{"id":3215,"date":"2021-02-11T16:09:59","date_gmt":"2021-02-11T16:09:59","guid":{"rendered":"https:\/\/infection.crto.on.ca\/the-six-links-in-the-chain-transmission\/"},"modified":"2023-05-15T14:20:34","modified_gmt":"2023-05-15T14:20:34","slug":"the-six-links-in-the-chain-transmission","status":"publish","type":"page","link":"https:\/\/infection.crto.on.ca\/fr\/the-six-links-in-the-chain-transmission\/","title":{"rendered":"Les six maillons de la cha\u00eene de transmission et comment briser cette cha\u00eene"},"content":{"rendered":"

[et_pb_section fb_built=\u00a0\u00bb1″ inner_shadow=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb270deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bbrgba(255,255,255,0) 0%|#ffffff 85%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bbrgba(255,255,255,0)\u00a0\u00bb background_color_gradient_end=\u00a0\u00bb#ffffff\u00a0\u00bb background_color_gradient_end_position=\u00a0\u00bb85%\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/infection.crto.on.ca\/wp-content\/uploads\/sites\/18\/2021\/08\/transmission.jpg\u00a0\u00bb custom_padding=\u00a0\u00bb50px||50px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.16″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb custom_padding=\u00a0\u00bb120px||120px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _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 admin_label=\u00a0\u00bbTITLE\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ module_alignment=\u00a0\u00bbleft\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Les six maillons de la cha\u00eene de transmission et comment briser cette cha\u00eene<\/strong><\/h1>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb0px||0px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb gutter_width=\u00a0\u00bb1″ module_class=\u00a0\u00bb et_pb_row_fullwidth\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ width=\u00a0\u00bb100%\u00a0\u00bb width_tablet=\u00a0\u00bb100%\u00a0\u00bb width_phone=\u00a0\u00bb\u00a0\u00bb width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb max_width_tablet=\u00a0\u00bb100%\u00a0\u00bb max_width_phone=\u00a0\u00bb\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|\u00a0\u00bb border_color_all=\u00a0\u00bbrgba(0,0,0,0)\u00a0\u00bb make_fullwidth=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _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_divider color=\u00a0\u00bb#81AC50″ divider_weight=\u00a0\u00bb3px\u00a0\u00bb disabled_on=\u00a0\u00bboff|off|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ height=\u00a0\u00bb0px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/infection.crto.on.ca\/wp-content\/uploads\/sites\/18\/2021\/02\/crto-patterngreen-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#81AC50″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb2_5,3_5″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb2_5″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbtitle\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

CHA\u00ceNE DE TRANSMISSION<\/strong><\/h2>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb3_5″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.20.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Chaque maillon de la cha\u00eene repr\u00e9sente un facteur li\u00e9 \u00e0 la propagation des microorganismes. La transmission des agents infectieux n\u2019a pas lieu, \u00e0 moins que chacun des six \u00e9l\u00e9ments de la cha\u00eene de transmission ne soit pr\u00e9sent. Sant\u00e9 publique de l\u2019Ontario<\/a><\/p>\n

On peut rompre les maillons de la cha\u00eene de transmission en effectuant une \u00e9valuation soign\u00e9e des risques et une mise en application cons\u00e9quente des pr\u00e9cautions de base et suppl\u00e9mentaires, s\u2019il y a lieu.<\/p>\n

[\/et_pb_text][et_pb_image src=\u00a0\u00bbhttps:\/\/infection.crto.on.ca\/wp-content\/uploads\/sites\/18\/2021\/08\/infection-control-chain-fr.jpg\u00a0\u00bb title_text=\u00a0\u00bbinfection-control-chain-fr\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font_size=\u00a0\u00bb12px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

\u00a9Imprimeur de la Reine pour l\u2019Ontario, 2011. Reproduit avec permission.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.16″ background_image=\u00a0\u00bbhttps:\/\/infection.crto.on.ca\/wp-content\/uploads\/sites\/18\/2021\/02\/Did-you-know.jpg\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#81AC50″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb gutter_width=\u00a0\u00bb1″ module_class=\u00a0\u00bb et_pb_row_fullwidth\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ background_color=\u00a0\u00bbrgba(255,255,255,0.3)\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_type=\u00a0\u00bbcircular\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bbrgba(255,255,255,0.9) 41%|rgba(255,255,255,0.21) 82%\u00a0\u00bb background_color_gradient_start=\u00a0\u00bbrgba(255,255,255,0.9)\u00a0\u00bb background_color_gradient_start_position=\u00a0\u00bb41%\u00a0\u00bb background_color_gradient_end=\u00a0\u00bbrgba(255,255,255,0.21)\u00a0\u00bb background_color_gradient_end_position=\u00a0\u00bb82%\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb width_tablet=\u00a0\u00bb100%\u00a0\u00bb width_phone=\u00a0\u00bb\u00a0\u00bb width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb max_width_tablet=\u00a0\u00bb100%\u00a0\u00bb max_width_phone=\u00a0\u00bb\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb custom_css_main_element=\u00a0\u00bbpadding-top:130px;||padding-bottom:130px;\u00a0\u00bb make_fullwidth=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _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_blurb title=\u00a0\u00bbLe Saviez-Vous?\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bbu||divi||400″ image_icon_width=\u00a0\u00bb55px\u00a0\u00bb content_max_width=\u00a0\u00bb50%\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_level=\u00a0\u00bbh2″ text_orientation=\u00a0\u00bbcenter\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ icon_font_size=\u00a0\u00bb55px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb content_max_width_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″ content_max_width_tablet=\u00a0\u00bb80%\u00a0\u00bb content_max_width_phone=\u00a0\u00bb80%\u00a0\u00bb]<\/p>\n

Sant\u00e9 publique Ontario offre un ensemble de modules de formation \u00e9lectronique gratuits sur la pr\u00e9vention et la lutte contre les infections.<\/p>\n

Pr\u00e9vention et contr\u00f4le des infections \u2013 Formation en ligne | Sant\u00e9 publique Ontario
<\/a><\/p>\n

[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/infection.crto.on.ca\/wp-content\/uploads\/sites\/18\/2021\/02\/crto-patterngreen-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#81AC50″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_code _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
<\/td>Maillons de la cha\u00eene
\nde transmission :
\n<\/th>		Exemples de rupture de la cha\u00eene de transmission par une \u00e9valuation de :<\/th>\n<\/tr>\n<\/thead>\n
Agent infectieux<\/strong><\/td>Microorganismes pouvant causer des infections (bact\u00e9ries, virus)<\/td>Pathog\u00e9nicit\u00e9\/virulence de l\u2019agent infectieux
\n
\n<\/td>\n<\/tr>\n
R\u00e9servoir<\/strong><\/td>Lieu o\u00f9 vit l\u2019agent infectieux (humain, animaux, eau)
\n
\n<\/td>		Milieu du patient (lieu en commun, comme une chambre \u00e0 plusieurs lits)
\n<\/td>\n<\/tr>\n
Point de sortie
\n<\/strong><\/td>		Point o\u00f9 l\u2019agent quitte le r\u00e9servoir (sang, s\u00e9cr\u00e9tions)
\n
\n<\/td>		Exposition possible au sang<\/strong>, aux liquides organiques, aux excr\u00e9tions et aux s\u00e9cr\u00e9tions (comme des \u00e9claboussements, toux du patient, etc.) \u2013 \u00e9valuer la dur\u00e9e possible de l\u2019exposition (p. ex., blouse st\u00e9rile pour insertion de cath\u00e9ter central)
\n
\n
\n
\n<\/td>\n<\/tr>\n
Modes de transmission
\n<\/strong><\/td>		Contact<\/strong> \u2013 Divis\u00e9 entre:
\n\u2022 contact direct<\/strong> \u2013 Se produit par le toucher
\n\u2022 contact indirect<\/strong> \u2013 Se produit lorsque des microorganismes sont transf\u00e9r\u00e9s par des objets contamin\u00e9s touchant \u00e0 une autre surface.<\/td>		La proc\u00e9dure \u00e0 ex\u00e9cuter (hygi\u00e8ne des mains et \u00c9PI n\u00e9cessaires) et la question \u00e0 savoir s\u2019il faut des pr\u00e9cautions suppl\u00e9mentaires
\n\u2022 La question \u00e0 savoir s\u2019il y aura contact avec la peau non intacte ou des muqueuses
\n\u2022 La manutention possible d\u2019instruments ou \u00e9quipements tranchants ou contamin\u00e9s<\/td>\n<\/tr>\n
Transmission par gouttelettes <\/strong> \u2013 Se produit quand de grosses gouttes sortent des voies respiratoires d\u2019une personne lorsqu\u2019elle tousse ou \u00e9ternue. Peut \u00e9galement \u00eatre caus\u00e9e par une proc\u00e9dure (comme une aspiration). Ces gouttelettes sont projet\u00e9es \u00e0 une courte distance de moins de 2 m g\u00e9n\u00e9ralement. Elles p\u00e9n\u00e8trent dans les yeux, le nez ou la bouche de l\u2019h\u00f4te ou se posent sur des surfaces.<\/td>\n<\/tr>\n
Transmission par voie a\u00e9rienne<\/strong> \u2013 Se produit lorsque des particules a\u00e9riennes demeurent en suspension, se d\u00e9placent par les courants d\u2019air et sont inhal\u00e9es par d\u2019autres personnes \u00e0 proximit\u00e9 ou \u00e0 une certaine distance du patient source, dans une autre chambre ou salle (selon les courants d\u2019air) ou dans une m\u00eame pi\u00e8ce qu\u2019un patient a quitt\u00e9e si les \u00e9changes d\u2019air sont insuffisants<\/td>\n<\/tr>\n
Transmission parent\u00e9rale<\/strong> \u2013 la propagation d\u2019un agent \u00e0 travers une peau intacte par un objet pointu (par exemple, une blessure par piq\u00fbre d\u2019aiguille).<\/td>\n<\/tr>\n
Modes de transmission
\n(suite)
\n<\/strong><\/td>		Transmission par v\u00e9hicule commun<\/strong> \u2013 Transmission d\u2019un agent infectieux par l\u2019entremise d\u2019une source contamin\u00e9e commune (comme un r\u00e9cipient \u00e0 doses multiples).<\/td>\n<\/tr>\n
Transmission vectorielle <\/strong> \u2013 Se produit lorsqu\u2019un h\u00f4te est mordu par un animal ou un insecte porteur de l\u2019agent infectieux (comme le moustique qui transmet le virus du Nil occidental).<\/td>\n<\/tr>\n
Point d\u2019entr\u00e9e
\n<\/strong><\/td>		Le point o\u00f9 l\u2019agent infectieux p\u00e9n\u00e8tre dans l\u2019h\u00f4te (comme la peau non intacte, les voies respiratoires ou gastro-intestinales, les muqueuses).
\n
\n<\/td>		Le besoin d\u2019une technique aseptique pour les proc\u00e9dures invasives et la manipulation de produits injectables.
\n
\nLe cath\u00e9ter et les soins de plaie appropri\u00e9s
\n<\/td>\n<\/tr>\n
H\u00f4te r\u00e9ceptif
\n
\n<\/strong><\/td>		Toute personne qui est r\u00e9ceptive \u00e0 une infection (p. ex., patients immunod\u00e9prim\u00e9s, victimes de br\u00fblures, personnes \u00e2g\u00e9es).
\n<\/td>		Le besoin d\u2019une immunisation appropri\u00e9e
\n
\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.16″ saved_tabs=\u00a0\u00bball\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.16″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb animation_style=\u00a0\u00bbflip\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _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_toggle title=\u00a0\u00bbR\u00c9F\u00c9RENCES\u00a0\u00bb admin_label=\u00a0\u00bbGLOSSARY\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Association for the Advancement of Medical Instrumentation (AAMI). (2015). FDA proposes new criteria for surgical gowns.<\/em> Tir\u00e9 de Association for the Advancement of Medical Instrumentation, site Web : www.aami.org\/newsviews\/newsdetail.aspx?ItemNumber=2650<\/a><\/p>\n

Institut canadien pour la s\u00e9curit\u00e9 des patients. (Aucune date.). Pneumonie associ\u00e9e au ventilateur (PAV). <\/em>Tir\u00e9 du site Web de l\u2019Institut canadien pour la s\u00e9curit\u00e9 des patients : www.patientsafetyinstitute.ca\/en\/topic\/pages\/ventilator-associatedpneumonia-(vap).aspx<\/a><\/p>\n

Centers for Disease Control and Prevention. (2011). Central line-associated bloodstream infections: Resources for patients and healthcare providers.<\/em> Tir\u00e9 du site Web de Centers for Disease Control and Prevention : www.cdc.gov\/HAI\/bsi\/CLABSI-resources.html<\/a><\/p>\n

Secr\u00e9tariat des soins aux malades en phase critique (2012). Trousse d\u2019outils de pr\u00e9vention de la <\/em>pneumonie acquise sous ventilation m\u00e9canique et les infections par cath\u00e9ter central.<\/em> Tir\u00e9 du site Web de Services ontariens des soins aux malades en phase critique : www.criticalcareontario.ca\/EN\/Toolbox\/Performance%20Improvement%20Collaborative\/VAP%20and%2 0CLI%20Toolkit%20(2012).pdf<\/a><\/p>\n

Immunize Canada. (2016). ImmunizeCA app.<\/em> Tir\u00e9 du site Web d\u2019Immunisation Canada : http:\/\/immunize.ca\/en\/app.aspx<\/a><\/p>\n

Loeb, M., Dafoe, N., Mahony J., John, M., Sarabia, A., Glavin, V., Walter, S.S. (2009). Surgical mask vs N95 respirator for preventing influenza among health care workers: A randomized trial.<\/em> JAMA, 302(17), 1865- 1871. doi:10.1001\/jama.2009.1466. Tir\u00e9 de http:\/\/jama.jamanetwork.com\/article.aspx?articleid=184819<\/a><\/p>\n

CCPMI. (2012a). Pratiques exemplaires \u2013 Programmes de pr\u00e9vention et de contr\u00f4le des infections en Ontario <\/em>(3e<\/sup><\/span> \u00e9dition).<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : www.publichealthontario.ca\/fr\/eRepository\/BP_IPAC_Ontario_HCSettings_2012.pdf<\/a><\/p>\n

CCPMI. (2012b). Pratiques de base et pr\u00e9cautions suppl\u00e9mentaires dans tous les \u00e9tablissements de soins de <\/em>sant\u00e9 (3e<\/sup><\/span> \u00e9dition).<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : www.publichealthontario.ca\/fr\/eRepository\/RPAP_All_HealthCare_Settings_Eng2012.pdf<\/a><\/p>\n

CCPMI. (2013). Annexe B : Pratiques exemplaires en mati\u00e8re de pr\u00e9vention de la transmission des infections <\/em>aigu\u00ebs des voies respiratoires dans tous les \u00e9tablissements de soins de sant\u00e9.<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : www.publichealthontario.ca\/fr\/eRepository\/CCPMI-IPC_Annex_B_Prevention_Transmission_ARI_2013.pdf<\/a><\/p>\n

CCPMI. (2014). Pratiques exemplaires d\u2019hygi\u00e8ne des mains dans tous les \u00e9tablissements de soins de <\/em>sant\u00e9, (4e<\/sup><\/span> \u00e9dition).<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : www.publichealthontario.ca\/fr\/eRepository\/2010-12%20BP%20Hand%20Hygiene.pdf<\/a><\/p>\n

CCPMI. (2015a). Pratiques exemplaires de pr\u00e9vention, de surveillance et de contr\u00f4le des nouvelles infections <\/em>respiratoires dans tous les \u00e9tablissements de soins de sant\u00e9.<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : http:\/\/www.publichealthontario.ca\/en\/eRepository\/Best_Practices_Novel_Respiratory_Infections.pdf<\/a><\/p>\n

CCPMI. (2015b). Pr\u00e9vention et contr\u00f4le des infections pour la pratique en cabinet et en clinique.<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : www.publichealthontario.ca\/fr\/eRepository\/IPAC_Clinical_Office_Practice_2013.pdf<\/a><\/p>\n

CCPMI. (2016). Pr\u00e9paratifs : Triage, d\u00e9pistage et gestion des patients ayant une infection au Coronavirus du <\/em>syndrome respiratoire du Moyen-Orient (MERS-CoV) dans les \u00e9tablissements de soins actifs.<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : www.publichealthontario.ca\/fr\/eRepository\/CCPMI-IPC_Preparedness_Tools_MERS_CoV_2013.pdf<\/a><\/p>\n

Agence de la sant\u00e9 publique du Canada. (2013). Guide canadien d\u2019immunisation.<\/em> Tir\u00e9 du site Web de Agence de la sant\u00e9 publique du Canada : http:\/\/phac-aspc.gc.ca\/publicat\/cig-gci\/p03-work-travail-fra.php#a1<\/a><\/p>\n

Agence de la sant\u00e9 publique du Canada. (2014). Normes canadiennes pour <\/em>la lutte antituberculeuse (7e<\/sup><\/span> \u00e9dition).<\/em> Tir\u00e9 du site Web de Agence de la sant\u00e9 publique du Canada : https:\/\/www.canada.ca\/content\/dam\/phac-aspc\/migration\/phac-aspc\/tbpc-latb\/pubs\/tb-canada-7\/assets\/pdf\/tb-standards-tb-normes-ch7-fra.pdf<\/a><\/p>\n

Agence de la sant\u00e9 publique du Canada. (2016). R\u00e9sum\u00e9 de l\u2019\u00e9valuation du risque associ\u00e9 au coronavirus du <\/em>syndrome respiratoire du Moyen-Orient (MERS-CoV) pour la sant\u00e9 publique au Canada.<\/em> Tir\u00e9 du site Web de l\u2019Agence de la sant\u00e9 publique du Canada : www.phac-aspc.gc.ca\/eri-ire\/coronavirus\/risk_assessment-evaluation_risque-fra.php<\/a><\/p>\n

Sant\u00e9 publique Ontario. (n.d.a). Cha\u00eene de transmission et \u00e9valuation des risques : Glossaire.<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : www.publichealthontario.ca\/fr\/LearningAndDevelopment\/OnlineLearning\/InfectiousDiseases\/IPACCore\/Documents\/CORE_Trainers_COT_and_RA_Module_Glossary_April_2014.pdf<\/a><\/p>\n

Sant\u00e9 publique Ontario. (n.d.b). Algorithme des risques guidant l\u2019utilisation des \u00c9PI. Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : file:\/\/\/C|\/Users\/carso\/AppData\/Local\/Temp\/ www.publichealthontario.ca\/fr\/eRepository\/IPAC_Clinical_Office_Practice_Risk_Algorithm_PPE_2013.pdf<\/a><\/p>\n

Organisation mondiale de la Sant\u00e9. (2015). Coronavirus du syndrome respiratoire du Moyen-Orient (MERSCoV). Tir\u00e9 du site Web de l\u2019Organisation mondiale de la Sant\u00e9 : www.who.int\/mediacentre\/factsheets\/mers-cov\/fr\/<\/a><\/p>\n

[\/et_pb_toggle][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ inner_shadow=\u00a0\u00bbon\u00a0\u00bb module_id=\u00a0\u00bbfootnote\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_type=\u00a0\u00bbcircular\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#ffffff 53%|#ededed 100%\u00a0\u00bb background_color_gradient_start=\u00a0\u00bb#ffffff\u00a0\u00bb background_color_gradient_start_position=\u00a0\u00bb53%\u00a0\u00bb background_color_gradient_end=\u00a0\u00bb#ededed\u00a0\u00bb custom_padding=\u00a0\u00bb20px||20px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_2,1_4,1_4″ _builder_version=\u00a0\u00bb4.16″ global_colors_info=\u00a0\u00bb{}\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_column][et_pb_column type=\u00a0\u00bb1_4″ _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_button button_url=\u00a0\u00bb\/fr\/immunizations\/\u00a0\u00bb button_text=\u00a0\u00bbpr\u00e9c\u00e9dent\u00a0\u00bb button_alignment=\u00a0\u00bbright\u00a0\u00bb admin_label=\u00a0\u00bbPrevious\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbfade\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb button_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb][\/et_pb_button][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_4″ _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_button button_url=\u00a0\u00bb\/fr\/routine-practices\/\u00a0\u00bb button_text=\u00a0\u00bbsuivant\u00a0\u00bb button_alignment=\u00a0\u00bbleft\u00a0\u00bb admin_label=\u00a0\u00bbNext\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbfade\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb button_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

Les six maillons de la cha\u00eene de transmission et comment briser cette cha\u00eeneCHA\u00ceNE DE TRANSMISSIONChaque maillon de la cha\u00eene repr\u00e9sente un facteur li\u00e9 \u00e0 la propagation des microorganismes. La transmission des agents infectieux n\u2019a pas lieu, \u00e0 moins que chacun des six \u00e9l\u00e9ments de la cha\u00eene de transmission ne soit pr\u00e9sent. Sant\u00e9 publique de l\u2019Ontario […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-3215","page","type-page","status-publish","hentry"],"yoast_head":"\nLes six maillons de la cha\u00eene de transmission et comment briser cette cha\u00eene - Infection Prevention & Control CBPG<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/infection.crto.on.ca\/the-six-links-in-the-chain-transmission\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Les six maillons de la cha\u00eene de transmission et comment briser cette cha\u00eene - Infection Prevention & Control CBPG\" \/>\n<meta property=\"og:description\" content=\"Les six maillons de la cha\u00eene de transmission et comment briser cette cha\u00eeneCHA\u00ceNE DE TRANSMISSIONChaque maillon de la cha\u00eene repr\u00e9sente un facteur li\u00e9 \u00e0 la propagation des microorganismes. La transmission des agents infectieux n\u2019a pas lieu, \u00e0 moins que chacun des six \u00e9l\u00e9ments de la cha\u00eene de transmission ne soit pr\u00e9sent. Sant\u00e9 publique de l\u2019Ontario […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/infection.crto.on.ca\/the-six-links-in-the-chain-transmission\/\" \/>\n<meta property=\"og:site_name\" content=\"Infection Prevention & Control CBPG\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-15T14:20:34+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"11 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/infection.crto.on.ca\/the-six-links-in-the-chain-transmission\/\",\"url\":\"https:\/\/infection.crto.on.ca\/the-six-links-in-the-chain-transmission\/\",\"name\":\"Les six maillons de la cha\u00eene de transmission et comment briser cette cha\u00eene - Infection Prevention & Control CBPG\",\"isPartOf\":{\"@id\":\"https:\/\/infection.crto.on.ca\/#website\"},\"datePublished\":\"2021-02-11T16:09:59+00:00\",\"dateModified\":\"2023-05-15T14:20:34+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/infection.crto.on.ca\/the-six-links-in-the-chain-transmission\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/infection.crto.on.ca\/the-six-links-in-the-chain-transmission\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/infection.crto.on.ca\/the-six-links-in-the-chain-transmission\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/infection.crto.on.ca\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Les six maillons de la cha\u00eene de transmission et comment briser cette cha\u00eene\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/infection.crto.on.ca\/#website\",\"url\":\"https:\/\/infection.crto.on.ca\/\",\"name\":\"Infection Prevention & Control CBPG\",\"description\":\"Clinical Best Practice Guideline\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/infection.crto.on.ca\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Les six maillons de la cha\u00eene de transmission et comment briser cette cha\u00eene - Infection Prevention & Control CBPG","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/infection.crto.on.ca\/the-six-links-in-the-chain-transmission\/","og_locale":"fr_FR","og_type":"article","og_title":"Les six maillons de la cha\u00eene de transmission et comment briser cette cha\u00eene - Infection Prevention & Control CBPG","og_description":"Les six maillons de la cha\u00eene de transmission et comment briser cette cha\u00eeneCHA\u00ceNE DE TRANSMISSIONChaque maillon de la cha\u00eene repr\u00e9sente un facteur li\u00e9 \u00e0 la propagation des microorganismes. La transmission des agents infectieux n\u2019a pas lieu, \u00e0 moins que chacun des six \u00e9l\u00e9ments de la cha\u00eene de transmission ne soit pr\u00e9sent. Sant\u00e9 publique de l\u2019Ontario […]","og_url":"https:\/\/infection.crto.on.ca\/the-six-links-in-the-chain-transmission\/","og_site_name":"Infection Prevention & Control CBPG","article_modified_time":"2023-05-15T14:20:34+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"11 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/infection.crto.on.ca\/the-six-links-in-the-chain-transmission\/","url":"https:\/\/infection.crto.on.ca\/the-six-links-in-the-chain-transmission\/","name":"Les six maillons de la cha\u00eene de transmission et comment briser cette cha\u00eene - Infection Prevention & Control CBPG","isPartOf":{"@id":"https:\/\/infection.crto.on.ca\/#website"},"datePublished":"2021-02-11T16:09:59+00:00","dateModified":"2023-05-15T14:20:34+00:00","breadcrumb":{"@id":"https:\/\/infection.crto.on.ca\/the-six-links-in-the-chain-transmission\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/infection.crto.on.ca\/the-six-links-in-the-chain-transmission\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/infection.crto.on.ca\/the-six-links-in-the-chain-transmission\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/infection.crto.on.ca\/"},{"@type":"ListItem","position":2,"name":"Les six maillons de la cha\u00eene de transmission et comment briser cette cha\u00eene"}]},{"@type":"WebSite","@id":"https:\/\/infection.crto.on.ca\/#website","url":"https:\/\/infection.crto.on.ca\/","name":"Infection Prevention & Control CBPG","description":"Clinical Best Practice Guideline","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/infection.crto.on.ca\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"}]}},"_links":{"self":[{"href":"https:\/\/infection.crto.on.ca\/fr\/wp-json\/wp\/v2\/pages\/3215","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/infection.crto.on.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/infection.crto.on.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/infection.crto.on.ca\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/infection.crto.on.ca\/fr\/wp-json\/wp\/v2\/comments?post=3215"}],"version-history":[{"count":9,"href":"https:\/\/infection.crto.on.ca\/fr\/wp-json\/wp\/v2\/pages\/3215\/revisions"}],"predecessor-version":[{"id":3796,"href":"https:\/\/infection.crto.on.ca\/fr\/wp-json\/wp\/v2\/pages\/3215\/revisions\/3796"}],"wp:attachment":[{"href":"https:\/\/infection.crto.on.ca\/fr\/wp-json\/wp\/v2\/media?parent=3215"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}