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menu-item-5587"><a href="https://www.sida-info-service.org/penetration-vaginale/">Pénétration vaginale : les risques ?</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-5590"><a href="https://www.sida-info-service.org/penetration-anale-sodomie/">Pénétration anale : les risques ?</a></li> </ul> </li> <li class="menu-item menu-item-type-taxonomy menu-item-object-category menu-item-has-children menu-item-5632"><a href="https://www.sida-info-service.org/categorie/vihsida/symptomes/">Symptômes</a> <ul class="sub-menu"> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-5653"><a href="https://www.sida-info-service.org/contamination-vih-symptomes/">Quels sont les symptômes ?</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-5674"><a href="https://www.sida-info-service.org/on-n-a-pas-toujours-de-symptomes-a/">A-t-on toujours des symptômes ?</a></li> </ul> </li> <li class="menu-item menu-item-type-taxonomy menu-item-object-category current-post-ancestor current-menu-parent current-post-parent menu-item-has-children menu-item-5695"><a href="https://www.sida-info-service.org/categorie/questions-frequentes/traitements/">Traitements</a> <ul class="sub-menu"> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-5860"><a href="https://www.sida-info-service.org/ou-en-est-la-tritherapie/">C’est quoi une trithérapie ?</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-5862"><a href="https://www.sida-info-service.org/traitement-post-exposition/">Traitement post exposition ?</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-11372"><a href="https://www.sida-info-service.org/charge-virale-cest-quoi/">La charge virale c’est quoi ?</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-10359"><a href="https://www.sida-info-service.org/meurt-on-du-sida-avec-les-traitements/">Meurt-on encore du Sida ?</a></li> </ul> </li> <li class="menu-item menu-item-type-taxonomy menu-item-object-category menu-item-has-children menu-item-6883"><a href="https://www.sida-info-service.org/categorie/questions-frequentes/droits/">Droits</a> <ul class="sub-menu"> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-6887"><a href="https://www.sida-info-service.org/comment-obtenir-un-pret-malgre-la-maladie/">Assurance prêt immobilier et VIH</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-9830"><a href="https://www.sida-info-service.org/est-ce-qu-on-peut-refuser-de-m/">Peut-on refuser de m’embaucher si j’ai le VIH ?</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-6890"><a href="https://www.sida-info-service.org/reveler-seropositivite-travail/">Dois-je révéler mon VIH à mon employeur ?</a></li> </ul> </li> <li class="menu-item menu-item-type-taxonomy menu-item-object-category current-post-ancestor current-menu-ancestor current-menu-parent current-post-parent menu-item-has-children menu-item-6237"><a href="https://www.sida-info-service.org/categorie/dossiers/">Dossiers VIH/Sida</a> <ul class="sub-menu"> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-88168"><a href="https://www.sida-info-service.org/dossier-tout-savoir-sur-le-tasp/">Le TasP, c’est quoi ?</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-6245"><a href="https://www.sida-info-service.org/kit-d-information-sur-l-infection/">Tout savoir sur le Sida</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-5738"><a href="https://www.sida-info-service.org/preservatifs/">Tout savoir sur les préservatifs</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-6268"><a 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menu-item-5611"><a href="https://www.sida-info-service.org/categorie/questions-frequentes/foire-aux-questions-sida/">Foire aux questions (VIH)</a></li> <li class="menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-3309273"><a href="#"><i class="fa fa-flag" aria-hidden="true"></i> English</a> <ul class="sub-menu"> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-3326488"><a href="https://www.sida-info-service.org/medical-care-for-foreign-tourists-in-france/">Medical care for tourists in France</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-3326481"><a href="https://www.sida-info-service.org/during-the-olympics-ask-questions-about-prep-and-pep/">Questions about PrEP and PEP</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-3309261"><a href="https://www.sida-info-service.org/prep-protects-against-hiv/">PrEP protects against HIV</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-3326394"><a href="https://www.sida-info-service.org/a-question-by-email/">A question by email</a></li> </ul> </li> </ul> </li> <li class="vert2 menu-item menu-item-type-taxonomy menu-item-object-category menu-item-has-children menu-item-6917"><a href="https://www.sida-info-service.org/categorie/les-infections-sexuellement-transmissibles-ist/">IST</a> <ul class="sub-menu"> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-has-children menu-item-7321"><a href="https://www.sida-info-service.org/definition-ist/">Une IST, c’est quoi ?</a> <ul class="sub-menu"> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-5903"><a href="https://www.sida-info-service.org/blennorragie-gonococcie-chaude/">La gonococcie, c’est quoi ?</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-5967"><a href="https://www.sida-info-service.org/chlamydia-chlamidiose-chlamydiae/">Les chlamydiae, c’est quoi ?</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-6031"><a href="https://www.sida-info-service.org/la-syphilis-cest-quoi/">La syphilis, c’est quoi ?</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-5905"><a href="https://www.sida-info-service.org/hpv-papilloma-virus-humain/">Le HPV, c’est quoi ?</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-6030"><a href="https://www.sida-info-service.org/gardnerella/">Une vaginose à Gardnerella, c’est quoi ?</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-6008"><a href="https://www.sida-info-service.org/herpes-genital-hsv-2/">L’herpès génital, c’est quoi ?</a></li> <li class="menu-item menu-item-type-post_type menu-item-object-post menu-item-5904"><a 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menu-item-11714"><a href="https://sida-info-service.org/annuaire/">annuaire</a></li> <li class="hide-menu-desktop menu-item menu-item-type-custom menu-item-object-custom menu-item-2713508"><a href="https://www.sida-info-service.org/faire-un-don/"><i class="fa fa-gift" aria-hidden="true"></i> Faire un don</a></li> <li class="menu-custom-search"><span id='btn-search' class='btn--search'><i class='fa fa-search'></i></span></li></ul></div> </nav> </header> <div id="content" class="site-content"> <div id="primary" class="content-area"> <main id="main" class="site-main" role="main"> <div class="container"> <div class="breadcrumb">  <span property="itemListElement" typeof="ListItem"><a property="item" typeof="WebPage" title="Retour à l'accueil" href="https://www.sida-info-service.org" class="home"><span property="name">Accueil</span></a><meta property="position" content="1"></span> > <span property="itemListElement" typeof="ListItem"><a property="item" typeof="WebPage" title="Se rendre à la catégorie VIH/Sida." href="https://www.sida-info-service.org/categorie/vihsida/" class="taxonomy category"><span property="name">VIH/Sida</span></a><meta property="position" content="2"></span> > <span property="itemListElement" typeof="ListItem"><a property="item" typeof="WebPage" title="Se rendre à la catégorie Agir après un risque." href="https://www.sida-info-service.org/categorie/vihsida/agir-apres-un-risque/" class="taxonomy category"><span property="name">Agir après un risque</span></a><meta property="position" content="3"></span> > <span property="itemListElement" typeof="ListItem"><span property="name">Le traitement d’Urgence TPE</span><meta property="position" content="4"></span> </div> <div class="col-md-8 col-sx-12"> <div class="content_global"> <article id="post-480497" class="post-480497 post type-post status-publish format-standard has-post-thumbnail hentry category-agir-apres-un-risque category-dossiers category-traitements tag-aes tag-pep tag-ppe tag-risque tag-tpe tag-urgences"> <header class="entry-header"> <div class="barre_action pull-right">  </div> <div class="entry-footer"> <div class="col-md-12 no-padding article-header"> <div class="col-md-4 col-sm-12 col-sx-12 text-left no-padding-left publish"><span>Publié le : </span>3 mars 2021</div> <div class="col-md-4 col-sm-12 col-sx-12 text-left update-for"><span>Mise à jour le : </span> 25 novembre 2024 </div> <div class="col-md-4 col-sm-12 col-sx-12 text-right action_size no-padding-right"> <ul> <li> <a href="#" onclick="changeFontSize(1);return false;" title="Agrandir les caractères">A+</a> </li> <li> <a href="#" onclick="changeFontSize(-1);return false;" title="Rétrécir les caractères">A-</a> </li> <li> <a href="#" onclick="resetFontSize(); return false;" title="Taille normale des caractères">A</a> </li> </ul> </div> </div> <div class="tagged text-center"> <a href="https://www.sida-info-service.org/tag/aes/" rel="tag">AES</a> <a href="https://www.sida-info-service.org/tag/pep/" rel="tag">PEP</a> <a href="https://www.sida-info-service.org/tag/ppe/" rel="tag">PPE</a> <a href="https://www.sida-info-service.org/tag/risque/" rel="tag">risque</a> <a href="https://www.sida-info-service.org/tag/tpe/" rel="tag">TPE</a> <a href="https://www.sida-info-service.org/tag/urgences/" rel="tag">Urgences</a> </div> </div> <h1 class="entry-title">Le traitement d’Urgence TPE</h1>  </header> <div class="entry-content"> <div class="picture_une"> <img width="800" height="400" src="https://www.sida-info-service.org/wp-content/uploads/2021/03/Sabliers.jpg" class="attachment-800x400 size-800x400 wp-post-image" alt="deux sabliers" srcset="https://www.sida-info-service.org/wp-content/uploads/2021/03/Sabliers.jpg 800w, https://www.sida-info-service.org/wp-content/uploads/2021/03/Sabliers-300x150.jpg 300w, https://www.sida-info-service.org/wp-content/uploads/2021/03/Sabliers-768x384.jpg 768w" sizes="(max-width: 800px) 100vw, 800px" /> </div> <div id="pl-480497" class="panel-layout" ><div id="pg-480497-0" class="panel-grid panel-no-style" ><div id="pgc-480497-0-0" class="panel-grid-cell" ><div id="panel-480497-0-0-0" class="so-panel widget widget_sow-editor panel-first-child" data-index="0" ><div class="so-widget-sow-editor so-widget-sow-editor-base" > <div class="siteorigin-widget-tinymce textwidget"> <p>Vous avez été <strong>exposé à un risque de transmission du VIH</strong> ? Savez-vous que vous pouvez bénéficier d'un traitement d'urgence ?</p> <p>Ce traitement est appelé <strong>Traitement Post-Exposition (TPE)</strong> ou Prophylaxie Post-Exposition (PPE - PEP en anglais). Il peut être prescrit dans les cas d'AES, c'est-à-dire lors d'un accident d'exposition sexuelle ou d'exposition sanguine.</p> <p>Il doit être commencé le plus tôt possible, de préférence <strong>moins de 4 heures</strong> et au plus tard dans les 48 heures, après un risque de transmission du VIH.</p> <p>Ce traitement dure <strong>28 jours</strong>. Il est très efficace dès lors qu'il est pris correctement pendant tout sa durée.</p> <p><strong>Ecouter le podcast sur le TPE (1:03):</strong></p> </div> </div></div><div id="panel-480497-0-0-1" class="so-panel widget widget_sow-editor" data-index="1" ><div class="so-widget-sow-editor so-widget-sow-editor-base" > <div class="siteorigin-widget-tinymce textwidget"> <div id="soundcloudtactpe"></div> <p><spam style="font-size:0.8em;">[L'affichage de ce contenu audio est soumis à l'acceptation préalable des cookies. Vous pouvez aussi <a href="https://soundcloud.com/user-864802173" rel="noopener noreferrer" target="_blank">l'écouter directement sur Soundcloud</a>.]</spam></p> </div> </div></div><div id="panel-480497-0-0-2" class="so-panel widget widget_ink-accordion" data-index="2" ><div class="so-widget-ink-accordion so-widget-ink-accordion-accordion-dc9847734f79-480497" > <div class="iw-so-accordion-plain iw-so-accordion iw-so-acc-singleExpand iw-so-acc-toggle"> <div class="iw-so-acc-item" id="toggle-1-1"> <a href="#" class="iw-so-acc-title iw-text-left"> Le TPE c'est pour qui ? et pour quoi ? <span class="iw-so-tgl-open"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> <span class="iw-so-tgl-close"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> </a> <div class="iw-so-acc-content"> <p>Le traitement post-exposition est prescrit en cas d'<strong>accident d'exposition au VIH par voie sanguine ou sexuelle (AES)</strong>.</p> <p>Un<strong> accident d'exposition sanguine</strong> n'est pas le simple fait d'avoir touché une goutte de sang. Un accident d'exposition sanguine se produit en général dans un contexte de soins médicaux et concerne les <strong>soignants</strong>. Il s'agit d'une piqûre profonde, avec une aiguille creuse et intravasculaire (artérielle ou veineuse).</p> <p>Il peut aussi concerner les<strong> usagers de drogue par voie intraveineuse</strong> (UDVI) lorsqu'il y a partage de matériel d'injection (aiguille, seringue, préparation).</p> <p>Une piqûre avec une seringue abandonnée ou bien un crachat sanglant, une morsure ou une griffure ne constituent pas des AES et ne donnent pas lieu à la délivrance d'un TPE puisque ce ne sont pas des risques de transmission du VIH.</p> <p>Un <strong>accident d'exposition sexuelle</strong> peut donner lieu à la prescription d'un TPE s'il s'agit d'une pénétration anale ou vaginale non protégée avec un ou une partenaire</p> <ul> <li>porteur ou porteuse du VIH et dont la charge virale n'est pas indétectable</li> <li>qui fait partie d'un groupe à prévalence élevée : HSH (hommes ayant des relations sexuelles avec des hommes) multipartenaires, travailleuses ou travailleurs du sexe, personnes originaires de régions à prévalence du VIH élevée (Afrique, Caraïbes dont Antilles françaises, Amérique du Sud dont Guyane, Asie) ou usagers ou usagères de drogue par voie intraveineuse.</li> </ul> <p>Le TPE peut aussi être prescrit lorsqu'une personne a fait une fellation avec éjaculation dans la bouche à un homme faisant partie des groupes cités précédemment.</p> </div> </div> </div> </div></div><div id="panel-480497-0-0-3" class="so-panel widget widget_ink-accordion" data-index="3" ><div class="so-widget-ink-accordion so-widget-ink-accordion-accordion-dc9847734f79-480497" > <div class="iw-so-accordion-plain iw-so-accordion iw-so-acc-singleExpand iw-so-acc-toggle"> <div class="iw-so-acc-item" id="toggle-2-1"> <a href="#" class="iw-so-acc-title iw-text-left"> Le TPE où et quand l'avoir ? <span class="iw-so-tgl-open"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> <span class="iw-so-tgl-close"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> </a> <div class="iw-so-acc-content"> <p>Ne perdez pas de temps : rendez-vous au service des urgences d’un hôpital <strong>le plus rapidement possible</strong>. Pour un maximum d'efficacité le TPE doit être pris dans les 4 premières heures, au plus tard dans les 48 heures.</p> <p>Les services des urgences des hôpitaux vous accueillent 24h/24h pour évaluer le risque avec vous. En journée, certains <a href="https://www.sida-info-service.org/annuaire/" target="_blank" rel="noopener noreferrer">services spécialisés dans le VIH</a> et certains <a href="https://www.sida-info-service.org/annuaire/" target="_blank" rel="noopener noreferrer">centres de dépistage (CEGIDD)</a> peuvent vous prendre en charge. </p> </div> </div> </div> </div></div><div id="panel-480497-0-0-4" class="so-panel widget widget_ink-accordion" data-index="4" ><div class="so-widget-ink-accordion so-widget-ink-accordion-accordion-dc9847734f79-480497" > <div class="iw-so-accordion-plain iw-so-accordion iw-so-acc-singleExpand iw-so-acc-toggle"> <div class="iw-so-acc-item" id="toggle-3-1"> <a href="#" class="iw-so-acc-title iw-text-left"> Le TPE c'est quoi exactement ? <span class="iw-so-tgl-open"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> <span class="iw-so-tgl-close"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> </a> <div class="iw-so-acc-content"> <p><strong><em>A quoi sert le TPE ?</em></strong></p> <p>Ce traitement, appelé Traitement Post-Exposition (TPE) permet d'éviter une contamination lorsqu’on a été exposé au VIH. Il se compose de plusieurs médicaments actifs contre le VIH (une trithérapie). Il doit être pris pendant 28 jours. Pour que son efficacité soit la meilleure possible, il faut débuter le TPE le plus tôt possible (idéalement moins de 4 heures après le risque).</p> <p><strong><em>Comment prendre le TPE ?</em></strong></p> <p>Généralement les urgences délivrent un traitement post-exposition pour 3 à 5 jours. Deux ou trois jours plus tard, lors d’une nouvelle visite médicale, un médecin référent du VIH refait un point avec vous sur la situation : il peut décider d’arrêter le traitement, le modifier ou le poursuivre durant 28 jours en fonction de plusieurs facteurs : tolérance, réévaluation du risque, etc.</p> <p>Pour que le traitement soit efficace, il convient d'en respecter impérativement la durée , les doses prescrites et les horaires de prise.</p> <p><strong><em>Y a-t-il des précautions particulières ?</em></strong></p> <p>La prise du traitement doit se faire avec de la nourriture. Si vous prenez d’autres médicaments, si vous avez une hépatite ou si vous êtes enceinte, signalez-le au médecin. Certains effets indésirables d’intensité variable peuvent apparaître dans les premiers jours. En cas d’effets indésirables importants, parlez-en à un médecin immédiatement pour éviter les interruptions de traitement. Il existe des solutions.</p> <p><strong><em>Il y a des effets indésirables ?</em></strong></p> <p>Avec les traitements actuels il n'y a en général pas ou peu d'effets indésirables. Ce sont parfois des diarrhées, nausées, fatigue, qui disparaissent spontanément au bout de quelques jours.</p> <p>Si vous avez des effets indésirables persistants que vous pensez liés au traitement, surtout n’arrêtez pas celui-ci mais parlez-en aussitôt au médecin. Il pourra vous soulager en cas de mauvaise tolérance (médicaments anti diarrhéiques, anti vomissements/nausées…) ou modifier votre traitement.</p> <p><strong><em>Que dois-je faire si j’ai oublié une prise ?</em></strong></p> <p>Le TPE qui vous a été prescrit se prend <strong>1 fois par jour</strong>. Si vous vous apercevez de l’oubli :<br /> • Dans les 12 heures suivant l’heure de prise habituelle : prenez votre médicament dès que possible et poursuivez votre traitement normalement ;<br /> • Plus de 12 heures après l’heure de prise habituelle : ne prenez pas la dose oubliée et poursuivez votre traitement normalement.</p> <p><strong><em><span style="color: #ca3933;">Et si j’ai vomi ?</span></em></strong></p> <p>Si vous avez vomi :<br /> • Dans l’heure suivant la prise des médicaments, prenez une nouvelle dose ;<br /> • Plus d’une heure après la prise des médicaments, il est inutile de prendre une autre dose.</p> <p><strong><em>A la fin du TPE, quand savoir si on n'a pas été contaminé ? </em></strong></p> <p>Le résultat du test de dépistage du VIH sera totalement fiable 12 semaines après le risque (soit <strong>8 semaines après la fin du TPE</strong>). Au cours des différentes consultations, un dépistage des autres IST sera également effectué.</p> <p><strong><em>Est-ce que je peux avoir des rapports sexuels pendant le traitement ? </em></strong></p> <p>Malgré une efficacité reconnue, il est recommandé d’utiliser un préservatif, et ce jusqu’au dernier dépistage prévu soit <strong>12 semaines après la prise de risque</strong>.</p> </div> </div> </div> </div></div><div id="panel-480497-0-0-5" class="so-panel widget widget_ink-accordion panel-last-child" data-index="5" ><div class="so-widget-ink-accordion so-widget-ink-accordion-accordion-dc9847734f79-480497" > <div class="iw-so-accordion-plain iw-so-accordion iw-so-acc-singleExpand iw-so-acc-toggle"> <div class="iw-so-acc-item" id="toggle-4-1"> <a href="#" class="iw-so-acc-title iw-text-left"> Vous avez des questions ? <span class="iw-so-tgl-open"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> <span class="iw-so-tgl-close"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> </a> <div class="iw-so-acc-content"> <p>Vous souhaitez discuter de votre situation ? Vous vous posez des questions sur le TPE, le VIH, les IST ou sur votre santé sexuelle de manière plus générale, n'hésitez pas à nous solliciter :</p> <ul> <li>Au téléphone en composant gratuitement le <strong>0 800 840 800</strong> ;</li> <li>Par <a href="https://www.sida-info-service.org/chattez-avec-sida-info-service/#" target="_blank" rel="noopener noreferrer">livechat</a> du lundi au dimanche de 9 h à 22 h ;</li> <li>Par <a href="https://www.sida-info-service.org/question-par-mail/" target="_blank" rel="noopener noreferrer">mail</a>. Vous recevrez une réponse complète sous 48 heures ;</li> <li>Sur notre <a href="https://forum.sida-info-service.org/" target="_blank" rel="noopener noreferrer">forum</a>.</li> </ul> </div> </div> </div> </div></div></div></div><div id="pg-480497-1" class="panel-grid panel-has-style" ><div class="panel-row-style panel-row-style-for-480497-1" ><div id="pgc-480497-1-0" class="panel-grid-cell" ><div id="panel-480497-1-0-0" class="so-panel widget widget_sow-editor panel-first-child panel-last-child" data-index="6" ><div class="panel-widget-style panel-widget-style-for-480497-1-0-0" ><div class="so-widget-sow-editor so-widget-sow-editor-base" > <div class="siteorigin-widget-tinymce textwidget"> <p style="text-align: center;"><i class="fa fa-map-marker" aria-hidden="true"></i> <a href="https://www.google.com/maps/d/embed?mid=1D0S-XLnk4OZpXbLCKHknPF4JVwE" target="_blank" rel="noopener noreferrer">Carte des TPE en France Métropolitaine<br /> <span style="font-size: 0.7em; line-height: 1; margin-top:5px;">(service externe fourni par Google - en l'affichant, vous acceptez ses conditions d'utilisation et les potentiels échanges de données)</span></a></p> </div> </div></div></div></div><div id="pgc-480497-1-1" class="panel-grid-cell" ><div id="panel-480497-1-1-0" class="so-panel widget widget_sow-editor panel-first-child panel-last-child" data-index="7" ><div class="panel-widget-style panel-widget-style-for-480497-1-1-0" ><div class="so-widget-sow-editor so-widget-sow-editor-base" > <div class="siteorigin-widget-tinymce textwidget"> <p style="text-align: center;"><i class="fa fa-map-marker" aria-hidden="true"></i> <a href="https://www.google.com/maps/d/embed?mid=1l4xignTzJydH0w4MX5y-IdVtNPrDwGPf&ehbc=2E312F" target="_blank" rel="noopener noreferrer">Carte des TPE à la Réunion<br /> <span style="font-size: 0.7em; line-height: 1; margin-top:5px;">(service externe fourni par Google - en l'affichant, vous acceptez ses conditions d'utilisation et les potentiels échanges de données)</span></a></p> </div> </div></div></div></div></div></div><div id="pg-480497-2" class="panel-grid panel-has-style" ><div class="panel-row-style panel-row-style-for-480497-2" ><div id="pgc-480497-2-0" class="panel-grid-cell" ><div id="panel-480497-2-0-0" class="so-panel widget widget_sow-editor panel-first-child panel-last-child" data-index="8" ><div class="panel-widget-style panel-widget-style-for-480497-2-0-0" ><div class="so-widget-sow-editor so-widget-sow-editor-base" > <div class="siteorigin-widget-tinymce textwidget"> <p style="text-align: center;"><i class="fa fa-map-marker" aria-hidden="true"></i> <a href="https://www.google.com/maps/d/embed?mid=11Pz7HmoLfdF9R2VafVDfFGvi8mbB0S6z&ehbc=2E312F" target="_blank" rel="noopener noreferrer">Carte des TPE aux Antilles<br /> <span style="font-size: 0.7em; line-height: 1; margin-top:5px;">(service externe fourni par Google - en l'affichant, vous acceptez ses conditions d'utilisation et les potentiels échanges de données)</span></a></p> </div> </div></div></div></div><div id="pgc-480497-2-1" class="panel-grid-cell" ><div id="panel-480497-2-1-0" class="so-panel widget widget_sow-editor panel-first-child panel-last-child" data-index="9" ><div class="panel-widget-style panel-widget-style-for-480497-2-1-0" ><div class="so-widget-sow-editor so-widget-sow-editor-base" > <div class="siteorigin-widget-tinymce textwidget"> <p style="text-align: center;"><i class="fa fa-map-marker" aria-hidden="true"></i> <a href="https://www.google.com/maps/d/embed?mid=1zRNbVOX370HgVKzEyP48sddHc7hswYEd&ehbc=2E312F" target="_blank" rel="noopener noreferrer">Carte des TPE en Guyane<br /> <span style="font-size: 0.7em; line-height: 1; margin-top:5px;">(service externe fourni par Google - en l'affichant, vous acceptez ses conditions d'utilisation et les potentiels échanges de données)</span></a></p> </div> </div></div></div></div></div></div></div> </div> </article> <nav class="navigation post-navigation" role="navigation"> <h2 class="screen-reader-text">Navigation de l’article</h2> <div class="nav-links"><div class="nav-previous"><a href="https://www.sida-info-service.org/parler-des-violences-sexuelles/" rel="prev">Parler des violences sexuelles ?</a></div><div class="nav-next"><a href="https://www.sida-info-service.org/vaccin-preventif-contre-le-vih-cherche-volontaires/" rel="next">Vaccin contre le VIH cherche volontaires</a></div></div> </nav> </div> <div class="col-md-12"> <div class="row"> <div class="col-md-6 col-sm-12 col-sx-12 lire-egalement no-padding-left"> <div class="content_global block"> <div class="titre">A lire également</div> <div class="content"> <ul class="postsbycategory widget_recent_entries"><li><a href="https://www.sida-info-service.org/ist-et-vih-sida-lile-de-france-particulierement-touchee/" rel=”bookmark"><img width="50" height="50" src="https://www.sida-info-service.org/wp-content/uploads/2023/04/Santé-ORS-IDF-150x150.png" class="attachment-50x50 size-50x50 wp-post-image" 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