{"id":5756,"date":"2023-06-29T17:02:47","date_gmt":"2023-06-29T13:02:47","guid":{"rendered":"https:\/\/urpspharma.re\/?p=5756"},"modified":"2023-08-21T17:09:33","modified_gmt":"2023-08-21T13:09:33","slug":"tension-dapprovisionnement-clindamycine-levofloxacine","status":"publish","type":"post","link":"https:\/\/urpspharma.re\/?p=5756","title":{"rendered":"Tension d&#8217;approvisionnement : CLINDAMYCINE \/ LEVOFLOXACINE"},"content":{"rendered":"<h2 class=\"mc-toc-title\" style=\"text-align: center;\"><span style=\"color: #003366;\">Au niveau national et recommandations<\/span><\/h2>\n<div dir=\"auto\">\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">\n<div dir=\"auto\">Votre URPS vous informe d&#8217;une tension d&#8217;approvisionnement pour certaines sp\u00e9cialit\u00e9s depuis quelques semaines d\u00e9j\u00e0.Dans ce contexte, il est probable, que les officines de ville ne puissent plus honorer les ordonnances.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div dir=\"auto\">Cette tension d&#8217;approvisionnement concerne les sp\u00e9cialit\u00e9s \u00e0 base :- de CLINDAMYCINE \u00a0(Dalacine)<br \/>\n&#8211; de LEVOFLOXACINE<\/p>\n<p>qui sont distribu\u00e9es sur le double canal ville\/h\u00f4pital.<\/p>\n<\/div>\n<div dir=\"auto\">\n<h2 class=\"mc-toc-title\"><span style=\"color: #333366;\">Point sur les alternatives provisoires<\/span><\/h2>\n<\/div>\n<div dir=\"auto\"><strong>En cas de dispensation impossible de\u00a0clindamycine ou de\u00a0l\u00e9vofloxacine le CRAtb (Centre R\u00e9gional en Antibioth\u00e9rapie)<\/strong>\u00a0<strong>propose aux officines les alternatives suivantes :<\/strong><\/div>\n<div dir=\"auto\"><\/div>\n<div dir=\"auto\">Attention : la disponibilit\u00e9 de ces sp\u00e9cialit\u00e9s \u00e0 l\u2019h\u00f4pital est r\u00e9serv\u00e9 aux patients hospitalis\u00e9s.<\/div>\n<div dir=\"auto\">\n<h2 class=\"mc-toc-title\"><span style=\"color: #333366;\">Sp\u00e9cialit\u00e9 \u00e0 base de CLINDAMYCINE<\/span><\/h2>\n<\/div>\n<div dir=\"auto\">Pour les pharmaciens :<\/div>\n<div dir=\"auto\"><\/div>\n<div dir=\"auto\">\n<ul>\n<li>\u00a0En cas d\u2019infection cutan\u00e9e courante et d\u2019allergie aux B-lactamines, \u00a0proposer un switch par pristinamycine au m\u00e9decin prescripteur<\/li>\n<li>En cas d\u2019infection ost\u00e9o-articulaire, proposer un avis infectiologie<\/li>\n<li>Prioriser la dispensation \u00e0 l\u2019unit\u00e9 quand cela est possible<\/li>\n<\/ul>\n<p>Pour les prescripteurs :<\/p>\n<ul>\n<li>En cas d\u2019infection cutan\u00e9e courante et d\u2019allergie aux B-lactamines, \u00a0prescrire pristinamycine \u00a0PO 1g x 3\/j<\/li>\n<li>En cas d\u2019infection ost\u00e9o-articulaire, recourir \u00e0 un avis infectiologie<\/li>\n<li>Recourir \u00e0 un avis infectiologie en cas de doute<\/li>\n<\/ul>\n<\/div>\n<div dir=\"auto\"><\/div>\n<div dir=\"auto\">&gt;&gt;\u00a0<a href=\"https:\/\/drive.google.com\/file\/d\/1pV36xa4w33lN2S_vQKMhpAxDOuR7d2qP\/view?usp=sharing\" target=\"_blank\" rel=\"noopener noreferrer\">CRAtb : Bulletin n\u00b03 de juin 2023<\/a><\/div>\n<div dir=\"auto\"><\/div>\n<div dir=\"auto\">\n<div><strong>Pour rappel, la clindamycine est indiqu\u00e9e dans\u00a0:<\/strong><\/div>\n<ul>\n<li><strong>les infections cutan\u00e9es bact\u00e9riennes courantes en cas d\u2019allergies aux B-lactamines,<\/strong><\/li>\n<li><strong>les infections cutan\u00e9es graves en association aux B-lactamines,<\/strong><\/li>\n<li><strong>les infections ost\u00e9o-articulaires sur mat\u00e9riel<\/strong><\/li>\n<\/ul>\n<div>Pour plus d\u2019informations sur les infections cutan\u00e9es :&gt;&gt;\u00a0<a href=\"https:\/\/urldefense.com\/v3\/__https:\/www.has-sante.fr\/upload\/docs\/application\/pdf\/2019-03\/fiche_de_synthese_infections_cutanees_mel.pdf__;!!LUczA2Q!_LLNQuGKRXikyL7qIC0oXq8DV6MZn_LWLSW7OSbJ9WP6RxW-CSo1UUcqQXVOXqtUTn9nEFyoqM5yy5T3LYj9prMMJZvr01CEFYHh$\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/urldefense.com\/v3\/__https:\/www.has-sante.fr\/upload\/docs\/application\/pdf\/2019-03\/fiche_de_synthese_infections_cutanees_mel.pdf__;!!LUczA2Q!_LLNQuGKRXikyL7qIC0oXq8DV6MZn_LWLSW7OSbJ9WP6RxW-CSo1UUcqQXVOXqtUTn9nEFyoqM5yy5T3LYj9prMMJZvr01CEFYHh$&amp;source=gmail&amp;ust=1687517486760000&amp;usg=AOvVaw0LJCPbzf-71iZhwxzuc6Fy\">https:\/\/www.hassante.fr\/upload\/docs\/application\/pdf\/201903\/fiche_de_synthese_infections_cutanees_mel.pdf<\/a><\/p>\n<\/div>\n<\/div>\n<div dir=\"auto\">\n<h2 class=\"mc-toc-title\"><span style=\"color: #333366;\">Sp\u00e9cialit\u00e9 \u00e0 base de LEVOFLOXACINE\u00a0<\/span><\/h2>\n<\/div>\n<div dir=\"auto\">Pour les pharmaciens :<\/div>\n<div dir=\"auto\"><\/div>\n<div dir=\"auto\">\n<ul>\n<li>En cas de dispensation impossible de\u00a0l\u00e9vofloxacine, proposer un switch par ofloxacine ou ciprofloxacine au m\u00e9decin prescripteur<\/li>\n<li>Prioriser la dispensation \u00e0 l\u2019unit\u00e9 quand cela est possible\u00a0\u00bb<\/li>\n<\/ul>\n<p>Pour les prescripteurs :<\/p>\n<ul>\n<li>\u00a0En cas de dispensation impossible de\u00a0l\u00e9vofloxacine, prescrire ciprofloxacine ou ofloxacine Recourir \u00e0 un avis infectiologie en cas de doute<\/li>\n<\/ul>\n<\/div>\n<div dir=\"auto\"><\/div>\n<div dir=\"auto\">&gt;&gt;\u00a0<a href=\"https:\/\/drive.google.com\/file\/d\/1vMhZ1wQFkRGGswRH_r9Nec5z_oxCMsxX\/view?usp=sharing\" target=\"_blank\" rel=\"noopener noreferrer\">CRAtb : Bulletin n\u00b02 de juin 2023<\/a><\/div>\n<div dir=\"auto\"><\/div>\n<div dir=\"auto\"><strong>Pour rappel, les fluoroquinolones doivent \u00eatre prescrites uniquement pour des infections s\u00e9v\u00e8res.<br \/>\n&gt;&gt;<\/strong>\u00a0<strong><a href=\"https:\/\/urldefense.com\/v3\/__https:\/cms.smartp.com\/c\/12201730\/407\/1408\/9706817\/0\/97404275__;!!LUczA2Q!4pGpGvYxPbcdvaYr8uQ0vbWmuuolz6YzPZ9OQE2YqZUHzTlMbiK7TIBPx2v_gdbAFy3fMhSHVgdnxDhVz6Es1pk4nl4ZRxzzRvnr$\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/urldefense.com\/v3\/__https:\/cms.smartp.com\/c\/12201730\/407\/1408\/9706817\/0\/97404275__;!!LUczA2Q!4pGpGvYxPbcdvaYr8uQ0vbWmuuolz6YzPZ9OQE2YqZUHzTlMbiK7TIBPx2v_gdbAFy3fMhSHVgdnxDhVz6Es1pk4nl4ZRxzzRvnr$&amp;source=gmail&amp;ust=1687517431107000&amp;usg=AOvVaw21jyuc7Shxhe-NmVc5tMZX\">dossier th\u00e9matique consacr\u00e9 aux fluoroquinolones<\/a><\/strong><\/div>\n<div dir=\"auto\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Au niveau national et recommandations Votre URPS vous informe d&#8217;une tension d&#8217;approvisionnement pour certaines sp\u00e9cialit\u00e9s depuis quelques semaines d\u00e9j\u00e0.Dans ce contexte, il est probable, que les officines de ville ne puissent plus honorer les ordonnances. Cette tension d&#8217;approvisionnement concerne les sp\u00e9cialit\u00e9s \u00e0 base :- de CLINDAMYCINE \u00a0(Dalacine) &#8211; de LEVOFLOXACINE qui sont distribu\u00e9es sur le&hellip;<\/p>\n","protected":false},"author":3,"featured_media":5759,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[182],"tags":[591,21,622],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/urpspharma.re\/index.php?rest_route=\/wp\/v2\/posts\/5756"}],"collection":[{"href":"https:\/\/urpspharma.re\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/urpspharma.re\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/urpspharma.re\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/urpspharma.re\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5756"}],"version-history":[{"count":2,"href":"https:\/\/urpspharma.re\/index.php?rest_route=\/wp\/v2\/posts\/5756\/revisions"}],"predecessor-version":[{"id":5762,"href":"https:\/\/urpspharma.re\/index.php?rest_route=\/wp\/v2\/posts\/5756\/revisions\/5762"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/urpspharma.re\/index.php?rest_route=\/wp\/v2\/media\/5759"}],"wp:attachment":[{"href":"https:\/\/urpspharma.re\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5756"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urpspharma.re\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5756"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urpspharma.re\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5756"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}