{"id":11723,"date":"2025-11-29T00:27:33","date_gmt":"2025-11-29T00:27:33","guid":{"rendered":"https:\/\/www.lupuscanada.org\/vaccin-contre-le-tetanos-et-lupus-recommandations-sur-le-td-tdap-et-la-coqueluche-pour-les-patients-atteints-de-les\/"},"modified":"2025-11-30T22:52:21","modified_gmt":"2025-11-30T22:52:21","slug":"vaccin-contre-le-tetanos-et-lupus-recommandations-sur-le-td-tdap-et-la-coqueluche-pour-les-patients-atteints-de-les","status":"publish","type":"page","link":"https:\/\/www.lupuscanada.org\/fr\/vaccin-contre-le-tetanos-et-lupus-recommandations-sur-le-td-tdap-et-la-coqueluche-pour-les-patients-atteints-de-les\/","title":{"rendered":"Vaccin contre le t\u00e9tanos et lupus : recommandations sur le Td, Tdap et la coqueluche pour les patients atteints de LES"},"content":{"rendered":"

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Vaccin contre le t\u00e9tanos et lupus<\/span><\/span><\/h1>\n

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Qu\u2019est-ce que le t\u00e9tanos, la dipht\u00e9rie et la coqueluche ?<\/span><\/h2>\n

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Le t\u00e9tanos est caus\u00e9 par la bact\u00e9rie Clostridium tetani<\/em><\/strong> , qui provient du sol et d\u2019objets rouill\u00e9s comme les vieilles cl\u00f4tures en fil m\u00e9tallique, les clous, etc. Le t\u00e9tanos peut causer la mort.<\/p>\n

La dipht\u00e9rie est une infection bact\u00e9rienne<\/strong> qui peut provoquer un gonflement de la gorge, des probl\u00e8mes respiratoires et rarement la mort.<\/p>\n

La coqueluche (coqueluche) est une infection pulmonaire hautement contagieuse<\/strong> avec des toux prolong\u00e9es et une pneumonie.<\/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 le VRS (Virus syncytial respiratoire)<\/a><\/p>\n

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

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Pourquoi ces vaccins sont-ils importants pour le lupus ?<\/span><\/h2>\n

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Les adultes atteints de LES sont immunod\u00e9prim\u00e9s en raison de la maladie et du traitement, et ils peuvent avoir des infections plus graves. La coqueluche peut particuli\u00e8rement provoquer une maladie prolong\u00e9e chez l\u2019adulte, et le t\u00e9tanos reste un risque apr\u00e8s des blessures contamin\u00e9es. La vaccination r\u00e9duit les complications graves. <\/span><\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″ specialty_columns=\u00a0\u00bb2″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_row_inner _builder_version=\u00a0\u00bb4.22.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column_inner saved_specialty_column_type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.22.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/www.lupuscanada.org\/wp-content\/uploads\/2025\/09\/psychiatrist_35.jpg\u00a0\u00bb alt=\u00a0\u00bbUn patient qui parle avec un professionnel de sant\u00e9 au sujet des recommandations contre le vaccin contre la grippe et des recommandations de vaccination.\u00a0\u00bb title_text=\u00a0\u00bbpsychiatrist_35″ _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb79%\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb custom_margin=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb0px||||false|false\u00a0\u00bb custom_margin_phone=\u00a0\u00bb0px||||false|false\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ specialty=\u00a0\u00bbon\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb padding_top_1=\u00a0\u00bb0px\u00a0\u00bb padding_top_2=\u00a0\u00bb0px\u00a0\u00bb padding_bottom_1=\u00a0\u00bb0px\u00a0\u00bb padding_bottom_2=\u00a0\u00bb0px\u00a0\u00bb padding_top_bottom_link_1=\u00a0\u00bbfalse\u00a0\u00bb padding_top_bottom_link_2=\u00a0\u00bbfalse\u00a0\u00bb padding_left_right_link_1=\u00a0\u00bbfalse\u00a0\u00bb padding_left_right_link_2=\u00a0\u00bbfalse\u00a0\u00bb _builder_version=\u00a0\u00bb4.24.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/www.lupuscanada.org\/wp-content\/uploads\/2024\/03\/faq-purple-bg.png\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb inner_width=\u00a0\u00bb100%\u00a0\u00bb inner_width_tablet=\u00a0\u00bb100%\u00a0\u00bb inner_width_phone=\u00a0\u00bb100%\u00a0\u00bb inner_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb inner_module_alignment=\u00a0\u00bbcenter\u00a0\u00bb custom_padding=\u00a0\u00bb80px||80px||true|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb50px||50px||true|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb50px||50px||true|false\u00a0\u00bb da_disable_devices=\u00a0\u00bboff|off|off\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb da_is_popup=\u00a0\u00bboff\u00a0\u00bb da_exit_intent=\u00a0\u00bboff\u00a0\u00bb da_has_close=\u00a0\u00bbon\u00a0\u00bb da_alt_close=\u00a0\u00bboff\u00a0\u00bb da_dark_close=\u00a0\u00bboff\u00a0\u00bb da_not_modal=\u00a0\u00bbon\u00a0\u00bb da_is_singular=\u00a0\u00bboff\u00a0\u00bb da_with_loader=\u00a0\u00bboff\u00a0\u00bb da_has_shadow=\u00a0\u00bbon\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bbNoto Sans|600|||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#3E005C\u00a0\u00bb text_font_size=\u00a0\u00bb37px\u00a0\u00bb text_line_height=\u00a0\u00bb120%\u00a0\u00bb background_layout=\u00a0\u00bbdark\u00a0\u00bb max_width=\u00a0\u00bb89%\u00a0\u00bb max_width_tablet=\u00a0\u00bb100%\u00a0\u00bb max_width_phone=\u00a0\u00bb100%\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb custom_margin=\u00a0\u00bb0px||20px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Quels vaccins sont utilis\u00e9s ?<\/span><\/h2>\n

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Tdap (t\u00e9tanos, dipht\u00e9rie, coqueluche acellulaire)<\/strong><\/h3>\n

Administr\u00e9 une fois \u00e0 l\u2019\u00e2ge adulte si ce n\u2019est pas d\u00e9j\u00e0 re\u00e7u, puis tous les 10 ans en rappel. En g\u00e9n\u00e9ral, vous devriez \u00eatre vaccin\u00e9 \u00e0 15, 25, 35 ans et tous les dix ans par la suite. Si vous avez une plaie sale et que vous \u00eates au moins 5 ans apr\u00e8s votre dernier rappel, il est probable que vous recevrez l\u2019injection aux urgences. <\/span><\/p>\n

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Td (t\u00e9tanos, dipht\u00e9rie)<\/span><\/strong><\/h3>\n

Utilis\u00e9 pour les doses de rappel tous les 10 ans si le Tdap a d\u00e9j\u00e0 \u00e9t\u00e9 administr\u00e9.<\/span><\/p>\n

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DPT\/DTP (Formulation infantile)<\/span><\/strong><\/h3>\n

La formulation de l\u2019enfance ; les adultes re\u00e7oivent plut\u00f4t Tdap\/Td.<\/p>\n

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Parce que ce ne sont <\/span>PAS<\/span> des vaccins pour la vie, ils sont s\u00fbrs m\u00eame sous forte immunosuppression.<\/span><\/h4>\n

[\/et_pb_text][et_pb_image src=\u00a0\u00bbhttps:\/\/www.lupuscanada.org\/wp-content\/uploads\/2024\/03\/gpvt-supt-prog-img1.png\u00a0\u00bb alt=\u00a0\u00bbgouvernement-surintendant-prog-\u00a0\u00bb title_text=\u00a0\u00bbgpvt-supt-prog-img1″ _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″ specialty_columns=\u00a0\u00bb2″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_row_inner custom_padding_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb _builder_version=\u00a0\u00bb4.22.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#efecf4″ width=\u00a0\u00bb85%\u00a0\u00bb width_tablet=\u00a0\u00bb100%\u00a0\u00bb width_phone=\u00a0\u00bb100%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb module_alignment=\u00a0\u00bbright\u00a0\u00bb custom_margin=\u00a0\u00bb|||0px|false|false\u00a0\u00bb custom_padding=\u00a0\u00bb54px|63px|54px|63px|false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb|50px||50px|false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb|20px||20px|false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column_inner saved_specialty_column_type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.22.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bbNoto Sans|600|on||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#3E005C\u00a0\u00bb text_font_size=\u00a0\u00bb31px\u00a0\u00bb text_line_height=\u00a0\u00bb120%\u00a0\u00bb header_3_font=\u00a0\u00bbNoto Sans||||||||\u00a0\u00bb header_3_font_size=\u00a0\u00bb30px\u00a0\u00bb custom_margin=\u00a0\u00bb0px||25px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb text_font_size_tablet=\u00a0\u00bb28px\u00a0\u00bb text_font_size_phone=\u00a0\u00bb26px\u00a0\u00bb text_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Consid\u00e9rations particuli\u00e8res en LES :<\/span><\/span><\/span><\/h3>\n

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Les patients sous <\/span>rituximab<\/span> ou <\/span>obintuzimab<\/span> peuvent pr\u00e9senter une r\u00e9ponse anticorporelle r\u00e9duite ; id\u00e9alement, vaccinez <\/span>avant<\/span> le traitement d\u2019appauvrissement des cellules B lorsque cela est possible.<\/span> <\/span><\/p>\n

\n

Si vous n\u2019\u00eates pas vaccin\u00e9 avant le traitement, envisagez de se faire vacciner environ 5 mois apr\u00e8s l\u2019une de ces th\u00e9rapies et 1 mois ou plus avant la dose suivante afin de provoquer une r\u00e9ponse immunitaire optimale.<\/span><\/p>\n

\n

Pour tout vaccin, si le LES est stable, certains immunosuppresseurs peuvent \u00eatre maintenus pendant 1 \u00e0 2 semaines APR\u00c8S la vaccination pour am\u00e9liorer la r\u00e9ponse vaccinale. Cela est probablement vrai pour le m\u00e9thotrexate, l\u2019azathioprine et le mycoph\u00e9nolate mof\u00e9til. <\/span> <\/span><\/p>\n

\n

Il est normal de continuer \u00e0 prendre de l\u2019hydroxychloroquine. S\u2019il y a un risque \u00e9lev\u00e9 de pouss\u00e9e, comme le fait que garder une ordonnance dans le pass\u00e9 a provoqu\u00e9 une pouss\u00e9e, alors ne gardez pas le m\u00e9dicament aussi longtemps, voire pas du tout. <\/span><\/p>\n

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Les adultes atteints de lupus devraient prendre en compte :<\/span><\/h2>\n

Recevoir un rappel de Tdap au moins une fois \u00e0 l\u2019\u00e2ge adulte (si jamais donn\u00e9 auparavant).<\/span><\/p>\n

Continuez avec TD ou TDAP tous les 10 ans par la suite.<\/span><\/p>\n

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Consid\u00e9rations pendant la grossesse :<\/span><\/h2>\n

Recevez du Tdap \u00e0 chaque grossesse, quel que soit l\u2019historique vaccinal ant\u00e9rieur, pour prot\u00e9ger les nouveau-n\u00e9s contre la coqueluche.<\/span><\/span><\/p>\n

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Peut-il provoquer une pouss\u00e9e du lupus ?<\/span><\/h2>\n

Il n\u2019existe aucune preuve que les vaccins contre le t\u00e9tanos ou la coqueluche provoquent une pouss\u00e9e de lupus.<\/span><\/span><\/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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Informations sur le vaccin contre le t\u00e9tanos et le lupus pour les patients atteints de LES, notamment pourquoi les vaccins Td et Tdap sont importants, la fr\u00e9quence des rappels, la s\u00e9curit\u00e9 des m\u00e9dicaments immunosuppresseurs et les consid\u00e9rations particuli\u00e8res dans les soins du lupus.<\/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-11723","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.lupuscanada.org\/fr\/wp-json\/wp\/v2\/pages\/11723","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=11723"}],"version-history":[{"count":0,"href":"https:\/\/www.lupuscanada.org\/fr\/wp-json\/wp\/v2\/pages\/11723\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.lupuscanada.org\/fr\/wp-json\/wp\/v2\/media?parent=11723"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}