{"id":20923954,"date":"2023-11-30T14:56:54","date_gmt":"2023-11-30T13:56:54","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=20923954"},"modified":"2023-11-30T15:18:01","modified_gmt":"2023-11-30T14:18:01","slug":"unite-medicale-de-toxicologie-des-experts","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/unite-medicale-de-toxicologie-des-experts\/","title":{"rendered":"Unit\u00e9 m\u00e9dicale de toxicologie\u00a0: des experts"},"content":{"rendered":"\n<p>L\u2019unit\u00e9 m\u00e9dicale de toxicologie pr\u00e9sente diff\u00e9rentes missions et c\u2019est justement cette vari\u00e9t\u00e9 des t\u00e2ches &#8211; et les \u00ab\u00a0cas int\u00e9ressants\u00a0\u00bb &#8211; qui plaisent le plus aux praticiens. L\u2019activit\u00e9 hospitali\u00e8re de l\u2019unit\u00e9 concerne surtout le d\u00e9pistage de conduites addictives. \u00ab\u00a0<em>Nous assurons un suivi pour les patients pr\u00e9sentant des consommations \u00e0 risque, d\u2019alcool, de tabac, de stup\u00e9fiants etc. Cela nous am\u00e8ne \u00e0 travailler avec des services tr\u00e8s vari\u00e9s. Par exemple, avec le service de gastro-ent\u00e9rologie pour lequel nous surveillons l\u2019abstinence \u00e0 l\u2019alcool des patients en attente de greffe h\u00e9patique. Ou bien, les patients gros consommateurs de tabac devant subir une intervention en chirurgie plastique avant certaines op\u00e9rations. Nous contr\u00f4lons leur niveau de consommation de tabac, potentiellement responsable d\u2019une mauvaise cicatrisation, en dosant un m\u00e9tabolite de la nicotine. Nous travaillons \u00e9galement avec le centre hospitalier Henri-Laborit, et plus sp\u00e9cialement avec l\u2019unit\u00e9 m\u00e8re-b\u00e9b\u00e9. Nous nous assurons que les femmes qui viennent d\u2019accoucher, ont stopp\u00e9 leur consommation de produits toxiques. Le suivi de ces femmes peut se faire sur de longues p\u00e9riodes <\/em>\u00bb. L\u2019unit\u00e9 intervient \u00e9galement pour certains patients arrivant aux urgences ou en r\u00e9animation, lorsqu\u2019il s\u2019agit de comprendre la raison d\u2019un coma ou de certains sympt\u00f4mes en recherchant une large gamme de m\u00e9dicaments ou toxiques. Les autres activit\u00e9s du service portent sur les analyses en rapport avec la circulation routi\u00e8re et les expertises m\u00e9dico-l\u00e9gales. Lors des contr\u00f4les routiers, les gendarmes ou les policiers r\u00e9alisent des pr\u00e9l\u00e8vements qu\u2019ils envoient pour analyses au laboratoire de toxicologie du CHU de Poitiers. Il peut s\u2019agir de d\u00e9pistage de stup\u00e9fiant ou des tests d\u2019alcool\u00e9mie. \u00ab <em>Nous en faisons tous les jours. Ce ne sont pas des analyses tr\u00e8s complexes mais cela occupe une part assez importante de notre quotidien<\/em> \u00bb. L\u2019unit\u00e9 m\u00e9dicale de toxicologie du CHU de Poitiers intervient \u00e9galement \u00e0 la demande de la justice ce qui n\u2019est pas le cas de tous les \u00e9tablissements hospitaliers. Les docteurs Bertrand Brunet, Sandrine Lefeuvre et Nicolas Venisse sont experts aupr\u00e8s de la cour d\u2019appel de Poitiers. \u00ab\u00a0<em>Nous travaillons en collaboration avec l\u2019institut m\u00e9dico-l\u00e9gal qui nous transmet les pr\u00e9l\u00e8vements n\u00e9cessaires dans les cas de recherche de toxiques. Nous sommes sollicit\u00e9s, par exemple, lorsqu\u2019il y a des d\u00e9c\u00e8s suspects. Nous proc\u00e9dons \u00e0 des analyses de toxicologie pour rechercher toutes sortes de substances comme l\u2019alcool, les m\u00e9dicaments, les stup\u00e9fiants et autres drogues. Et dans ce cadre-l\u00e0, nous sommes amen\u00e9s \u00e0 \u00e9tablir des rapports pour la justice et parfois, \u00e0 intervenir aux assises<\/em>\u00a0\u00bb, expliquent les experts. Leur activit\u00e9 s\u2019\u00e9tend sur tout le territoire Poitou-Charentes. Les analyses peuvent \u00eatre faites sur diff\u00e9rents pr\u00e9l\u00e8vements\u00a0: les cheveux, le sang, la salive, les tissus de certains organes, etc. \u00ab\u00a0<em>Nous avons la chance de disposer d\u2019\u00e9quipements sophistiqu\u00e9s qui sont n\u00e9cessaires pour d\u00e9tecter notamment les nouvelles drogues de synth\u00e8se qui sont plus nombreuses chaque jour et qui, pour certaines, peuvent \u00eatre toxiques \u00e0 des concentrations de plus en plus faibles. \u00bb\u00a0 <\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2023\/11\/Toxicologie-LABO-2.jpg\"><img decoding=\"async\" width=\"900\" height=\"600\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2023\/11\/Toxicologie-LABO-2.jpg\" alt=\"\" class=\"wp-image-20924869\"\/><\/a><figcaption class=\"wp-element-caption\"><em>Dr Bertrand Brunet et Dr Sandrine Lefeuvre<\/em><\/figcaption><\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Le laboratoire de toxicologie et pharmacocin\u00e9tique, dirig\u00e9 par le Pr Sandrine Marchand, se divise en deux secteurs\u00a0: la pharmacocin\u00e9tique et la\u2026","protected":false},"author":12,"featured_media":20924746,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-20923954","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Unit\u00e9 m\u00e9dicale de toxicologie\u00a0: des experts - Site du CHU de Poitiers<\/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:\/\/www.chu-poitiers.fr\/unite-medicale-de-toxicologie-des-experts\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Unit\u00e9 m\u00e9dicale de toxicologie\u00a0: des experts - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"Le laboratoire de toxicologie et pharmacocin\u00e9tique, dirig\u00e9 par le Pr Sandrine Marchand, se divise en deux secteurs\u00a0: la pharmacocin\u00e9tique et la toxicologie. 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