{"id":23647,"date":"2021-04-19T00:01:44","date_gmt":"2021-04-19T04:01:44","guid":{"rendered":"http:\/\/canadiantaskforce.ca\/?page_id=23647"},"modified":"2024-08-07T14:16:21","modified_gmt":"2024-08-07T18:16:21","slug":"chlamydia-et-gonorrhee","status":"publish","type":"page","link":"https:\/\/canadiantaskforce.ca\/fr\/lignesdirectrives\/lignes-directrices-publiees\/chlamydia-et-gonorrhee\/","title":{"rendered":"Chlamydia et gonorrh\u00e9e (2021)"},"content":{"rendered":"<h3><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\"><span class=\"TextRun MacChromeBold SCXW240214002 BCX0\" lang=\"FR-CA\" xml:lang=\"FR-CA\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW240214002 BCX0\">R\u00e9sum\u00e9 des recommandations \u00e0 l\u2019intention des cliniciens et des d\u00e9cideurs<\/span><\/span><span class=\"EOP SCXW240214002 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span> <\/span><\/h3>\n<p><span data-contrast=\"auto\">Les pr\u00e9sentes lignes directrices sur le d\u00e9pistage de la chlamydia et de la gonorrh\u00e9e s\u2019appliquent aux personnes actives sur le plan sexuel (c\u2019est-\u00e0-dire qui ont d\u00e9j\u00e0 eu des relations sexuelles orales, vaginales ou anales) \u00e2g\u00e9es de moins de 30<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">ans qui ne cherchent pas pr\u00e9cis\u00e9ment \u00e0 obtenir des soins pour une possible infection transmissible sexuellement (ITS) et qui ne sont pas<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">connue<\/span><span data-contrast=\"auto\">s<\/span><span data-contrast=\"auto\">\u00a0comme appartenant \u00e0 un groupe \u00e0 risque par leur clinicien<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Principale recommandation<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"4\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><i><span data-contrast=\"auto\">Nous recommandons\u00a0<\/span><\/i><b><i><span data-contrast=\"auto\">un d\u00e9pistage opportuniste annuel de la chlamydia et de la gonorrh\u00e9e chez les personnes de moins de 30 ans actives sexuellement<\/span><\/i><\/b><i><span data-contrast=\"auto\">\u00a0qui ne sont pas connues comme appartenant \u00e0 un groupe \u00e0 risque, lors de consultations en soins primaires, au moyen d\u2019un\u00a0autopr\u00e9l\u00e8vement\u00a0ou d\u2019un pr\u00e9l\u00e8vement fait par le m\u00e9decin (recommandation conditionnelle; donn\u00e9es de tr\u00e8s faible certitude).<\/span><\/i><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Les fournisseurs devraient consulter les directives nationales, provinciales ou locales pertinentes pour le d\u00e9pistage des personnes\u00a0<\/span><span data-contrast=\"auto\">n<\/span><span data-contrast=\"auto\">on connu<\/span><span data-contrast=\"auto\">es<\/span><span data-contrast=\"auto\">\u00a0comme appartenant \u00e0 un groupe<\/span><span data-contrast=\"auto\">\u00a0pr\u00e9cis<\/span><span data-contrast=\"auto\">\u00a0\u00e0\u00a0risque<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">M\u00e9thodologie et donn\u00e9es probantes<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Un examen syst\u00e9matique a \u00e9t\u00e9 effectu\u00e9 pour examiner les avantages et les inconv\u00e9nients du d\u00e9pistage, ainsi que les valeurs et pr\u00e9f\u00e9rences des patients en ce qui a trait aux r\u00e9sultats potentiels du d\u00e9pistage. Les donn\u00e9es probantes disponibles sur les avantages du d\u00e9pistage de la chlamydia sont incertaines, en grande partie en raison de leur faible applicabilit\u00e9 \u00e0 la fa\u00e7on dont le d\u00e9pistage opportuniste est effectu\u00e9 au Canada, par exemple\u202f:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Quatre essais contr\u00f4l\u00e9s randomis\u00e9s (ECR) comportaient une offre de d\u00e9pistage (sans \u00e9gard \u00e0 la participation) par invitation postale ou par \u00e9ducation du public et encouragement au d\u00e9pistage plut\u00f4t que par une discussion directe entre les cliniciens et les patients, et un groupe d\u2019ECR comportait des interventions au niveau des cliniques (trousses visant \u00e0 encourager les cliniciens \u00e0 offrir des services de d\u00e9pistage) plut\u00f4t qu\u2019un engagement direct de la part des cliniciens, ce qui s\u2019est traduit par une faible participation des cliniciens et peu d\u2019offres de d\u00e9pistage.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Trois essais comportaient des \u00e9valuations visant seulement les personnes qui acceptaient le d\u00e9pistage (personnes acceptant le d\u00e9pistage), et un essai comportait l\u2019\u00e9valuation d\u2019une offre de d\u00e9pistage parmi celles pr\u00e9s\u00e9lectionn\u00e9es en raison d\u2019un int\u00e9r\u00eat pour le d\u00e9pistage (offre de d\u00e9pistage, pr\u00e9s\u00e9lection), ce qui est indirectement li\u00e9 \u00e0 l\u2019int\u00e9r\u00eat \u00e0 l\u2019\u00e9gard du d\u00e9pistage et \u00e0 son acceptation chez les patients en soins primaires au Canada.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Dans l\u2019ensemble, les donn\u00e9es probantes laissent entendre que la\u00a0<\/span><b><span data-contrast=\"auto\">maladie inflammatoire pelvienne peut \u00eatre r\u00e9duite<\/span><\/b><span data-contrast=\"auto\">\u00a0par une offre de test de d\u00e9pistage de routine de la chlamydia en soins primaires au Canada. Aucune \u00e9tude portant sur les avantages du d\u00e9pistage de la gonorrh\u00e9e chez les personnes \u00e0 risque g\u00e9n\u00e9ral n\u2019a \u00e9t\u00e9 recens\u00e9e.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Onze \u00e9tudes sur les\u00a0<\/span><b><span data-contrast=\"auto\">m\u00e9faits du d\u00e9pistage de la chlamydia ont \u00e9t\u00e9 recens\u00e9es<\/span><\/b><span data-contrast=\"auto\">, lesquelles laissent entendre que certaines personnes se soumettant \u00e0 un d\u00e9pistage peuvent subir des pr\u00e9judices psychosociaux (p. ex., anxi\u00e9t\u00e9, honte et stigmatisation); toutefois, les donn\u00e9es probantes \u00e0 cet \u00e9gard sont tr\u00e8s incertaines et ne concernent probablement qu\u2019une faible proportion des personnes admissibles au d\u00e9pistage. Aucune \u00e9tude n\u2019a examin\u00e9 les m\u00e9faits du d\u00e9pistage de la gonorrh\u00e9e.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">Quatorze \u00e9tudes visant \u00e0 examiner\u00a0<\/span><b><span data-contrast=\"auto\">les<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><b><span data-contrast=\"auto\">valeurs et les pr\u00e9f\u00e9rences des patients<\/span><\/b><span data-contrast=\"auto\">, ainsi que les activit\u00e9s de mobilisation des patients du groupe de travail, ont laiss\u00e9 entendre que les patients accordent la priorit\u00e9 aux avantages par rapport aux m\u00e9faits du d\u00e9pistage, et ce, m\u00eame lorsqu\u2019ils sont mis au courant des donn\u00e9es probantes et de leur incertitude.\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Compte tenu de l\u2019avantage potentiellement important du d\u00e9pistage par rapport aux pr\u00e9judices et aux valeurs et pr\u00e9f\u00e9rences des patients en faveur du d\u00e9pistage, le groupe de travail recommande le d\u00e9pistage opportuniste de la chlamydia et de la gonorrh\u00e9e en soins primaires pour les personnes de moins de 30<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">ans.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Cette recommandation est conditionnelle en raison du tr\u00e8s faible degr\u00e9 de certitude des donn\u00e9es probantes.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Justification<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">La recommandation de d\u00e9pistage des personnes de moins de 30<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">ans est fond\u00e9e sur presque toutes les\u00a0<\/span><b><span data-contrast=\"auto\">donn\u00e9es probantes provenant d\u2019\u00e9tudes sur les moins de 30<\/span><\/b><b><span data-contrast=\"auto\">\u202f<\/span><\/b><b><span data-contrast=\"auto\">ans<\/span><\/b><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">De plus, les taux de chlamydia et de gonorrh\u00e9e\u00a0<\/span><b><span data-contrast=\"auto\">augmentent chez les 25 \u00e0 29<\/span><\/b><b><span data-contrast=\"auto\">\u202f<\/span><\/b><b><span data-contrast=\"auto\">ans<\/span><\/b><span data-contrast=\"auto\">\u00a0au Canada, les taux et le nombre total de cas \u00e9tant semblables \u00e0 ceux des 15 \u00e0 19<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">ans.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">La recommandation de proc\u00e9der \u00e9galement au d\u00e9pistage chez les hommes est\u00a0<\/span><b><span data-contrast=\"auto\">fond\u00e9e sur les propri\u00e9t\u00e9s des r\u00e9seaux sexuels<\/span><\/b><span data-contrast=\"auto\">\u00a0(compte tenu du r\u00f4le des hommes dans la transmission de ces infections) et la possibilit\u00e9 de r\u00e9duire les infections \u00e0 la chlamydia et \u00e0 la gonorrh\u00e9e et leurs cons\u00e9quences n\u00e9gatives chez les femmes (qui portent le fardeau des complications pour\u00a0la sant\u00e9 associ\u00e9es\u00a0\u00e0 ces infections).\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"auto\">La recommandation de d\u00e9pister \u00e9galement la gonorrh\u00e9e a \u00e9t\u00e9 faite malgr\u00e9 le manque de donn\u00e9es probantes disponibles, \u00e9tant donn\u00e9 que de nombreux cas de gonorrh\u00e9e sont asymptomatiques<\/span><span data-contrast=\"auto\">,\u00a0<\/span><b><span data-contrast=\"auto\">jusqu\u2019\u00e0 40\u202f% des personnes atteintes de gonorrh\u00e9e peuvent aussi \u00eatre atteintes simultan\u00e9ment de chlamydia<\/span><\/b><span data-contrast=\"auto\">, et que les pratiques cliniques et les pratiques de laboratoire actuelles au Canada consistent \u00e0 combiner les tests de d\u00e9pistage de la gonorrh\u00e9e et de la chlamydia \u00e0 l\u2019aide d\u2019un seul \u00e9chantillon.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>\u00a0<\/p>\n<h3>Documents additionnels<a name=\"documents\"><\/a><\/h3>\n<div class=\"additionaldocuments\">\n<ul>\n<li><a href=\"https:\/\/canadiantaskforce.ca\/chlamydia-et-gonorrhee-resume-a-lintention-des-cliniciens\/?lang=fr\">R\u00e9sum\u00e9 \u00e0 l\u2019intention des cliniciens<\/a><\/li>\n<li><a href=\"https:\/\/canadiantaskforce.ca\/wp-content\/uploads\/2021\/04\/Excluded-studies_CG.pdf\">Liste des e\u0301tudes exclues<\/a> <span class=\"EOP SCXW222407985 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">(pdf, anglais)<\/span><\/li>\n<li><a href=\"https:\/\/systematicreviewsjournal.biomedcentral.com\/articles\/10.1186\/s13643-018-0904-5\">Protocole de l&rsquo;examen syst\u00e9matique<\/a> <span class=\"TextRun SCXW76714000 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW76714000 BCX0\">(<\/span><\/span><span class=\"TextRun SCXW76714000 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"SpellingError SCXW76714000 BCX0\">anglais<\/span><\/span><span class=\"TextRun SCXW76714000 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW76714000 BCX0\">)<\/span><\/span><span class=\"EOP SCXW76714000 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><span class=\"EOP SCXW199769322 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\"><a href=\"https:\/\/doi.org\/10.1186\/s13643-021-01658-w\"><span class=\"TextRun SCXW191990248 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW191990248 BCX0\">Revue\u00a0<\/span><\/span><span class=\"TextRun SCXW191990248 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"SpellingError SCXW191990248 BCX0\">syst\u00e9matique<\/span><\/span><span class=\"TextRun SCXW191990248 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW191990248 BCX0\">\u00a0<\/span><\/span><span class=\"TextRun SCXW191990248 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"SpellingError SCXW191990248 BCX0\">publi\u00e9e<\/span><\/span><\/a><span class=\"TextRun SCXW191990248 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW191990248 BCX0\">\u00a0(<\/span><\/span><span class=\"TextRun SCXW191990248 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"SpellingError SCXW191990248 BCX0\">anglais<\/span><\/span><span class=\"TextRun SCXW191990248 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW191990248 BCX0\">)<\/span><\/span><span class=\"EOP SCXW191990248 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span> <\/span><\/li>\n<li><a href=\"https:\/\/canadiantaskforce.ca\/wp-content\/uploads\/2021\/04\/2021_03_19_CG_GL_ExternalReview_DispositionTable_v5-002_RB.pdf\"><span class=\"TextRun SCXW222407985 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW222407985 BCX0\">Commentaires des \u00e9valuateurs<\/span><\/span><\/a><span class=\"EOP SCXW222407985 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\"> (pdf, anglais)<\/span><\/li>\n<li><a href=\"https:\/\/soundcloud.com\/cmajpodcasts\/201967-guide-fre\/s-Vsvinm3ampE\">Baladodiffusion de l\u2019auteur du JAMC<\/a><\/li>\n<li><a href=\"https:\/\/canadiantaskforce.ca\/tools-resources\/chlamydia-and-gonorrhea-infographic\/?lang=fr\">Re\u0301sume\u0301 visuel graphique<\/a><\/li>\n<li><a href=\"https:\/\/canadiantaskforce.ca\/chlamydia-et-gonorrhee-presentation-de-la-ligne-directrice\/?lang=fr\">Pr\u00e9sentation de la ligne directrice<\/a><\/li>\n<\/ul>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\"><strong>Les scores d&rsquo;\u00e9valuation d&rsquo;ECRI<\/strong>&nbsp;<\/h3>\n\n\n\n<p><a href=\"https:\/\/guidelines.ecri.org\/about\">ECRI Guidelines Trust<\/a> \u00e9value les lignes directrices en fonction de leur conformit\u00e9 aux Normes de l&rsquo;Acad\u00e9mie nationale de m\u00e9decine pour des lignes directrices fiables. Retrouvez les scores d\u2019\u00e9valuation du ECRI pour cette ligne directrice <a href=\"https:\/\/canadiantaskforce.ca\/lignesdirectrives\/scores-d-evaluation-ecri\/?lang=fr\">ici<\/a><em>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9sum\u00e9 des recommandations \u00e0 l\u2019intention des cliniciens et des d\u00e9cideurs\u00a0 Les pr\u00e9sentes lignes directrices sur le d\u00e9pistage de la chlamydia et de la gonorrh\u00e9e s\u2019appliquent aux personnes actives sur le plan sexuel (c\u2019est-\u00e0-dire qui ont d\u00e9j\u00e0 eu des relations sexuelles orales, vaginales ou anales) \u00e2g\u00e9es de moins de 30\u202fans qui ne cherchent pas pr\u00e9cis\u00e9ment \u00e0 [&hellip;]<\/p>\n","protected":false},"author":20241,"featured_media":0,"parent":9821,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"tpl-guidelines.php","meta":{"_acf_changed":false,"footnotes":""},"categories":[195,196],"tags":[197,198,200],"class_list":["post-23647","page","type-page","status-publish","hentry","category-lignes-directrices","category-publiees","tag-adult-fr","tag-female-fr","tag-male-fr"],"acf":[],"_links":{"self":[{"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/pages\/23647","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/users\/20241"}],"replies":[{"embeddable":true,"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/comments?post=23647"}],"version-history":[{"count":5,"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/pages\/23647\/revisions"}],"predecessor-version":[{"id":31035,"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/pages\/23647\/revisions\/31035"}],"up":[{"embeddable":true,"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/pages\/9821"}],"wp:attachment":[{"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/media?parent=23647"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/categories?post=23647"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/tags?post=23647"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}