{"id":322780,"date":"2020-10-31T09:43:18","date_gmt":"2020-10-31T08:43:18","guid":{"rendered":"http:\/\/kapitalis.com\/tunisie\/?p=322780"},"modified":"2020-10-31T09:43:21","modified_gmt":"2020-10-31T08:43:21","slug":"sante-la-crise-de-la-covid-19-nest-que-la-face-visible-de-liceberg","status":"publish","type":"post","link":"https:\/\/kapitalis.com\/tunisie\/2020\/10\/31\/sante-la-crise-de-la-covid-19-nest-que-la-face-visible-de-liceberg\/","title":{"rendered":"Sant\u00e9 : La crise de la Covid-19 n’est que la face visible de l\u2019iceberg"},"content":{"rendered":"\n
\"\"
Un syst\u00e8me de sant\u00e9 manquant de tout et q<\/strong>ui s’est beaucoup d\u00e9t\u00e9rior\u00e9 au cours des 10 derni\u00e8res ann\u00e9es. . <\/em><\/figcaption><\/figure>\n\n\n\n

La reprise de l\u2019\u00e9pid\u00e9mie nous fait craindre des dommages collat\u00e9raux. Car la prise en charge des patients Covid-19 a pris le dessus sur tout le reste\u2026 avec un risque d\u2019aboutir \u00e0 un drame.<\/em><\/strong><\/p>\n\n\n\n

Par Pr Houcine Maghrebi<\/strong> *<\/p>\n\n\n\n\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

\u00abIl y aura des dommages collat\u00e9raux\u00bb\u2026 \u00abIl faut \u00e9viter les pertes de chances pour les patients non Covid\u00bb\u2026<\/em><\/p>\n\n\n\n

Je n\u2019aime pas vraiment m\u2019exprimer publiquement. Mais la situation alarmante et les prises de d\u00e9cisions unilat\u00e9rales nous poussent \u00e0 tirer la sonnette d’alarme !!<\/p>\n\n\n\n

Notre inqui\u00e9tude est grande car nous avons beaucoup de patients fragiles qui n\u00e9cessitent des soins pour des pathologies plus graves que la Covid-19.<\/p>\n\n\n\n

La reprise de l\u2019\u00e9pid\u00e9mie nous fait craindre des dommages collat\u00e9raux. La prise en charge des patients Covid-19 a pris le dessus sur tout le reste\u2026 avec un risque d’aboutir \u00e0 un drame.<\/p>\n\n\n\n

Un condens\u00e9 de populisme et d\u2019amateurisme confus<\/h3>\n\n\n\n

Face \u00e0 ce d\u00e9fi sanitaire sans pr\u00e9c\u00e9dent, la gestion de la pand\u00e9mie m\u00eame \u00e0 l\u2019\u00e9chelle mondiale ressemble \u00e0 un condens\u00e9 de populisme et d\u2019amateurisme confus et autoritaire. Et pour cause : le manque de consultation des experts de diff\u00e9rents domaines, le d\u00e9ni de la r\u00e9alit\u00e9 d\u00e9plorable de notre syst\u00e8me de sant\u00e9, les d\u00e9cisions unilat\u00e9rales et court-termistes, et surtout l\u2019ego surdimensionn\u00e9 de certaines personnes auto-d\u00e9clar\u00e9es experts d\u00e9cideurs qui nous font la sourde oreille! Et dont la seule hantise est devenue le nombre de lit oxyg\u00e8ne ou de r\u00e9a qui sera annonc\u00e9 aux journaux et aux plateaux de t\u00e9l\u00e9vision !<\/p>\n\n\n\n

Notre inqui\u00e9tude est grande car nous avons beaucoup de patients fragiles qui n\u00e9cessitent des soins pour des pathologies aussi graves que la Covid-19.<\/p>\n\n\n\n

La pand\u00e9mie n\u2019arr\u00eate pas les accidents de la voie publique (nos routes sont parmi les plus meurtri\u00e8res au monde), les cancers (deuxi\u00e8me cause de d\u00e9c\u00e8s dans le monde), les urgences chirurgicales de tous genres\u2026<\/p>\n\n\n\n

Hausse des taux des pathologies compliqu\u00e9es<\/h3>\n\n\n\n

Lors de la premi\u00e8re vague, des chirurgies \u00e9lectives \u00e9taient annul\u00e9es ou report\u00e9es, afin d\u2019offrir des lits aux patients infect\u00e9s. Quand notre de service de chirurgie de l\u2019h\u00f4pital de La Rabta \u00e0 Tunis avait r\u00e9cup\u00e9r\u00e9 l\u2019activit\u00e9 des services de chirurgies r\u00e9quisitionn\u00e9s pour cause de Covid, on avait \u00e9t\u00e9 submerg\u00e9 par des pathologies diagnostiqu\u00e9es ou trait\u00e9es \u00e0 un stade tardif : lithiases simples devenue chol\u00e9cystites, des hernies devenues \u00e9trangl\u00e9es, des malades canc\u00e9reux \u00e0 des stades avanc\u00e9s\u2026 Nous avions fait face \u00e0 des taux des pathologies compliqu\u00e9es dont les cons\u00e9quences \u00e9taient graves : p\u00e9ritonites, chocs septiques, gangr\u00e8nes\u2026<\/p>\n\n\n\n

A ce jour, on n\u2019a pas encore rattrap\u00e9 le retard d\u2019op\u00e9rations du printemps\u2026 Si on doit de nouveau les annuler faute de places suffisantes en r\u00e9animation, on commence \u00e0 rentrer dans la perte de chance pour nos malades. Et ca s\u2019appelle faire du tri parce qu\u2019on ne compte que les d\u00e9g\u00e2ts Covid \u00e0 la t\u00e9l\u00e9 !<\/p>\n\n\n\n

Ailleurs aussi, lors de la premi\u00e8re vague, des milliers de patients ont vu leurs actes chirurgicaux d\u00e9programm\u00e9s en raison de l\u2019\u00e9pid\u00e9mie. D\u2019apr\u00e8s une \u00e9tude men\u00e9e par le groupe CovidSurg Collaborative dont on \u00e9tait un des acteurs, la Covid-19 aurait engendr\u00e9 le report de plus de 28 millions d\u2019interventions chirurgicales \u00e0 travers le monde suite \u00e0 l\u2019interruption de 12 semaines de l\u2019activit\u00e9 hospitali\u00e8re, au profit de l\u2019accueil des malades de la Covid-19. De m\u00eame, d\u2019apr\u00e8s une \u00e9tude publi\u00e9e dans le British Journal of Surgery, chaque nouvelle semaine d\u2019interruption des services hospitaliers entra\u00eenerait 2,4 millions de nouvelles annulations.<\/p>\n\n\n\n

L\u2019\u00e9tat critique du secteur de la sant\u00e9 publique complique la situation<\/h3>\n\n\n\n

Les soignants avaient alert\u00e9 \u00e0 maintes reprises que nos h\u00f4pitaux v\u00e9g\u00e9taient dans un \u00e9tat d\u00e9plorable comme jamais vu ! Que l\u2019\u00e9tat critique du secteur de la sant\u00e9 publique ne faisait qu\u2019empirer depuis une dizaine d\u2019ann\u00e9es et que l\u2019endettement des h\u00f4pitaux publics (exemple du CHU La Rabta) entravait le fonctionnement et m\u00eame la s\u00e9curit\u00e9 des diff\u00e9rents intervenants\u2026 Malheureusement, on sent que la sant\u00e9 ne semble pas repr\u00e9senter une priorit\u00e9 absolue, notamment avec la compression budg\u00e9taire d\u2019ann\u00e9e en ann\u00e9e.<\/p>\n\n\n\n

\u00c0 ce niveau, force est de rappeler que les d\u00e9faillances existent \u00e0 plusieurs niveaux: des d\u00e9faillances au niveau de l\u2019infrastructure, de l\u2019\u00e9quipement, des ressources humaines, des m\u00e9dicaments\u2026 Que si on a choisi de rester en Tunisie et de continuer \u00e0 lutter pour pr\u00e9server le secteur de sant\u00e9 publique, on ne peut en aucun cas accepter de mettre en p\u00e9ril la vie de nos malades\u2026<\/p>\n\n\n\n

* Professeur agr\u00e9g\u00e9 en chirurgie visc\u00e9rale, secr\u00e9taire g\u00e9n\u00e9ral adjoint de la Soci\u00e9t\u00e9 Tunisienne de chirurgie laparoscopique.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

La reprise de l\u2019\u00e9pid\u00e9mie nous fait craindre des dommages collat\u00e9raux. Car la prise en charge des patients Covid-19 a pris le dessus sur tout le reste\u2026 avec un risque d\u2019aboutir \u00e0 un drame. Par Pr Houcine Maghrebi *<\/p>\n","protected":false},"author":8,"featured_media":322781,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[992,998,1000,2433],"tags":[84326,75291,84325,1881,84324],"class_list":["post-322780","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-a-la-une","category-societe","category-tribune","category-tunisie","tag-british-journal-of-surgery","tag-covid-19","tag-covidsurg-collaborative","tag-sante-publique","tag-urgences-chirurgicales"],"yoast_head":"\nSant\u00e9 : La crise de la Covid-19 n'est que la face visible de l\u2019iceberg - Kapitalis<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kapitalis.com\/tunisie\/2020\/10\/31\/sante-la-crise-de-la-covid-19-nest-que-la-face-visible-de-liceberg\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sant\u00e9 : La crise de la Covid-19 n'est que la face visible de l\u2019iceberg - Kapitalis\" \/>\n<meta property=\"og:description\" content=\"La reprise de l\u2019\u00e9pid\u00e9mie nous fait craindre des dommages collat\u00e9raux. 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