在青少年和成年人中查C型肝炎病毒感染:美国预防服务工作组建议声明
, Douglas K Owens1,2, Karina W Davidson3
1Veterans Affairs Palo Alto Health Care System, Palo Alto, California.
JAMA
|March 3, 2020
概括
建议在18至79岁的成年人进行查. 通过检测这种常见的血液病原体, 这种查对公众健康有很大的好处.
科学领域:
- 肝病学
- 传染性疾病
- 公共卫生
背景情况:
- 肝炎C病毒 (HCV) 是美国最常见的慢性血液传染病原体,是一个重要的公共卫生问题.
- 肝炎导致慢性肝病,死亡率高,超过其他许多传染病的总和.
- 近年来,急性HCV感染的数量增加了3.8倍,主要是由于注射药物使用的增加和加强的监测.
研究的目的:
- 提供基于证据的最新建议,用于查C型肝炎病毒 (HCV) 感染.
- 该审查主要针对青少年和成年人进行查,以根据USPSTF2013年的建议.
主要方法:
- 美国PSTF委托对有关HCV查的现有证据进行全面审查.
- 这项研究重点关注查对一般成年人群的有效性和益处.
主要成果:
- 在18至79岁的成年人中,查HCV感染显示出显著的净益.
- 美国PSTF的证据评估对选的好处有中等的确定性.
结论:
- 美国公共卫生检查委员会建议所有18至79岁的成年人进行HCV感染查.
- 该建议被归类为"B建议",这表明对益处的确定性很高.
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