li><li data-w-id="4451374e-35ed-2ccb-647f-99781584caaf" data-wf-id="[&quot;4451374e-35ed-2ccb-647f-99781584caaf&quot;]" data-automation-id="dyn-item-diagnostics-input">Frissons,</li><li data-w-id="aa78d014-fc2b-4a61-e106-d86d286d0d12" data-wf-id="[&quot;aa78d014-fc2b-4a61-e106-d86d286d0d12&quot;]" data-automation-id="dyn-item-diagnostics-input">Arthro-myalgies,</li><li data-w-id="1848b3a9-8fa3-7c90-0a3e-2e4901423bae" data-wf-id="[&quot;1848b3a9-8fa3-7c90-0a3e-2e4901423bae&quot;]" data-automation-id="dyn-item-diagnostics-input">C&eacute;phal&eacute;es,</li><li data-w-id="afde689f-5b84-9d78-abd0-74ce9893070f" data-wf-id="[&quot;afde689f-5b84-9d78-abd0-74ce9893070f&quot;]" data-automation-id="dyn-item-diagnostics-input">Obstruction nasale, rhinorrh&eacute;e,</li><li data-w-id="03e569bc-3246-5d20-c4c1-4717dda687e3" data-wf-id="[&quot;03e569bc-3246-5d20-c4c1-4717dda687e3&quot;]" data-automation-id="dyn-item-diagnostics-input">Odynophagie,</li><li data-w-id="23633aac-150a-20ef-1f15-021959f220e7" data-wf-id="[&quot;23633aac-150a-20ef-1f15-021959f220e7&quot;]" data-automation-id="dyn-item-diagnostics-input">Toux.</li></ul></td></tr><tr><th>Paraclinique</th></tr><tr><td><ul><li data-w-id="ebb8b1aa-c188-a6dc-ae31-faa4267ee03e" data-wf-id="[&quot;ebb8b1aa-c188-a6dc-ae31-faa4267ee03e&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong data-w-id="89298bb4-cf5e-a975-8390-7ef368ecdebe" data-wf-id="[&quot;89298bb4-cf5e-a975-8390-7ef368ecdebe&quot;]" data-automation-id="dyn-item-diagnostics-input">Aucun examen n'est indiqu&eacute; pour confirmer le diagnostic, en l'absence de complication,</strong></li><li data-w-id="28c9b060-75b0-638e-62ae-de002964b05d" data-wf-id="[&quot;28c9b060-75b0-638e-62ae-de002964b05d&quot;]" data-automation-id="dyn-item-diagnostics-input">En p&eacute;riode d'&eacute;pid&eacute;mie,&nbsp;un test de diagnostic COVID-19 devra &ecirc;tre propos&eacute; pour &eacute;liminer le diagnostic (<a href="http://www.ordotype.fr/ordonnances-types/grippe-pcr-sars-cov-2-covid" target="_blank" rel="noopener">ordonnance test Covid-19</a>)</li><li data-w-id="6db0d50a-f81d-80a4-5e6c-55689ede5942" data-wf-id="[&quot;6db0d50a-f81d-80a4-5e6c-55689ede5942&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong data-w-id="b6c331fb-42ce-a1c4-0efe-38a33c7742ba" data-wf-id="[&quot;b6c331fb-42ce-a1c4-0efe-38a33c7742ba&quot;]" data-automation-id="dyn-item-diagnostics-input">En cas de complications</strong> (patient(e) hospitalis&eacute;(e)) ou dans le cadre d'&eacute;tudes &eacute;pid&eacute;miologiques : pr&eacute;l&egrave;vement nasopharyng&eacute; pour PCR ou test antig&eacute;nique</li></ul></td></tr></tbody></table><p>&nbsp;</p><table cellpadding="5"><caption>Tableau 2 - Prise en charge de la grippe</caption><tbody><tr><th colspan="3">Traitement symptomatique</th></tr><tr><td colspan="3"><ul><li data-w-id="6a528a4c-968c-79c1-dede-09ee3d6fce35" data-wf-id="[&quot;6a528a4c-968c-79c1-dede-09ee3d6fce35&quot;]" data-automation-id="dyn-item-diagnostics-input">Arr&ecirc;t de travail,</li><li data-w-id="1e14b847-ae2c-0842-f642-72bc0ff67c01" data-wf-id="[&quot;1e14b847-ae2c-0842-f642-72bc0ff67c01&quot;]" data-automation-id="dyn-item-diagnostics-input">Bonne hydratation,</li><li data-w-id="10c4a0a1-e8e0-140c-f5f5-c05942bb3164" data-wf-id="[&quot;10c4a0a1-e8e0-140c-f5f5-c05942bb3164&quot;]" data-automation-id="dyn-item-diagnostics-input">Gestes barri&egrave;res et isolement si possible,</li><li data-w-id="adaaaad8-d209-135c-acaa-bd5be1f69320" data-wf-id="[&quot;adaaaad8-d209-135c-acaa-bd5be1f69320&quot;]" data-automation-id="dyn-item-diagnostics-input">Parac&eacute;tamol (&eacute;viter les AINS et les cortico&iuml;des) :<ul><li data-w-id="adaaaad8-d209-135c-acaa-bd5be1f69320" data-wf-id="[&quot;adaaaad8-d209-135c-acaa-bd5be1f69320&quot;]" data-automation-id="dyn-item-diagnostics-input"><a href="http://www.ordotype.fr/ordonnances-types/grippe-symptomatique-adulte" target="_blank" rel="noopener">ordonnance adulte</a>,</li><li data-w-id="adaaaad8-d209-135c-acaa-bd5be1f69320" data-wf-id="[&quot;adaaaad8-d209-135c-acaa-bd5be1f69320&quot;]" data-automation-id="dyn-item-diagnostics-input"><a href="http://www.ordotype.fr/ordonnances-types/grippe-symptomatique-enfant" target="_blank" rel="noopener">ordonnance enfant</a>.</li></ul></li></ul></td></tr><tr><th colspan="3">Traitement antiviral</th></tr><tr><td style="background-color: #bef2d3; text-align: center;" colspan="3"><strong>Curatif</strong></td></tr><tr><td style="text-align: center;"><strong>Indications</strong></td><td style="text-align: center;" colspan="2"><ul><li style="text-align: left;">&Agrave; d&eacute;buter dans les 48h suivant le d&eacute;but des sympt&ocirc;mes,</li><li style="text-align: left;"><strong>Indications :</strong><ul><li style="text-align: left;">Grippe et :<ul><li>crit&egrave;res de gravit&eacute; ou hospitalisation n&eacute;cessaire,</li><li>sujet &agrave; risque de forme grave (voir la liste des indications vaccinales, tableau 4),</li></ul></li><li>Sujet partageant le m&ecirc;me toit qu'un cas index ET :<ul><li style="text-align: left;">porteur d'une affection cardiaque/pulmonaire grave, ou</li><li style="text-align: left;">immunod&eacute;prim&eacute;.</li></ul></li></ul></li></ul></td></tr><tr><td style="text-align: center;" rowspan="6"><strong>Traitement</strong></td><td style="text-align: center;"><strong>Adulte</strong></td><td style="text-align: left;">Inhibiteur de la neuraminidase type oseltamivir 75 mg x2/j pendant 5 jours&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-adulte-oseltamivir-curatif-2" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;"><strong>Poids/&acirc;ge</strong></td><td style="text-align: center;"><strong>Posologie oseltamivir (5 jours)</strong></td></tr><tr><td style="text-align: center;">23 kg &agrave; 40 kg</td><td style="text-align: center;">60 mg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-adulte-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">15 kg &agrave; 23 kg</td><td style="text-align: center;">45 mg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-15-23kg-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">10 kg &agrave; 15 kg</td><td style="text-align: center;">30 mg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-10-15kg-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">Enfant 6 mois - 1 an</td><td style="text-align: center;">3 mg/kg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-1-an-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="background-color: #bef2d3; text-align: center;" colspan="3"><strong>Pr&eacute;ventif</strong></td></tr><tr><td style="text-align: center;"><strong>Indications</strong></td><td style="text-align: center;" colspan="2"><ul><li style="text-align: left;">&Agrave; d&eacute;buter dans les 48h suivant le contage,</li><li style="text-align: left;"><strong>Indications :&nbsp;</strong><strong>sujet partageant le m&ecirc;me lieu de vie que le cas index ET :</strong><ul><li style="text-align: left;"><strong>&agrave; risque de forme grave (voir la liste des indications vaccinales tableau 4), ou</strong></li><li style="text-align: left;"><strong>vivant en collectivit&eacute; &agrave; risque (EHPAD...).</strong></li></ul></li></ul></td></tr><tr><td style="text-align: center;" rowspan="5"><strong>Traitement</strong></td><td style="text-align: center;"><strong>Adulte</strong></td><td>Oseltamivir 75 mg 1 fois par jour pendant 10 jours (<a href="http://www.ordotype.fr/ordonnances-types/grippe-adulte-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;"><strong>Poids/&acirc;ge</strong></td><td style="text-align: center;"><strong>Posologie oseltamivir (10 jours)</strong></td></tr><tr><td style="text-align: center;">23 kg &agrave; 40 kg</td><td style="text-align: center;">60 mg x1/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-23-40kg-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">15 kg &agrave; 23 kg</td><td style="text-align: center;">45 mg x1j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-15-23kg-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">10 kg &agrave; 15 kg</td><td style="text-align: center;">30 mg x1/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-10-15kg-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr></tbody></table><p>&nbsp;</p><table cellpadding="5"><caption>Tableau 3 - Complications</caption><tbody><tr><th>Complications</th></tr><tr><td><ul><li data-w-id="0ea72bbf-07cb-0400-c8a2-9d4a1b834781" data-wf-id="[&quot;0ea72bbf-07cb-0400-c8a2-9d4a1b834781&quot;]" data-automation-id="dyn-item-diagnostics-input">Grippe maligne primaire : pneumopathie alv&eacute;olo-interstitielle &eacute;voluant vers le SDRA</li><li data-w-id="9b206055-3b74-0b7a-5b4c-d1cdb7223216" data-wf-id="[&quot;9b206055-3b74-0b7a-5b4c-d1cdb7223216&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Surinfection bact&eacute;rienne :</strong><ul><li data-w-id="1849379e-fa65-0bdd-d8ce-7cf99188356e" data-wf-id="[&quot;1849379e-fa65-0bdd-d8ce-7cf99188356e&quot;]" data-automation-id="dyn-item-diagnostics-input">pneumopathie bact&eacute;rienne secondaire post-grippale :<ul><li data-w-id="a99270ed-7e65-bc70-c1b5-cf1ee9d1a0fa" data-wf-id="[&quot;a99270ed-7e65-bc70-c1b5-cf1ee9d1a0fa&quot;]" data-automation-id="dyn-item-diagnostics-input">Signes :<ul><li data-w-id="5e36e460-e320-5ec3-9668-28c59b457335" data-wf-id="[&quot;5e36e460-e320-5ec3-9668-28c59b457335&quot;]" data-automation-id="dyn-item-diagnostics-input">R&eacute;apparition de sympt&ocirc;mes apr&egrave;s une am&eacute;lioration initiale,</li><li data-w-id="ada0cb64-c5d0-1412-709d-1da53bc1a57c" data-wf-id="[&quot;ada0cb64-c5d0-1412-709d-1da53bc1a57c&quot;]" data-automation-id="dyn-item-diagnostics-input">Fi&egrave;vre,</li><li data-w-id="6345f597-5697-01b4-ab1f-1d0710c706ed" data-wf-id="[&quot;6345f597-5697-01b4-ab1f-1d0710c706ed&quot;]" data-automation-id="dyn-item-diagnostics-input">Expectoration purulentes +/- h&eacute;mopto&iuml;ques,</li><li data-w-id="0d0128a8-7dbf-21b4-787a-ec1fa6e0a92a" data-wf-id="[&quot;0d0128a8-7dbf-21b4-787a-ec1fa6e0a92a&quot;]" data-automation-id="dyn-item-diagnostics-input">Dyspn&eacute;e,</li><li data-w-id="2d33a8d3-d2bd-893c-309e-2364e0227db9" data-wf-id="[&quot;2d33a8d3-d2bd-893c-309e-2364e0227db9&quot;]" data-automation-id="dyn-item-diagnostics-input">Syndrome inflammatoire biologique (<a href="http://www.ordotype.fr/ordonnances-types/grippe-bilan-inflammatoire" target="_blank" rel="noopener">ordonnance</a>) : CRP &eacute;lev&eacute;e.</li></ul></li><li data-w-id="0f798425-7a63-e972-f41d-a1fe23d2d6d1" data-wf-id="[&quot;0f798425-7a63-e972-f41d-a1fe23d2d6d1&quot;]" data-automation-id="dyn-item-diagnostics-input">Faire une radio de thorax : recherche de foyer (<a href="http://www.ordotype.fr/ordonnances-types/grippe-radio-de-thorax" target="_blank" rel="noopener">ordonnance</a>),</li><li data-w-id="85c73f19-aabc-dcbb-1975-cf71b1cfca4c" data-wf-id="[&quot;85c73f19-aabc-dcbb-1975-cf71b1cfca4c&quot;]" data-automation-id="dyn-item-diagnostics-input">Antibioth&eacute;rapie par :<ul><li data-w-id="fe625c75-ffc2-2031-1435-26fbeb88a32d" data-wf-id="[&quot;fe625c75-ffc2-2031-1435-26fbeb88a32d&quot;]" data-automation-id="dyn-item-diagnostics-input">Amoxicilline/Acide clavulanique&nbsp;pendant 7 jours (<a href="http://www.ordotype.fr/ordonnances-types/grippe-pneumopathie-post-grippale" target="_blank" rel="noopener">ordonnance</a>),</li><li data-w-id="0d6ff46c-34c4-8e06-a54f-3739b5079837" data-wf-id="[&quot;0d6ff46c-34c4-8e06-a54f-3739b5079837&quot;]" data-automation-id="dyn-item-diagnostics-input">Si allergie &agrave; la p&eacute;nicilline :Pristinamycine&nbsp;durant 10 jours (<a href="http://www.ordotype.fr/ordonnances-types/grippe-pneumopathie-post-grippale-pristinamycine" target="_blank" rel="noopener">ordonnance</a>).</li></ul></li><li data-w-id="980cd020-30eb-c91a-aaf6-b45ec2c38f32" data-wf-id="[&quot;980cd020-30eb-c91a-aaf6-b45ec2c38f32&quot;]" data-automation-id="dyn-item-diagnostics-input">Hospitalisation en cas de :<ul><li data-w-id="274bb9ed-ea6b-45ad-f69e-94f53c01026d" data-wf-id="[&quot;274bb9ed-ea6b-45ad-f69e-94f53c01026d&quot;]" data-automation-id="dyn-item-diagnostics-input">Signe de gravit&eacute;,</li><li data-w-id="ea929149-8852-bcd2-9d92-7720744d4bec" data-wf-id="[&quot;ea929149-8852-bcd2-9d92-7720744d4bec&quot;]" data-automation-id="dyn-item-diagnostics-input">Age &gt; 65 ans,</li><li data-w-id="ef76ceaa-849a-33e6-aa22-0ca46559d41a" data-wf-id="[&quot;ef76ceaa-849a-33e6-aa22-0ca46559d41a&quot;]" data-automation-id="dyn-item-diagnostics-input">Comorbidit&eacute;,</li><li data-w-id="b1b0a9ca-9d95-f42f-2ff7-ffc8a4060ec0" data-wf-id="[&quot;b1b0a9ca-9d95-f42f-2ff7-ffc8a4060ec0&quot;]" data-automation-id="dyn-item-diagnostics-input">Absence d'am&eacute;lioration &agrave; 48 h de traitement,</li><li data-w-id="dcdcaf94-e190-e6f4-27eb-ac6e8a6df29a" data-wf-id="[&quot;dcdcaf94-e190-e6f4-27eb-ac6e8a6df29a&quot;]" data-automation-id="dyn-item-diagnostics-input">Incertitude sur l'observance ou la possibilit&eacute; de surveillance.</li></ul></li></ul></li><li data-w-id="8688cec2-8da9-fa5a-bbf4-44314364be06" data-wf-id="[&quot;8688cec2-8da9-fa5a-bbf4-44314364be06&quot;]" data-automation-id="dyn-item-diagnostics-input">Otite moyenne aigu&euml;</li><li data-w-id="7d7bfdaf-7557-2c98-f12c-9c429b722ac0" data-wf-id="[&quot;7d7bfdaf-7557-2c98-f12c-9c429b722ac0&quot;]" data-automation-id="dyn-item-diagnostics-input">Sinusite aigu&euml;</li><li data-w-id="43e34b2b-1438-5912-a58d-6c462df91ae5" data-wf-id="[&quot;43e34b2b-1438-5912-a58d-6c462df91ae5&quot;]" data-automation-id="dyn-item-diagnostics-input">Bronchite aigu&euml;</li></ul></li><li data-w-id="d942604b-27c8-6018-58ac-b3753b8b0bad" data-wf-id="[&quot;d942604b-27c8-6018-58ac-b3753b8b0bad&quot;]" data-automation-id="dyn-item-diagnostics-input">Myocardite, p&eacute;ricardite,</li><li data-w-id="2dd9c057-0b35-ff4c-c013-4ae9a2f5e5cd" data-wf-id="[&quot;2dd9c057-0b35-ff4c-c013-4ae9a2f5e5cd&quot;]" data-automation-id="dyn-item-diagnostics-input">Enc&eacute;phalite,</li><li data-w-id="d130ea35-84d2-b840-377b-40619ccd4743" data-wf-id="[&quot;d130ea35-84d2-b840-377b-40619ccd4743&quot;]" data-automation-id="dyn-item-diagnostics-input">Troubles digestifs,</li><li data-w-id="a4f9b6f5-0779-82b5-adcc-77d5596ea3cd" data-wf-id="[&quot;a4f9b6f5-0779-82b5-adcc-77d5596ea3cd&quot;]" data-automation-id="dyn-item-diagnostics-input">Rhabdomyolyse,</li><li data-w-id="909046ec-cda9-f635-e8de-3109660c5ace" data-wf-id="[&quot;909046ec-cda9-f635-e8de-3109660c5ace&quot;]" data-automation-id="dyn-item-diagnostics-input">Syndrome de Reye :<ul><li data-w-id="03b80640-20f8-eaa8-f1cd-9b21d4b799ae" data-wf-id="[&quot;03b80640-20f8-eaa8-f1cd-9b21d4b799ae&quot;]" data-automation-id="dyn-item-diagnostics-input">Contexte de traitement par aspirine,</li><li data-w-id="11902558-8b24-ddb7-8948-0773638c4089" data-wf-id="[&quot;11902558-8b24-ddb7-8948-0773638c4089&quot;]" data-automation-id="dyn-item-diagnostics-input">Enc&eacute;phalite aigu&euml;,</li><li data-w-id="012ad4bd-9555-05e5-45ca-fe3093ceb45d" data-wf-id="[&quot;012ad4bd-9555-05e5-45ca-fe3093ceb45d&quot;]" data-automation-id="dyn-item-diagnostics-input">H&eacute;patite aigu&euml; fulminante.</li></ul></li></ul></td></tr></tbody></table><p>&nbsp;</p><table style="width: 498px;" cellpadding="5"><caption>Tableau 4 - Vaccination contre la grippe</caption><tbody><tr><th style="width: 480px;" colspan="3">Vaccination anti-grippale</th></tr><tr><td style="width: 480px; background-color: #bef2d3; text-align: center;" colspan="3"><strong>Indications</strong></td></tr><tr><td style="width: 480px;" colspan="3"><ul><li data-w-id="a7a00969-6ce8-1f3e-8340-202acf2efb5b" data-wf-id="[&quot;a7a00969-6ce8-1f3e-8340-202acf2efb5b&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Populations &agrave; risque de forme grave&nbsp;(sujets de plus de 6 mois):</strong><ul><li data-w-id="15b273a8-3036-cb1b-463e-f744fb7551c5" data-wf-id="[&quot;15b273a8-3036-cb1b-463e-f744fb7551c5&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Patient(e)s &ge; 65 ans</strong>,</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Diab&egrave;tes de type 1 et de type 2</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Pneumologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladies respiratoires chroniques risquant d'&ecirc;tre aggrav&eacute;es ou d&eacute;compens&eacute;e par une affection grippale</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Dysplasies broncho-pulmonaires</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Mucoviscidose&nbsp;</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Cardiologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Cardiopathies cong&eacute;nitales cyanog&egrave;nes ou avec une HTAP et/ou une insuffisance cardiaque,</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Insuffisances cardiaques graves</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Valvulopathies graves&nbsp;</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Troubles du rythme graves justifiant un traitement au long cours</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladies des coronaires</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Neurologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Ant&eacute;c&eacute;dents d&rsquo;accident vasculaire c&eacute;r&eacute;bral</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Formes graves des affections neurologiques et musculaires (dont myopathie, poliomy&eacute;lite, myasth&eacute;nie et maladie de Charcot)</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Parapl&eacute;gies et t&eacute;trapl&eacute;gies avec atteinte diaphragmatique</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">N&eacute;phrologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">N&eacute;phropathies chroniques graves</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Syndromes n&eacute;phrotiques&nbsp;</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">IMC&nbsp;&ge; 40 kg/m<sup>2</sup></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladie h&eacute;patique chronique avec ou sans cirrhose</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">D&eacute;ficits immunitaires</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Pathologies oncologiques et h&eacute;matologiques, transplantations d&rsquo;organe et de cellules souches<br />h&eacute;matopo&iuml;&eacute;tiques</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladies inflammatoires et/ou auto-immunes recevant un traitement immunosuppresseur</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Personnes vivant avec le VIH quels que soient leur &acirc;ge et leur statut immunovirologique</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Personnes s&eacute;journant dans un &eacute;tablissement de soins de suite ainsi que dans un &eacute;tablissement<br />m&eacute;dico-social d&rsquo;h&eacute;bergement quel que soit leur &acirc;ge</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Entourage des nourrissons de moins de 6 mois pr&eacute;sentant des facteurs de risque de grippe grave<br />ainsi d&eacute;finis : pr&eacute;matur&eacute;s, notamment ceux porteurs de s&eacute;quelles &agrave; type de broncho-dysplasie, et<br />enfants atteints de cardiopathie cong&eacute;nitale, de d&eacute;ficit immunitaire cong&eacute;nital, de pathologie pulmonaire, neurologique ou neuromusculaire ou d&rsquo;une affection de longue dur&eacute;e ainsi que l&rsquo;entourage des personnes immunod&eacute;prim&eacute;es.</li><li>Dr&eacute;panocytoses, homozygotes et doubles h&eacute;t&eacute;rozygotes S/C, thalasso-dr&eacute;panocytose</li></ul></li><li data-w-id="f6c50ae3-e69a-ae3f-ec46-03a7b1f19746" data-wf-id="[&quot;f6c50ae3-e69a-ae3f-ec46-03a7b1f19746&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Professionnels :</strong><ul><li data-w-id="05078b35-5bdd-deef-d92f-dbc6249e072b" data-wf-id="[&quot;05078b35-5bdd-deef-d92f-dbc6249e072b&quot;]" data-automation-id="dyn-item-diagnostics-input">Tout professionel en contact r&eacute;guliers et prolong&eacute; avec des personnes &agrave; risque de grippe grave,</li><li data-w-id="4cccd9bf-a038-e5c4-9346-19f22c737e5c" data-wf-id="[&quot;4cccd9bf-a038-e5c4-9346-19f22c737e5c&quot;]" data-automation-id="dyn-item-diagnostics-input">Personnel navigant des bateaux de croisi&egrave;re et des avions et personnel de l&rsquo;industrie des voyages accompagnant les groupes de voyageurs (guides).</li></ul></li></ul></td></tr><tr><td style="width: 480px; background-color: #bef2d3; text-align: center;" colspan="3"><strong>Sch&eacute;ma vaccinal</strong></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>Age</strong></td><td style="width: 124.844px; text-align: center;"><strong>Vaccins autoris&eacute;s</strong></td><td style="width: 293.906px; text-align: center;"><strong>Sch&eacute;ma vaccinal</strong></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>6 mois &agrave; 3 ans</strong></td><td style="width: 124.844px;"><ul><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><ul><li>primovaccination : M0, M1</li><li>puis 1 dose par an</li></ul></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>3 ans &agrave; 8 ans</strong></td><td style="width: 124.844px;"><ul><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><ul><li>primovaccination : M0, M1</li><li>puis 1 dose par an</li></ul></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>9 ans &agrave; 65 ans</strong></td><td style="width: 124.844px;"><ul><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><p>1 dose par an d&egrave;s la 1<sup>&egrave;re</sup> dose</p></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>&gt;65 ans</strong></td><td style="width: 124.844px;"><br /><ul><li><strong><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-efluelda" target="_blank" rel="noopener" data-w-id="1562631e-25d0-f80a-fc8f-9a3c55b2ab5f" data-wf-id="[&quot;1562631e-25d0-f80a-fc8f-9a3c55b2ab5f&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Efluelda</a></strong>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><ul><li>1 dose par an d&egrave;s la 1<sup>&egrave;re</sup> dose</li><li>La Soci&eacute;t&eacute; Fran&ccedil;aise de G&eacute;riatrie et G&eacute;rontologie recommande l'utilisation d'<a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-efluelda" target="_blank" rel="noopener" data-w-id="1562631e-25d0-f80a-fc8f-9a3c55b2ab5f" data-wf-id="[&quot;1562631e-25d0-f80a-fc8f-9a3c55b2ab5f&quot;]" data-automation-id="dyn-item-diagnostics-input">Efluelda</a>&reg; chez les patients &gt; 65 ans</li></ul></td></tr></tbody></table><p></p><p></p>

<table cellpadding="5"><caption>Tableau 1 - Diagnostic de la grippe</caption><tbody><tr><th>G&eacute;n&eacute;ralit&eacute;s</th></tr><tr><td><ul><li><strong data-w-id="82669d38-c015-1db8-9090-fd85959ccdd1" data-wf-id="[&quot;82669d38-c015-1db8-9090-fd85959ccdd1&quot;]" data-automation-id="dyn-item-diagnostics-input">Contagiosit&eacute; :</strong> 1 jour avant le d&eacute;but des sympt&ocirc;mes et jusqu'&agrave; 6 jours apr&egrave;s.</li><li><strong data-w-id="abdc272d-7edb-6663-b104-433fd03808e8" data-wf-id="[&quot;abdc272d-7edb-6663-b104-433fd03808e8&quot;]" data-automation-id="dyn-item-diagnostics-input">&Eacute;volution :</strong> r&eacute;gression des sympt&ocirc;mes en 5 &agrave; 7 jours sauf l'asth&eacute;nie et la toux qui peuvent durer plusieurs semaines.</li></ul></td></tr><tr><th>Clinique</th></tr><tr><td><ul><li data-w-id="b0634fd3-5f6e-b614-43ec-5c103a64ab5c" data-wf-id="[&quot;b0634fd3-5f6e-b614-43ec-5c103a64ab5c&quot;]" data-automation-id="dyn-item-diagnostics-input">Pic entre novembre et f&eacute;vrier,</li><li data-w-id="e6e67ad5-f383-e1cc-5015-7e068f2976a2" data-wf-id="[&quot;e6e67ad5-f383-e1cc-5015-7e068f2976a2&quot;]" data-automation-id="dyn-item-diagnostics-input">D&eacute;but brutal,</li><li data-w-id="c94506d6-d248-fcd6-a106-ada1949a7182" data-wf-id="[&quot;c94506d6-d248-fcd6-a106-ada1949a7182&quot;]" data-automation-id="dyn-item-diagnostics-input">Fi&egrave;vre &eacute;lev&eacute;e,</li><li data-w-id="4451374e-35ed-2ccb-647f-99781584caaf" data-wf-id="[&quot;4451374e-35ed-2ccb-647f-99781584caaf&quot;]" data-automation-id="dyn-item-diagnostics-input">Frissons,</li><li data-w-id="aa78d014-fc2b-4a61-e106-d86d286d0d12" data-wf-id="[&quot;aa78d014-fc2b-4a61-e106-d86d286d0d12&quot;]" data-automation-id="dyn-item-diagnostics-input">Arthro-myalgies,</li><li data-w-id="1848b3a9-8fa3-7c90-0a3e-2e4901423bae" data-wf-id="[&quot;1848b3a9-8fa3-7c90-0a3e-2e4901423bae&quot;]" data-automation-id="dyn-item-diagnostics-input">C&eacute;phal&eacute;es,</li><li data-w-id="afde689f-5b84-9d78-abd0-74ce9893070f" data-wf-id="[&quot;afde689f-5b84-9d78-abd0-74ce9893070f&quot;]" data-automation-id="dyn-item-diagnostics-input">Obstruction nasale, rhinorrh&eacute;e,</li><li data-w-id="03e569bc-3246-5d20-c4c1-4717dda687e3" data-wf-id="[&quot;03e569bc-3246-5d20-c4c1-4717dda687e3&quot;]" data-automation-id="dyn-item-diagnostics-input">Odynophagie,</li><li data-w-id="23633aac-150a-20ef-1f15-021959f220e7" data-wf-id="[&quot;23633aac-150a-20ef-1f15-021959f220e7&quot;]" data-automation-id="dyn-item-diagnostics-input">Toux.</li></ul></td></tr><tr><th>Paraclinique</th></tr><tr><td><ul><li data-w-id="ebb8b1aa-c188-a6dc-ae31-faa4267ee03e" data-wf-id="[&quot;ebb8b1aa-c188-a6dc-ae31-faa4267ee03e&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong data-w-id="89298bb4-cf5e-a975-8390-7ef368ecdebe" data-wf-id="[&quot;89298bb4-cf5e-a975-8390-7ef368ecdebe&quot;]" data-automation-id="dyn-item-diagnostics-input">Aucun examen n'est indiqu&eacute; pour confirmer le diagnostic, en l'absence de complication,</strong></li><li data-w-id="28c9b060-75b0-638e-62ae-de002964b05d" data-wf-id="[&quot;28c9b060-75b0-638e-62ae-de002964b05d&quot;]" data-automation-id="dyn-item-diagnostics-input">En p&eacute;riode d'&eacute;pid&eacute;mie,&nbsp;un test de diagnostic COVID-19 devra &ecirc;tre propos&eacute; pour &eacute;liminer le diagnostic (<a href="http://www.ordotype.fr/ordonnances-types/grippe-pcr-sars-cov-2-covid" target="_blank" rel="noopener">ordonnance test Covid-19</a>)</li><li data-w-id="6db0d50a-f81d-80a4-5e6c-55689ede5942" data-wf-id="[&quot;6db0d50a-f81d-80a4-5e6c-55689ede5942&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong data-w-id="b6c331fb-42ce-a1c4-0efe-38a33c7742ba" data-wf-id="[&quot;b6c331fb-42ce-a1c4-0efe-38a33c7742ba&quot;]" data-automation-id="dyn-item-diagnostics-input">En cas de complications</strong> (patient(e) hospitalis&eacute;(e)) ou dans le cadre d'&eacute;tudes &eacute;pid&eacute;miologiques : pr&eacute;l&egrave;vement nasopharyng&eacute; pour PCR ou test antig&eacute;nique</li></ul></td></tr></tbody></table><p>&nbsp;</p><table cellpadding="5"><caption>Tableau 2 - Prise en charge de la grippe</caption><tbody><tr><th colspan="3">Traitement symptomatique</th></tr><tr><td colspan="3"><ul><li data-w-id="6a528a4c-968c-79c1-dede-09ee3d6fce35" data-wf-id="[&quot;6a528a4c-968c-79c1-dede-09ee3d6fce35&quot;]" data-automation-id="dyn-item-diagnostics-input">Arr&ecirc;t de travail,</li><li data-w-id="1e14b847-ae2c-0842-f642-72bc0ff67c01" data-wf-id="[&quot;1e14b847-ae2c-0842-f642-72bc0ff67c01&quot;]" data-automation-id="dyn-item-diagnostics-input">Bonne hydratation,</li><li data-w-id="10c4a0a1-e8e0-140c-f5f5-c05942bb3164" data-wf-id="[&quot;10c4a0a1-e8e0-140c-f5f5-c05942bb3164&quot;]" data-automation-id="dyn-item-diagnostics-input">Gestes barri&egrave;res et isolement si possible,</li><li data-w-id="adaaaad8-d209-135c-acaa-bd5be1f69320" data-wf-id="[&quot;adaaaad8-d209-135c-acaa-bd5be1f69320&quot;]" data-automation-id="dyn-item-diagnostics-input">Parac&eacute;tamol (&eacute;viter les AINS et les cortico&iuml;des) :<ul><li data-w-id="adaaaad8-d209-135c-acaa-bd5be1f69320" data-wf-id="[&quot;adaaaad8-d209-135c-acaa-bd5be1f69320&quot;]" data-automation-id="dyn-item-diagnostics-input"><a href="http://www.ordotype.fr/ordonnances-types/grippe-symptomatique-adulte" target="_blank" rel="noopener">ordonnance adulte</a>,</li><li data-w-id="adaaaad8-d209-135c-acaa-bd5be1f69320" data-wf-id="[&quot;adaaaad8-d209-135c-acaa-bd5be1f69320&quot;]" data-automation-id="dyn-item-diagnostics-input"><a href="http://www.ordotype.fr/ordonnances-types/grippe-symptomatique-enfant" target="_blank" rel="noopener">ordonnance enfant</a>.</li></ul></li></ul></td></tr><tr><th colspan="3">Traitement antiviral</th></tr><tr><td style="background-color: #bef2d3; text-align: center;" colspan="3"><strong>Curatif</strong></td></tr><tr><td style="text-align: center;"><strong>Indications</strong></td><td style="text-align: center;" colspan="2"><ul><li style="text-align: left;">&Agrave; d&eacute;buter dans les 48h suivant le d&eacute;but des sympt&ocirc;mes,</li><li style="text-align: left;"><strong>Indications :</strong><ul><li style="text-align: left;">Grippe et :<ul><li>crit&egrave;res de gravit&eacute; ou hospitalisation n&eacute;cessaire,</li><li>sujet &agrave; risque de forme grave (voir la liste des indications vaccinales, tableau 4),</li></ul></li><li>Sujet partageant le m&ecirc;me toit qu'un cas index ET :<ul><li style="text-align: left;">porteur d'une affection cardiaque/pulmonaire grave, ou</li><li style="text-align: left;">immunod&eacute;prim&eacute;.</li></ul></li></ul></li></ul></td></tr><tr><td style="text-align: center;" rowspan="6"><strong>Traitement</strong></td><td style="text-align: center;"><strong>Adulte</strong></td><td style="text-align: left;">Inhibiteur de la neuraminidase type oseltamivir 75 mg x2/j pendant 5 jours&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-adulte-oseltamivir-curatif-2" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;"><strong>Poids/&acirc;ge</strong></td><td style="text-align: center;"><strong>Posologie oseltamivir (5 jours)</strong></td></tr><tr><td style="text-align: center;">23 kg &agrave; 40 kg</td><td style="text-align: center;">60 mg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-adulte-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">15 kg &agrave; 23 kg</td><td style="text-align: center;">45 mg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-15-23kg-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">10 kg &agrave; 15 kg</td><td style="text-align: center;">30 mg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-10-15kg-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">Enfant 6 mois - 1 an</td><td style="text-align: center;">3 mg/kg x2/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-1-an-oseltamivir-curatif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="background-color: #bef2d3; text-align: center;" colspan="3"><strong>Pr&eacute;ventif</strong></td></tr><tr><td style="text-align: center;"><strong>Indications</strong></td><td style="text-align: center;" colspan="2"><ul><li style="text-align: left;">&Agrave; d&eacute;buter dans les 48h suivant le contage,</li><li style="text-align: left;"><strong>Indications :&nbsp;</strong><strong>sujet partageant le m&ecirc;me lieu de vie que le cas index ET :</strong><ul><li style="text-align: left;"><strong>&agrave; risque de forme grave (voir la liste des indications vaccinales tableau 4), ou</strong></li><li style="text-align: left;"><strong>vivant en collectivit&eacute; &agrave; risque (EHPAD...).</strong></li></ul></li></ul></td></tr><tr><td style="text-align: center;" rowspan="5"><strong>Traitement</strong></td><td style="text-align: center;"><strong>Adulte</strong></td><td>Oseltamivir 75 mg 1 fois par jour pendant 10 jours (<a href="http://www.ordotype.fr/ordonnances-types/grippe-adulte-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;"><strong>Poids/&acirc;ge</strong></td><td style="text-align: center;"><strong>Posologie oseltamivir (10 jours)</strong></td></tr><tr><td style="text-align: center;">23 kg &agrave; 40 kg</td><td style="text-align: center;">60 mg x1/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-23-40kg-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">15 kg &agrave; 23 kg</td><td style="text-align: center;">45 mg x1j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-15-23kg-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr><tr><td style="text-align: center;">10 kg &agrave; 15 kg</td><td style="text-align: center;">30 mg x1/j&nbsp;(<a href="http://www.ordotype.fr/ordonnances-types/grippe-enfant-10-15kg-oseltamivir-preventif" target="_blank" rel="noopener">ordonnance</a>)</td></tr></tbody></table><p>&nbsp;</p><table cellpadding="5"><caption>Tableau 3 - Complications</caption><tbody><tr><th>Complications</th></tr><tr><td><ul><li data-w-id="0ea72bbf-07cb-0400-c8a2-9d4a1b834781" data-wf-id="[&quot;0ea72bbf-07cb-0400-c8a2-9d4a1b834781&quot;]" data-automation-id="dyn-item-diagnostics-input">Grippe maligne primaire : pneumopathie alv&eacute;olo-interstitielle &eacute;voluant vers le SDRA</li><li data-w-id="9b206055-3b74-0b7a-5b4c-d1cdb7223216" data-wf-id="[&quot;9b206055-3b74-0b7a-5b4c-d1cdb7223216&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Surinfection bact&eacute;rienne :</strong><ul><li data-w-id="1849379e-fa65-0bdd-d8ce-7cf99188356e" data-wf-id="[&quot;1849379e-fa65-0bdd-d8ce-7cf99188356e&quot;]" data-automation-id="dyn-item-diagnostics-input">pneumopathie bact&eacute;rienne secondaire post-grippale :<ul><li data-w-id="a99270ed-7e65-bc70-c1b5-cf1ee9d1a0fa" data-wf-id="[&quot;a99270ed-7e65-bc70-c1b5-cf1ee9d1a0fa&quot;]" data-automation-id="dyn-item-diagnostics-input">Signes :<ul><li data-w-id="5e36e460-e320-5ec3-9668-28c59b457335" data-wf-id="[&quot;5e36e460-e320-5ec3-9668-28c59b457335&quot;]" data-automation-id="dyn-item-diagnostics-input">R&eacute;apparition de sympt&ocirc;mes apr&egrave;s une am&eacute;lioration initiale,</li><li data-w-id="ada0cb64-c5d0-1412-709d-1da53bc1a57c" data-wf-id="[&quot;ada0cb64-c5d0-1412-709d-1da53bc1a57c&quot;]" data-automation-id="dyn-item-diagnostics-input">Fi&egrave;vre,</li><li data-w-id="6345f597-5697-01b4-ab1f-1d0710c706ed" data-wf-id="[&quot;6345f597-5697-01b4-ab1f-1d0710c706ed&quot;]" data-automation-id="dyn-item-diagnostics-input">Expectoration purulentes +/- h&eacute;mopto&iuml;ques,</li><li data-w-id="0d0128a8-7dbf-21b4-787a-ec1fa6e0a92a" data-wf-id="[&quot;0d0128a8-7dbf-21b4-787a-ec1fa6e0a92a&quot;]" data-automation-id="dyn-item-diagnostics-input">Dyspn&eacute;e,</li><li data-w-id="2d33a8d3-d2bd-893c-309e-2364e0227db9" data-wf-id="[&quot;2d33a8d3-d2bd-893c-309e-2364e0227db9&quot;]" data-automation-id="dyn-item-diagnostics-input">Syndrome inflammatoire biologique (<a href="http://www.ordotype.fr/ordonnances-types/grippe-bilan-inflammatoire" target="_blank" rel="noopener">ordonnance</a>) : CRP &eacute;lev&eacute;e.</li></ul></li><li data-w-id="0f798425-7a63-e972-f41d-a1fe23d2d6d1" data-wf-id="[&quot;0f798425-7a63-e972-f41d-a1fe23d2d6d1&quot;]" data-automation-id="dyn-item-diagnostics-input">Faire une radio de thorax : recherche de foyer (<a href="http://www.ordotype.fr/ordonnances-types/grippe-radio-de-thorax" target="_blank" rel="noopener">ordonnance</a>),</li><li data-w-id="85c73f19-aabc-dcbb-1975-cf71b1cfca4c" data-wf-id="[&quot;85c73f19-aabc-dcbb-1975-cf71b1cfca4c&quot;]" data-automation-id="dyn-item-diagnostics-input">Antibioth&eacute;rapie par :<ul><li data-w-id="fe625c75-ffc2-2031-1435-26fbeb88a32d" data-wf-id="[&quot;fe625c75-ffc2-2031-1435-26fbeb88a32d&quot;]" data-automation-id="dyn-item-diagnostics-input">Amoxicilline/Acide clavulanique&nbsp;pendant 7 jours (<a href="http://www.ordotype.fr/ordonnances-types/grippe-pneumopathie-post-grippale" target="_blank" rel="noopener">ordonnance</a>),</li><li data-w-id="0d6ff46c-34c4-8e06-a54f-3739b5079837" data-wf-id="[&quot;0d6ff46c-34c4-8e06-a54f-3739b5079837&quot;]" data-automation-id="dyn-item-diagnostics-input">Si allergie &agrave; la p&eacute;nicilline :Pristinamycine&nbsp;durant 10 jours (<a href="http://www.ordotype.fr/ordonnances-types/grippe-pneumopathie-post-grippale-pristinamycine" target="_blank" rel="noopener">ordonnance</a>).</li></ul></li><li data-w-id="980cd020-30eb-c91a-aaf6-b45ec2c38f32" data-wf-id="[&quot;980cd020-30eb-c91a-aaf6-b45ec2c38f32&quot;]" data-automation-id="dyn-item-diagnostics-input">Hospitalisation en cas de :<ul><li data-w-id="274bb9ed-ea6b-45ad-f69e-94f53c01026d" data-wf-id="[&quot;274bb9ed-ea6b-45ad-f69e-94f53c01026d&quot;]" data-automation-id="dyn-item-diagnostics-input">Signe de gravit&eacute;,</li><li data-w-id="ea929149-8852-bcd2-9d92-7720744d4bec" data-wf-id="[&quot;ea929149-8852-bcd2-9d92-7720744d4bec&quot;]" data-automation-id="dyn-item-diagnostics-input">Age &gt; 65 ans,</li><li data-w-id="ef76ceaa-849a-33e6-aa22-0ca46559d41a" data-wf-id="[&quot;ef76ceaa-849a-33e6-aa22-0ca46559d41a&quot;]" data-automation-id="dyn-item-diagnostics-input">Comorbidit&eacute;,</li><li data-w-id="b1b0a9ca-9d95-f42f-2ff7-ffc8a4060ec0" data-wf-id="[&quot;b1b0a9ca-9d95-f42f-2ff7-ffc8a4060ec0&quot;]" data-automation-id="dyn-item-diagnostics-input">Absence d'am&eacute;lioration &agrave; 48 h de traitement,</li><li data-w-id="dcdcaf94-e190-e6f4-27eb-ac6e8a6df29a" data-wf-id="[&quot;dcdcaf94-e190-e6f4-27eb-ac6e8a6df29a&quot;]" data-automation-id="dyn-item-diagnostics-input">Incertitude sur l'observance ou la possibilit&eacute; de surveillance.</li></ul></li></ul></li><li data-w-id="8688cec2-8da9-fa5a-bbf4-44314364be06" data-wf-id="[&quot;8688cec2-8da9-fa5a-bbf4-44314364be06&quot;]" data-automation-id="dyn-item-diagnostics-input">Otite moyenne aigu&euml;</li><li data-w-id="7d7bfdaf-7557-2c98-f12c-9c429b722ac0" data-wf-id="[&quot;7d7bfdaf-7557-2c98-f12c-9c429b722ac0&quot;]" data-automation-id="dyn-item-diagnostics-input">Sinusite aigu&euml;</li><li data-w-id="43e34b2b-1438-5912-a58d-6c462df91ae5" data-wf-id="[&quot;43e34b2b-1438-5912-a58d-6c462df91ae5&quot;]" data-automation-id="dyn-item-diagnostics-input">Bronchite aigu&euml;</li></ul></li><li data-w-id="d942604b-27c8-6018-58ac-b3753b8b0bad" data-wf-id="[&quot;d942604b-27c8-6018-58ac-b3753b8b0bad&quot;]" data-automation-id="dyn-item-diagnostics-input">Myocardite, p&eacute;ricardite,</li><li data-w-id="2dd9c057-0b35-ff4c-c013-4ae9a2f5e5cd" data-wf-id="[&quot;2dd9c057-0b35-ff4c-c013-4ae9a2f5e5cd&quot;]" data-automation-id="dyn-item-diagnostics-input">Enc&eacute;phalite,</li><li data-w-id="d130ea35-84d2-b840-377b-40619ccd4743" data-wf-id="[&quot;d130ea35-84d2-b840-377b-40619ccd4743&quot;]" data-automation-id="dyn-item-diagnostics-input">Troubles digestifs,</li><li data-w-id="a4f9b6f5-0779-82b5-adcc-77d5596ea3cd" data-wf-id="[&quot;a4f9b6f5-0779-82b5-adcc-77d5596ea3cd&quot;]" data-automation-id="dyn-item-diagnostics-input">Rhabdomyolyse,</li><li data-w-id="909046ec-cda9-f635-e8de-3109660c5ace" data-wf-id="[&quot;909046ec-cda9-f635-e8de-3109660c5ace&quot;]" data-automation-id="dyn-item-diagnostics-input">Syndrome de Reye :<ul><li data-w-id="03b80640-20f8-eaa8-f1cd-9b21d4b799ae" data-wf-id="[&quot;03b80640-20f8-eaa8-f1cd-9b21d4b799ae&quot;]" data-automation-id="dyn-item-diagnostics-input">Contexte de traitement par aspirine,</li><li data-w-id="11902558-8b24-ddb7-8948-0773638c4089" data-wf-id="[&quot;11902558-8b24-ddb7-8948-0773638c4089&quot;]" data-automation-id="dyn-item-diagnostics-input">Enc&eacute;phalite aigu&euml;,</li><li data-w-id="012ad4bd-9555-05e5-45ca-fe3093ceb45d" data-wf-id="[&quot;012ad4bd-9555-05e5-45ca-fe3093ceb45d&quot;]" data-automation-id="dyn-item-diagnostics-input">H&eacute;patite aigu&euml; fulminante.</li></ul></li></ul></td></tr></tbody></table><p>&nbsp;</p><table style="width: 498px;" cellpadding="5"><caption>Tableau 4 - Vaccination contre la grippe</caption><tbody><tr><th style="width: 480px;" colspan="3">Vaccination anti-grippale</th></tr><tr><td style="width: 480px; background-color: #bef2d3; text-align: center;" colspan="3"><strong>Indications</strong></td></tr><tr><td style="width: 480px;" colspan="3"><ul><li data-w-id="a7a00969-6ce8-1f3e-8340-202acf2efb5b" data-wf-id="[&quot;a7a00969-6ce8-1f3e-8340-202acf2efb5b&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Populations &agrave; risque de forme grave&nbsp;(sujets de plus de 6 mois):</strong><ul><li data-w-id="15b273a8-3036-cb1b-463e-f744fb7551c5" data-wf-id="[&quot;15b273a8-3036-cb1b-463e-f744fb7551c5&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Patient(e)s &ge; 65 ans</strong>,</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Diab&egrave;tes de type 1 et de type 2</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Pneumologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladies respiratoires chroniques risquant d'&ecirc;tre aggrav&eacute;es ou d&eacute;compens&eacute;e par une affection grippale</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Dysplasies broncho-pulmonaires</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Mucoviscidose&nbsp;</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Cardiologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Cardiopathies cong&eacute;nitales cyanog&egrave;nes ou avec une HTAP et/ou une insuffisance cardiaque,</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Insuffisances cardiaques graves</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Valvulopathies graves&nbsp;</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Troubles du rythme graves justifiant un traitement au long cours</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladies des coronaires</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Neurologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Ant&eacute;c&eacute;dents d&rsquo;accident vasculaire c&eacute;r&eacute;bral</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Formes graves des affections neurologiques et musculaires (dont myopathie, poliomy&eacute;lite, myasth&eacute;nie et maladie de Charcot)</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Parapl&eacute;gies et t&eacute;trapl&eacute;gies avec atteinte diaphragmatique</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">N&eacute;phrologique :<ul><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">N&eacute;phropathies chroniques graves</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Syndromes n&eacute;phrotiques&nbsp;</li></ul></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">IMC&nbsp;&ge; 40 kg/m<sup>2</sup></li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladie h&eacute;patique chronique avec ou sans cirrhose</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">D&eacute;ficits immunitaires</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Pathologies oncologiques et h&eacute;matologiques, transplantations d&rsquo;organe et de cellules souches<br />h&eacute;matopo&iuml;&eacute;tiques</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Maladies inflammatoires et/ou auto-immunes recevant un traitement immunosuppresseur</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Personnes vivant avec le VIH quels que soient leur &acirc;ge et leur statut immunovirologique</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Personnes s&eacute;journant dans un &eacute;tablissement de soins de suite ainsi que dans un &eacute;tablissement<br />m&eacute;dico-social d&rsquo;h&eacute;bergement quel que soit leur &acirc;ge</li><li data-w-id="f21cdd37-3e06-a1af-58f4-30d7801e1a02" data-wf-id="[&quot;f21cdd37-3e06-a1af-58f4-30d7801e1a02&quot;]" data-automation-id="dyn-item-diagnostics-input">Entourage des nourrissons de moins de 6 mois pr&eacute;sentant des facteurs de risque de grippe grave<br />ainsi d&eacute;finis : pr&eacute;matur&eacute;s, notamment ceux porteurs de s&eacute;quelles &agrave; type de broncho-dysplasie, et<br />enfants atteints de cardiopathie cong&eacute;nitale, de d&eacute;ficit immunitaire cong&eacute;nital, de pathologie pulmonaire, neurologique ou neuromusculaire ou d&rsquo;une affection de longue dur&eacute;e ainsi que l&rsquo;entourage des personnes immunod&eacute;prim&eacute;es.</li><li>Dr&eacute;panocytoses, homozygotes et doubles h&eacute;t&eacute;rozygotes S/C, thalasso-dr&eacute;panocytose</li></ul></li><li data-w-id="f6c50ae3-e69a-ae3f-ec46-03a7b1f19746" data-wf-id="[&quot;f6c50ae3-e69a-ae3f-ec46-03a7b1f19746&quot;]" data-automation-id="dyn-item-diagnostics-input"><strong>Professionnels :</strong><ul><li data-w-id="05078b35-5bdd-deef-d92f-dbc6249e072b" data-wf-id="[&quot;05078b35-5bdd-deef-d92f-dbc6249e072b&quot;]" data-automation-id="dyn-item-diagnostics-input">Tout professionel en contact r&eacute;guliers et prolong&eacute; avec des personnes &agrave; risque de grippe grave,</li><li data-w-id="4cccd9bf-a038-e5c4-9346-19f22c737e5c" data-wf-id="[&quot;4cccd9bf-a038-e5c4-9346-19f22c737e5c&quot;]" data-automation-id="dyn-item-diagnostics-input">Personnel navigant des bateaux de croisi&egrave;re et des avions et personnel de l&rsquo;industrie des voyages accompagnant les groupes de voyageurs (guides).</li></ul></li></ul></td></tr><tr><td style="width: 480px; background-color: #bef2d3; text-align: center;" colspan="3"><strong>Sch&eacute;ma vaccinal</strong></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>Age</strong></td><td style="width: 124.844px; text-align: center;"><strong>Vaccins autoris&eacute;s</strong></td><td style="width: 293.906px; text-align: center;"><strong>Sch&eacute;ma vaccinal</strong></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>6 mois &agrave; 3 ans</strong></td><td style="width: 124.844px;"><ul><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><ul><li>primovaccination : M0, M1</li><li>puis 1 dose par an</li></ul></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>3 ans &agrave; 8 ans</strong></td><td style="width: 124.844px;"><ul><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><ul><li>primovaccination : M0, M1</li><li>puis 1 dose par an</li></ul></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>9 ans &agrave; 65 ans</strong></td><td style="width: 124.844px;"><ul><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><p>1 dose par an d&egrave;s la 1<sup>&egrave;re</sup> dose</p></td></tr><tr><td style="width: 33.25px; text-align: center;"><strong>&gt;65 ans</strong></td><td style="width: 124.844px;"><br /><ul><li><strong><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-efluelda" target="_blank" rel="noopener" data-w-id="1562631e-25d0-f80a-fc8f-9a3c55b2ab5f" data-wf-id="[&quot;1562631e-25d0-f80a-fc8f-9a3c55b2ab5f&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Efluelda</a></strong>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-vaxigrip-tetra" target="_blank" rel="noopener" data-w-id="1cb85d67-8739-c463-ecf8-9468413fec27" data-wf-id="[&quot;1cb85d67-8739-c463-ecf8-9468413fec27&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Vaxigrip Tetra</a>&reg;</li><li><a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-influvac-tetra" target="_blank" rel="noopener" data-w-id="7b21e82b-e335-ec17-4334-b58bbf718104" data-wf-id="[&quot;7b21e82b-e335-ec17-4334-b58bbf718104&quot;]" data-automation-id="dyn-item-diagnostics-input">Ordonnance Influvac Tetra</a>&reg;</li></ul></td><td style="width: 293.906px;"><ul><li>1 dose par an d&egrave;s la 1<sup>&egrave;re</sup> dose</li><li>La Soci&eacute;t&eacute; Fran&ccedil;aise de G&eacute;riatrie et G&eacute;rontologie recommande l'utilisation d'<a href="http://www.ordotype.fr/ordonnances-types/grippe-vaccin-efluelda" target="_blank" rel="noopener" data-w-id="1562631e-25d0-f80a-fc8f-9a3c55b2ab5f" data-wf-id="[&quot;1562631e-25d0-f80a-fc8f-9a3c55b2ab5f&quot;]" data-automation-id="dyn-item-diagnostics-input">Efluelda</a>&reg; chez les patients &gt; 65 ans</li></ul></td></tr></tbody></table><p></p><p></p>

Tenez votre téléphone horizontalement pour accéder aux rappels cliniques.
Sources :
Pour savoir quelle ordonnance correspond à la situation de votre patient, consultez les rappels cliniques.
X
Bilans
Pour savoir quelle ordonnance correspond à la situation de votre patient, consultez les rappels cliniques.
Traitements
Ordonnances types claires, mises à jour régulièrement.
Rappels des connaissances essentielles.
Bilans et traitements complets, à jour et copiables en un clic.
Fiches conseils imprimables et sites utiles à l'information de vos patients.
Tous les outils nécessaires à la prise en charge simple et complète de vos patients.
Bilans
Bilans
Bilans
Traitements
Traitements
Traitements
Traitements
Traitements
Traitements
Traitements
Traitements
Traitements
Traitements
Traitements
Traitements
Traitements
Traitements
Traitements
Traitements
Traitements
Commenter la fiche
Titre :
Merci !


Votre commentaire va s'afficher sous peu.
Oops! Something went wrong while submitting the form.