{"id":11720,"date":"2025-11-28T23:10:54","date_gmt":"2025-11-28T23:10:54","guid":{"rendered":"https:\/\/www.lupuscanada.org\/vaccin-contre-le-vrs-et-lupus-les-ce-que-les-patients-doivent-savoir\/"},"modified":"2025-11-30T22:54:17","modified_gmt":"2025-11-30T22:54:17","slug":"vaccin-contre-le-vrs-et-lupus-les-ce-que-les-patients-doivent-savoir","status":"publish","type":"page","link":"https:\/\/www.lupuscanada.org\/fr\/vaccin-contre-le-vrs-et-lupus-les-ce-que-les-patients-doivent-savoir\/","title":{"rendered":"Vaccin contre le VRS et lupus (LES) : Ce que les patients doivent savoir"},"content":{"rendered":"

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Virus syncytial respiratoire (VRS) <\/span><\/span><\/h1>\n

Vaccin et lupus<\/span><\/h1>\n

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Un combat contre le vaccin contre le VRS<\/span><\/h2>\n

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Le virus respiratoire syncytial (VRS) peut entra\u00eener de graves maladies pulmonaires, en particulier chez les personnes \u00e2g\u00e9es et celles dont le syst\u00e8me immunitaire est affaibli. Avec les nouvelles exigences d\u2019\u00e9ligibilit\u00e9 prolong\u00e9es publi\u00e9es, le Guide canadien d\u2019immunisation recommande d\u00e9sormais aux personnes \u00e2g\u00e9es de recevoir une dose unique du vaccin contre le VRS. Les risques d\u2019infection s\u00e9v\u00e8re au VRS concernent l\u2019\u00e2ge avanc\u00e9, les personnes atteintes de maladies chroniques, les immunod\u00e9prim\u00e9s, les personnes en maison de retraite et les m\u00e9dicaments immunosuppresseurs. <\/span><\/p>\n

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Pourquoi c\u2019est important pour les personnes atteintes de lupus<\/span><\/h2>\n

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Parce que le lupus et nombre de ses traitements peuvent compromettre les d\u00e9fenses immunitaires, les personnes atteintes de LES sont plus \u00e0 risque de complications li\u00e9es aux infections virales respiratoires, y compris le VRS. Le vaccin contre le VRS r\u00e9duit la gravit\u00e9 de la maladie \u00e0 VSR, y compris les hospitalisations. Malgr\u00e9 l\u2019absence de donn\u00e9es sp\u00e9cifiques en LES, des recommandations g\u00e9n\u00e9rales pour l\u2019immunisation chez les h\u00f4tes immunod\u00e9prim\u00e9s s\u2019appliquent. M\u00eame une protection partielle est avantageuse. <\/p>\n

Chez les patients \u00e0 risque plus \u00e9lev\u00e9 qui pourraient b\u00e9n\u00e9ficier de la vaccination contre le VRS sont les personnes \u00e2g\u00e9es, les personnes vivant en maison de retraite, les personnes atteintes de maladies pulmonaires (telles que l\u2019emphys\u00e8me\/BPCO, la pneumonie r\u00e9currente, la bronchiectasie, les maladies pulmonaires interstitielles, les poumons endommag\u00e9s par des caillots sanguins, l\u2019hypertension pulmonaire et le \u00ab r\u00e9tr\u00e9cissement des poumons \u00bb \u00e0 cause de la faiblesse du diaphragme) ainsi que ceux sous forte immunosuppression.<\/p>\n

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Liens rapides :<\/p>\n

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Vaccins et lupus : ce que les patients doivent savoir<\/a><\/p>\n

Pourquoi les vaccins sont importants<\/a><\/p>\n

Vaccin contre la grippe (vaccin contre la grippe)<\/a><\/p>\n

Vaccin contre le HPV<\/a><\/p>\n

Vaccin contre le pneumocoque<\/a><\/p>\n

Vaccin contre le zona (Shingrix)<\/a><\/p>\n

Vaccin ROR (rougeole, oreillons, rub\u00e9ole)<\/a><\/p>\n

Vaccin m\u00e9ningocoque<\/a><\/p>\n

Vaccin contre la COVID-19<\/a><\/p>\n

Vaccin contre l\u2019h\u00e9patite B (HepB)<\/a><\/p>\n

Vaccins contre le t\u00e9tanos, la dipht\u00e9rie et la coqueluche (Td, Tdap\/DPT)<\/a><\/p>\n

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Recommandations et dosage<\/span><\/h2>\n

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Le Comit\u00e9 consultatif national sur l\u2019immunisation (NACI) recommande d\u00e9sormais une dose unique du vaccin contre le VRS (RSVPreF3, RSVpreF ou ARNm-1345), en particulier pour les personnes plus sensibles \u00e0 la maladie s\u00e9v\u00e8re du VRS (par exemple, celles atteintes de maladies chroniques).<\/span><\/p>\n

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Il est recommand\u00e9 aux adultes \u00e2g\u00e9s de 60 ans et plus vivant en soins de longue dur\u00e9e ou en \u00e9tablissements de soins chroniques de recevoir le vaccin contre le VRS.<\/span><\/p>\n

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Pour les adultes de 50 \u00e0 74 ans, la vaccination contre le VRS est consid\u00e9r\u00e9e comme une d\u00e9cision clinique partag\u00e9e avec leur professionnel de sant\u00e9.
RSVPreF3 ou mRNA-1345 peuvent \u00eatre utilis\u00e9s pour les personnes \u00e2g\u00e9es de 60 \u00e0 74 ans, et RSVPreF3 seul peut \u00eatre utilis\u00e9 pour ceux de 50 \u00e0 59 ans.<\/span><\/p>\n

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Calendrier et consid\u00e9rations pratiques<\/span><\/h2>\n

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Le moment optimal de la vaccination est juste avant ou juste au d\u00e9but de la saison du VRS, g\u00e9n\u00e9ralement durant les mois d\u2019automne et d\u2019hiver. C\u2019est aussi le moment des vaccins contre la grippe et des rappels contre le COVID. <\/p>\n

La dur\u00e9e de la protection et les b\u00e9n\u00e9fices du boost restent inconnus ; Aucune dose de rappel n\u2019est d\u00e9sormais recommand\u00e9e au-del\u00e0 de la dose initiale. Cela pourrait \u00e9voluer \u00e0 mesure que les connaissances suppl\u00e9mentaires seront acquises au fil du temps des patients vaccin\u00e9s. <\/p>\n

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Consid\u00e9rations de s\u00e9curit\u00e9 et de lupus<\/span><\/h2>\n

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1. Parce que les vaccins contre le VRS actuellement utilis\u00e9s au Canada sont non vivants, ils sont plus s\u00fbrs pour les patients immunod\u00e9prim\u00e9s que les vaccins vivants.<\/p>\n

2. Les effets secondaires courants sont l\u00e9gers et de courte dur\u00e9e (douleur au site d\u2019injection, fatigue, maux de t\u00eate).<\/p>\n

3. Pour les personnes ayant r\u00e9cemment eu le VRS, la vaccination peut \u00eatre administr\u00e9e une fois la gu\u00e9rison clinique ; Il n\u2019y a pas de d\u00e9lai d\u2019attente fixe.<\/p>\n

4. Pour les receveurs r\u00e9cents de greffe d\u2019organe (par exemple, greffe de rein), la NACI sugg\u00e8re d\u2019attendre 3 \u00e0 6 mois apr\u00e8s la greffe.<\/p>\n

5. La vaccination doit \u00eatre report\u00e9e en cas de maladie aigu\u00eb grave, bien que les maladies l\u00e9g\u00e8res (par exemple, un rhume commun) soient acceptables pour la vaccination.<\/p>\n

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Conclusion<\/span><\/h2>\n

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L\u2019infection au VRS peut \u00eatre tr\u00e8s dangereuse pour les patients atteints de lupus, en particulier s\u2019ils sont \u00e2g\u00e9s ou sous immunosuppression. L\u2019utilisation de vaccins non vivants signifie que la vaccination contre le VRS est g\u00e9n\u00e9ralement s\u00fbre pour les personnes immunod\u00e9prim\u00e9es, et les directives canadiennes r\u00e9vis\u00e9es la rendent d\u00e9sormais accessible \u00e0 un plus grand nombre d\u2019adultes. La protection contre les maladies respiratoires graves et l\u2019hospitalisation est un b\u00e9n\u00e9fice important, m\u00eame si des effets secondaires mod\u00e9r\u00e9s sont possibles. <\/p>\n

Discutez toujours de la vaccination contre le VRS avec votre professionnel de sant\u00e9 afin de trouver le moment et la strat\u00e9gie optimaux pour vous, car le moment choisi avec les m\u00e9dicaments contre le lupus ou l\u2019activit\u00e9 pathologique peut modifier votre r\u00e9action.<\/strong><\/p>\n

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Auteurs :<\/strong> <\/span>Daniel Tingey et Docteur Janet Pope<\/em>
Remarque :<\/strong> <\/span>Veuillez consulter votre professionnel de sant\u00e9 ou les autorit\u00e9s sanitaires locales pour obtenir des recommandations vaccinales \u00e0 jour.<\/em><\/p>\n

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Vie et bien-\u00eatre<\/h3>\n

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Ces articles et informations sont disponibles aupr\u00e8s du
Tout ce qui concerne le lupus : centre de ressources.<\/a><\/h6>\n

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Vaccin contre le VRS et lupus : d\u00e9couvrez comment il prot\u00e8ge les personnes atteintes de lupus (LES), qui est \u00e9ligible, les consid\u00e9rations de calendrier, les recommandations de s\u00e9curit\u00e9, et pourquoi le vaccin contre le VRS est important pour les personnes immunod\u00e9prim\u00e9es.<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-11720","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.lupuscanada.org\/fr\/wp-json\/wp\/v2\/pages\/11720","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lupuscanada.org\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.lupuscanada.org\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.lupuscanada.org\/fr\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lupuscanada.org\/fr\/wp-json\/wp\/v2\/comments?post=11720"}],"version-history":[{"count":0,"href":"https:\/\/www.lupuscanada.org\/fr\/wp-json\/wp\/v2\/pages\/11720\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.lupuscanada.org\/fr\/wp-json\/wp\/v2\/media?parent=11720"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}