En 2019 la nomenclature des actes de biologie medicale en microbiologie evolue !
Sont progressivement créées des rubriques par pathologie pour le diagnostic des infections.
En premier : Toxoplasme et Herpèsvirus
Voici pour cette première rubrique un résumé de la décision du 4 octobre 2018, parue au JO RF n°0009 du 11 janvier 2019 :
→ Infections par le toxoplasme
- Introduction du test d’avidité
- Introduction de la détection du génome du toxoplasme
→ Infections par les virus herpes simplex (HSV)
- Limitation des indications de la sérologie
- Introduction de la détection du génome viral avec typage HSV-1 et HSV-2 pour le diagnostic de lésions survenant chez la femme enceinte pendant la grossesse, de suspicion d’herpes chez le nouveau-né, et en cas d’infection oculaire, viscérale, ou du système nerveux central
→ Infections par le virus de la varicelle et du zona (VZV)
- Limitation des indications de la sérologie
- Introduction de la détection du génome viral pour les atteintes sévères, oculaires, neurologiques, et pour les atteintes cutanées atypiques, ainsi que pour le diagnostic de transmission materno-fœtale.
→ Infections par le cytomégalovirus (CMV)
- Introduction du test d’avidité
- Introduction de la mesure de la charge virale du CMV
Ces progrès importants pour la prise en charge des patients sont le résultat d’un travail de longue haleine, auquel ont participé en tant qu’experts des membres de la SFM et des CNRs concernés.
Sophie Alain
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Membre du Conseil d’Administration
Zachariah Lychwala
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