推进研究,提高认识,查和关心的联系,以消除美国的HDV
Megan Glynn1, Chari Cohen2, Robert G Gish3
1American Liver Foundation, Programs, Toledo, Ohio.
Hepatology communications
|June 22, 2023
概括
肝炎三角病毒 (HDV) 是一种与乙型肝炎病毒 (HBV) 具有攻击性的共感染,导致严重的肝病. 提高认识,简化测试和更好的沟通对于解决HVV至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 肝炎三角病毒 (HDV) 与乙型肝炎病毒 (HBV) 的同时感染代表了病毒性肝炎的最具攻击性的形式.
- 与HBV单一感染相比,HDV显著加快肝硬化进展,增加肝癌和死亡风险.
- 尽管HDV的严重程度很高,但在美国的公众,医疗保健提供者和风险人群中,HDV仍未被诊断出来,并且对HDV的了解很少.
研究的目的:
- 为了解决美国广泛缺乏对HDV的认识和诊断不足的问题.
- 确定挑战,并提出改善HVD检测和管理的策略.
- 促进利益相关者之间的合作,以实现对抗HV的统一方法.
主要方法:
- 于2022年4月21日至22日召开虚拟肝炎三角洲圆桌会议,涉及各种利益相关者.
- 包括患者,护理人员,医疗专家,初级保健提供者,公共卫生官员和社区组织.
- 促进了讨论,以确定HV的关键挑战和潜在解决方案.
主要成果:
- 确定了主要的挑战:意识低,复杂的测试,流行数据不足,与护理的联系不良,沟通碎片化.
- 建议的策略:加强教育,简化HBV查与HDV反射测试,扩大监测,自动报告,改进数据共享和更好的利益相关者沟通.
- 强调了新的CDC建议和新兴的HDV疗法所带来的机会.
结论:
- 需要采取紧急,协调的行动,以改善HBV感染者的HDV诊断和管理.
- 加强公众和提供者教育,简化测试和改进数据基础设施至关重要.
- 要有效打击这种危险的共感染,必须采取多方利益相关方的方法.
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