{"id":4315,"date":"2021-09-16T08:54:49","date_gmt":"2021-09-16T06:54:49","guid":{"rendered":"https:\/\/reseau-amylose.org\/jesuissoignant\/?page_id=4315"},"modified":"2026-08-25T20:13:56","modified_gmt":"2026-08-25T18:13:56","slug":"la-vaccination","status":"publish","type":"page","link":"https:\/\/reseau-amylose.org\/jesuissoignant\/la-vaccination\/","title":{"rendered":"La vaccination"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4315\" class=\"elementor elementor-4315\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-71af4c2f elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"71af4c2f\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4c2b6067\" data-id=\"4c2b6067\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6691f50 elementor-widget elementor-widget-heading\" data-id=\"6691f50\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">La vaccination<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e531d7b elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"7e531d7b\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-72c5c672 elementor-widget elementor-widget-heading\" data-id=\"72c5c672\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\"><h2 class=\"elementor-heading-title elementor-size-large elementor-inline-editing pen\" data-elementor-setting-key=\"title\" data-pen-placeholder=\"\u00c9crivez ici...\">Quels vaccins pour un patient atteint d'une amylose cardiaque ? <\/h2><\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4d0e956 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4d0e956\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-eff0229\" data-id=\"eff0229\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1ab4ff7 elementor-widget elementor-widget-text-editor\" data-id=\"1ab4ff7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La vaccination des patients atteints d&rsquo;amylose cardiaque est n\u00e9cessaire afin d&rsquo;\u00e9viter des infections. Tr\u00e8s souvent, les patients ne sont pas vaccin\u00e9s. Afin d&rsquo;aider les professionnels de sant\u00e9, le R\u00e9seau Amylose a d\u00e9velopp\u00e9 un protocole de vaccination pour les patients atteints d&rsquo;amylose cardiaque AL ou d&rsquo;amylose \u00e0 transthyr\u00e9tine h\u00e9r\u00e9ditaire et s\u00e9nile.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-916fa3f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"916fa3f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5fd12e7\" data-id=\"5fd12e7\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-70ef3a8 elementor-widget elementor-widget-heading\" data-id=\"70ef3a8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Points cl\u00e9s pour les professionnels de sant\u00e9<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-caab2c4 elementor-widget elementor-widget-text-editor\" data-id=\"caab2c4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>La vaccination est souvent n\u00e9glig\u00e9e chez les patients amylose alors qu&rsquo;elle est n\u00e9cessaire pour pr\u00e9venir les infections.<\/li><li>Le pneumocoque se fait d\u00e9sormais en dose unique (vaccin conjugu\u00e9 20-valent ou 21-valent), rempla\u00e7ant l&rsquo;ancien sch\u00e9ma s\u00e9quentiel en deux temps \u2014 recommand\u00e9 chez tout patient de 65 ans et plus ou immunod\u00e9prim\u00e9.<\/li><li>La vaccination COVID-19 suit un rythme de campagnes saisonni\u00e8res (automne + rappel printanier pour les plus fragiles), avec un d\u00e9lai minimum de 6 mois entre doses (r\u00e9ductible \u00e0 3 mois pour les patients \u00e0 tr\u00e8s haut risque).<\/li><li>L&rsquo;amylose AL sous chimioth\u00e9rapie n\u00e9cessite une attention particuli\u00e8re : la vaccination ne doit pas retarder le traitement, et certains rappels sont diff\u00e9r\u00e9s en fin de chimioth\u00e9rapie.<\/li><li>Le vaccin HIB n&rsquo;est pas recommand\u00e9 (protection insuffisante contre les pneumopathies non capsul\u00e9es).<\/li><li>Le cocooning des proches (COVID-19, grippe) est recommand\u00e9 comme pour tout patient immunod\u00e9prim\u00e9.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5302c1e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5302c1e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3d1042e\" data-id=\"3d1042e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e34235d elementor-widget elementor-widget-heading\" data-id=\"e34235d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Protocole de vaccination pour les patients atteints d'une amylose cardiaque<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-15d2941 elementor-widget elementor-widget-text-editor\" data-id=\"15d2941\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><em>Par le R\u00e9seau Amylose Mondor<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-36004cb elementor-widget elementor-widget-text-editor\" data-id=\"36004cb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<table width=\"623\"><tbody><tr><td width=\"147\"><p><strong>Vaccin<\/strong><\/p><\/td><td width=\"237\"><p><strong>Amylose AL<\/strong><\/p><\/td><td width=\"240\"><p><strong>Amylose ATTR h\u00e9r\u00e9ditaire ou sauvage<\/strong><\/p><\/td><\/tr><tr><td width=\"147\"><p>COVID-19<\/p><\/td><td width=\"237\"><p>Vaccination recommand\u00e9e selon la campagne en cours (campagne automnale combin\u00e9e \u00e0 la grippe, et campagne de rappel printani\u00e8re pour les personnes les plus fragiles). D\u00e9lai minimum de 6 mois depuis la derni\u00e8re injection ou infection (r\u00e9ductible \u00e0 3 mois pour les patients \u00e0 tr\u00e8s haut risque, en d\u00e9cision m\u00e9dicale partag\u00e9e). \u00c0 r\u00e9aliser sous chimioth\u00e9rapie sans retarder celle-ci. En respect des contre-indications.<\/p><\/td><td width=\"240\"><p>Vaccination recommand\u00e9e selon la campagne en cours (automnale + rappel printanier pour les plus fragiles). D\u00e9lai minimum de 6 mois depuis la derni\u00e8re injection ou infection (r\u00e9ductible \u00e0 3 mois pour les patients \u00e0 tr\u00e8s haut risque). Pas d&rsquo;interaction connue avec les traitements de l&rsquo;amylose (tafamidis, patisiran\u2026). En respect des contre-indications.<\/p><\/td><\/tr><tr><td width=\"147\"><p>Pneumocoque<\/p><\/td><td width=\"237\"><p>Dose unique de vaccin conjugu\u00e9 20-valent (Prevenar 20) ou 21-valent (Capvaxive), qui remplace l&rsquo;ancien sch\u00e9ma s\u00e9quentiel 13-valent puis 23-valent. Peut \u00eatre coadministr\u00e9e avec les vaccins grippe et COVID-19. En respect des contre-indications.<\/p><\/td><td width=\"240\"><p>Dose unique de vaccin conjugu\u00e9 20-valent (Prevenar 20) ou 21-valent (Capvaxive), recommand\u00e9e syst\u00e9matiquement \u00e0 partir de 65 ans et chez tout patient \u00e0 risque, quel que soit l&rsquo;\u00e2ge. En respect des contre-indications.<\/p><\/td><\/tr><tr><td width=\"147\"><p>Grippe<\/p><\/td><td width=\"237\"><p>Vaccin grippal \u00e0 l&rsquo;automne ou en p\u00e9riode \u00e9pid\u00e9mique, m\u00eame sous chimioth\u00e9rapie. En respect des contre-indications.<\/p><\/td><td width=\"240\"><p>Vaccin grippal \u00e0 l&rsquo;automne ou en p\u00e9riode \u00e9pid\u00e9mique. En respect des contre-indications.<\/p><\/td><\/tr><tr><td width=\"147\"><p>Haemophilus Influenzae B (HIB)<\/p><\/td><td width=\"237\"><p>Le vaccin HIB prot\u00e8ge uniquement contre la souche capsul\u00e9e B, pas les souches non capsul\u00e9es (nombreuses) responsables de pneumopathie. Pas de vaccination recommand\u00e9e. En respect des contre-indications.<\/p><\/td><td width=\"240\"><p>(idem)<\/p><\/td><\/tr><tr><td width=\"147\"><p>Dipht\u00e9rie, T\u00e9tanos, Poliomy\u00e9lite (DTP)<\/p><\/td><td width=\"237\"><p>Si vaccination non \u00e0 jour : rappel DTP en fin de chimioth\u00e9rapie, c&rsquo;est-\u00e0-dire si le patient ne l&rsquo;a pas re\u00e7u depuis plus de 10 ans. En respect des contre-indications.<\/p><\/td><td width=\"240\"><p>Si vaccination non \u00e0 jour (&gt; 10 ans) : rappel DTP. En respect des contre-indications.<\/p><\/td><\/tr><tr><td width=\"147\"><p>H\u00e9patite B (HBV)<\/p><\/td><td width=\"237\"><p>Seulement si patient \u00e0 risque HBV selon les recommandations nationales : voyage en zone \u00e0 risque, rapports sexuels \u00e0 risque, transplant\u00e9 h\u00e9patique. En respect des contre-indications.<\/p><\/td><td width=\"240\"><p>(idem)<\/p><\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e6ddf26 elementor-widget elementor-widget-text-editor\" data-id=\"e6ddf26\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Et si plusieurs vaccins sont \u00e0 faire ? <\/strong>COVID-19, grippe, pneumocoque et h\u00e9patite B peuvent \u00eatre faits en m\u00eame temps, comme la grande majorit\u00e9 des vaccins (le m\u00eame jour, \u00e0 des endroits diff\u00e9rents : bras, cuisse, ventre). En respect des contre-indications.<\/p><p><strong>Vacciner les proches : <\/strong>important, le \u00ab cocooning \u00bb \u2014 vacciner les proches contre la COVID-19 et la grippe \u2014 comme pour tous les patients immunod\u00e9prim\u00e9s.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5c4f373 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5c4f373\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f37d93a\" data-id=\"f37d93a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e7babce elementor-cta--skin-classic elementor-animated-content elementor-bg-transform elementor-bg-transform-zoom-in elementor-widget elementor-widget-call-to-action\" data-id=\"e7babce\" data-element_type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<a class=\"elementor-cta\" href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/documentation\/documentation-triptyques-reseau-amylose\/\" target=\"_blank\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url(https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2021\/09\/Capture-de\u0301cran-2021-09-30-a\u0300-10.52.19.png);\" role=\"img\" aria-label=\"Capture d\u2019e\u0301cran 2021-09-30 a\u0300 10.52.19\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tT\u00e9l\u00e9chargez le triptyque - Vaccination des patients atteints d'amylose cardiaque\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-601e7d9\" data-id=\"601e7d9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-738affe elementor-cta--skin-classic elementor-animated-content elementor-bg-transform elementor-bg-transform-zoom-in elementor-widget elementor-widget-call-to-action\" data-id=\"738affe\" data-element_type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<a class=\"elementor-cta\" href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2021\/10\/ProtocoleVaccinationOCT2021.pdf\" target=\"_blank\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url(https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2021\/09\/Capture-de\u0301cran-2021-09-16-a\u0300-09.02.21-1024x549.png);\" role=\"img\" aria-label=\"Capture d\u2019e\u0301cran 2021-09-16 a\u0300 09.02.21\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tT\u00e9l\u00e9chargez le protocole de vaccination pour les patients \t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-624f0c7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"624f0c7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4a0df32\" data-id=\"4a0df32\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a415c30 elementor-widget elementor-widget-text-editor\" data-id=\"a415c30\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center\"><span style=\"color: #808080\"><em>Documents r\u00e9dig\u00e9s par le Centre de R\u00e9f\u00e9rence des Amyloses Cardiaques &#8211; APHP Henri Mondor &#8211; Pr Thibaud DAMY\u00a0<\/em><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-23dc249 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"23dc249\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fbb4332\" data-id=\"fbb4332\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d3e05f9 elementor-widget elementor-widget-heading\" data-id=\"d3e05f9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">FAQ \u2014 Questions fr\u00e9quentes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a48536 elementor-widget elementor-widget-toggle\" data-id=\"1a48536\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2751\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2751\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Pourquoi la vaccination est-elle importante dans l'amylose cardiaque ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2751\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2751\"><p>Parce qu&rsquo;elle permet d&rsquo;\u00e9viter des infections chez des patients souvent fragilis\u00e9s, en particulier ceux sous chimioth\u00e9rapie (amylose AL) ou immunod\u00e9prim\u00e9s.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2752\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2752\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Le sch\u00e9ma vaccinal contre le pneumocoque diff\u00e8re-t-il selon le type d'amylose ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2752\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2752\"><p>Non, le sch\u00e9ma est identique : une dose unique de vaccin conjugu\u00e9 20-valent (Prevenar 20) ou 21-valent (Capvaxive), recommand\u00e9e chez tout patient de 65 ans et plus ou immunod\u00e9prim\u00e9 quel que soit l&rsquo;\u00e2ge. Seule la temporalit\u00e9 par rapport \u00e0 la chimioth\u00e9rapie peut \u00eatre adapt\u00e9e pour l&rsquo;amylose AL.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2753\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2753\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Peut-on faire plusieurs vaccins le m\u00eame jour ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2753\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2753\"><p>Oui, la grande majorit\u00e9 des vaccins (COVID-19, grippe, pneumocoque, h\u00e9patite B) peuvent \u00eatre administr\u00e9s le m\u00eame jour, \u00e0 des sites d&rsquo;injection diff\u00e9rents, dans le respect des contre-indications.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2754\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2754\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Faut-il vacciner l'entourage du patient ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2754\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2754\"><p>Oui, le \u00ab cocooning \u00bb (vaccination des proches contre la COVID-19 et la grippe) est recommand\u00e9, comme pour tout patient immunod\u00e9prim\u00e9.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2333b07 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2333b07\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ed36da3\" data-id=\"ed36da3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3991d6d elementor-widget elementor-widget-text-editor\" data-id=\"3991d6d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La vaccination des patients atteints d&rsquo;amylose cardiaque, souvent n\u00e9glig\u00e9e, est n\u00e9cessaire pour pr\u00e9venir les infections. Le R\u00e9seau Amylose propose un protocole d\u00e9taill\u00e9 par vaccin et par type d&rsquo;amylose (AL ou ATTR h\u00e9r\u00e9ditaire\/sauvage), avec des nuances de calendrier pour les patients AL sous chimioth\u00e9rapie. Depuis 2024-2026, deux sch\u00e9mas ont \u00e9t\u00e9 actualis\u00e9s au niveau national : le pneumocoque se fait d\u00e9sormais en dose unique (vaccin conjugu\u00e9 20-valent Prevenar 20, ou 21-valent Capvaxive), rempla\u00e7ant l&rsquo;ancien protocole s\u00e9quentiel en deux temps, et recommand\u00e9 chez tout patient de 65 ans et plus ou immunod\u00e9prim\u00e9 ; la COVID-19 suit un rythme de campagnes saisonni\u00e8res (automne + rappel printanier pour les plus fragiles) avec un d\u00e9lai minimum de 6 mois entre doses, r\u00e9ductible \u00e0 3 mois pour les patients \u00e0 tr\u00e8s haut risque. La plupart des vaccins peuvent \u00eatre administr\u00e9s le m\u00eame jour. La vaccination des proches (cocooning) est \u00e9galement recommand\u00e9e.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ceeff5 elementor-widget elementor-widget-text-editor\" data-id=\"3ceeff5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>R\u00e9dig\u00e9 par<\/strong> : Contenu r\u00e9dig\u00e9 par l&rsquo;\u00e9quipe du Centre de r\u00e9f\u00e9rence des Amyloses Cardiaques<\/li><li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>Relu \/ valid\u00e9 par<\/strong> : Pr Thibaud DAMY, cardiologue, Coordonateur du CRAC Centre de R\u00e9f\u00e9rence des Amyloses Cardiaques APHP &#8211; CHU Henri-Mondor<\/li><li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>Date de derni\u00e8re mise \u00e0 jour<\/strong> 08\/2026<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>La vaccination Quels vaccins pour un patient atteint d&rsquo;une amylose cardiaque ? La vaccination des patients atteints d&rsquo;amylose cardiaque est n\u00e9cessaire afin d&rsquo;\u00e9viter des infections. Tr\u00e8s souvent, les patients ne sont pas vaccin\u00e9s. Afin d&rsquo;aider les professionnels de sant\u00e9, le R\u00e9seau Amylose a d\u00e9velopp\u00e9 un protocole de vaccination pour les patients atteints d&rsquo;amylose cardiaque AL [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-4315","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vaccination et amylose cardiaque - R\u00e9seau Amylose<\/title>\n<meta name=\"description\" content=\"La vaccination des patients atteints d&#039;amylose cardiaque est n\u00e9cessaire afin d&#039;\u00e9viter des infections. - protocole par vaccin et type d&#039;amylose\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/la-vaccination\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vaccination et amylose cardiaque - R\u00e9seau Amylose\" \/>\n<meta property=\"og:description\" content=\"La vaccination des patients atteints d&#039;amylose cardiaque est n\u00e9cessaire afin d&#039;\u00e9viter des infections. - protocole par vaccin et type d&#039;amylose\" \/>\n<meta property=\"og:url\" content=\"https:\/\/reseau-amylose.org\/jesuissoignant\/la-vaccination\/\" \/>\n<meta property=\"og:site_name\" content=\"R\u00e9seau Amylose\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-25T18:13:56+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/reseau-amylose.org\/jesuissoignant\/la-vaccination\/\",\"url\":\"https:\/\/reseau-amylose.org\/jesuissoignant\/la-vaccination\/\",\"name\":\"Vaccination et amylose cardiaque - 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