, Pour les envenimations par méduses, l'autre traitement le plus souvent proposé était un antihistaminique (37%), En revanche, notre étude retrouvait une relative faible utilisation des corticoïdes

, Pour les envenimations par corail, les autres principaux traitements sont les antibiotiques (84%) et les antiseptiques (76%), en faveur du caractère souvent infecté de ces plaies ou du risque potentiel. La littérature retrouve également l'utilisation de corticoïdes

, Nous n'avons pas eu accès aux données médicales en ville, et donc nous ne savons pas si des patients similaires sont pris en charge dans ces structures, et s'il est souvent nécessaire de les transférer secondairement vers l'hôpital

, Au vu de nos résultats et des données de la littérature, nous proposons des logigrammes de prise en charge (Figures 15 et 16) afin d'aider à la décision d'hospitaliser ou non

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, 17 figures, 8 tableaux, 30 cm-Thèse : Médecine

. Objectif, Décrire les caractéristiques épidémiologiques, cliniques et thérapeutiques des envenimations par cnidaires prises en charge au Centre hospitalier territorial (CHT) de Nouméa. Méthode. Étude rétrospective ayant inclus tous les patients admis au CHT pour un accident impliquant un cnidaire

, L'étude a inclus 75 patients : 38 envenimations par forme mobile de cnidaire (3 par Physalia spp, les autres par méduses) et 37 cas de lésions par contact avec un corail. Leur âge médian était 19 ans (IQ : 8-32), les patients envenimés par méduse étant significativement plus jeunes que ceux blessés par corail (p < 0,01), Les dossiers ont été identifiés à partir du PMSI et du logiciel DxCare utilisé aux urgences. Résultats, 2012.

, One envenomation by Physalia spp. induced a rhabdomyolysis with acute kidney injury and one envenomation by coral caused a myocarditis. Besides painkillers, treatment was composed of antihistaminics for 37% of jellyfish envenomations, and one antibiotherapy and one surgery for contact lesions by corals (respectively 84% and 46% of cases). No death or aftermath was noticed. Conclusion. Number of envenomation by cnidarians appears relatively low in New Caledonia, despite a recent increase in the number of cases involving a jellyfish. Envenomations by scyphozoans, for the most part are not severe, allowing to consider an outpatient treatment. Therefore, cases implying a Physalia or a coral needs a transfer to hospital, Les patients envenimés par forme mobile de cnidaire présentaient un érythème (37%), des papules (24%) et un prurit (21%). Les principaux signes observés après un contact avec un corail étaient un érythème (76%), une plaie (51%), un oedème local (32%), 2005.