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切罗基民族的肝炎C病毒消除计划的评估 - 切罗基民族,俄克拉荷马州,2015-2020年
MMWR. Morbidity and mortality weekly report
|June 1, 2023
概括
切罗基族国家切罗基民族.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 肝病学 肝病学是一种肝病学.
背景情况:
- 肝炎C病毒 (HCV) 不成比例地影响美国印第安人/阿拉斯加土著人口.
- 切罗基民族卫生服务 (CNHS) 在2015年启动了一项HCV消除计划.
- 该计划旨在通过查,劳动力扩张和减少危害来降低HCV感染率.
研究的目的:
- 评估CNHSHCV消除计划在启动5年后的进展情况.
- 评估HCV诊断,与护理的联系,治疗开始和持续病毒学反应 (SVR) 率.
主要方法:
- 分析2015年11月1日至2020年10月31日期间的非识别健康记录.
- 包括1,423名被诊断患有HCV感染的个人.
- 追踪与护理的联系,治疗开始和SVR12确认.
主要成果:
- 1,423人被诊断患有HCV感染.
- 86.2%与HCV护理有关.
- 61.2%的人开始接受HCV治疗,49.1%的人获得SVR12.
- 在完成治疗并参加SVR12访问的患者中,治愈率为99.4%.
结论:
- CNHS成功地将大多数被诊断的个人与护理联系起来.
- 治疗启动率低于预期.
- 未来的努力必须解决治疗开始的差距,并确保SVR12确认.
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