在本地为吸毒患者提供C型肝炎治疗
Susan B Clapp1, Christopher B Johnson1
1Community Access Network, Lynchburg, VA, USA.
Journal of primary care & community health
|July 10, 2023
概括
这项质量改进项目成功治疗了在联邦合格卫生诊所 (FQHC) 使用非法药物的个体的C型肝炎病毒 (HCV). 该研究发现,100%的参与者在治疗后实现了持续的病毒治愈.
科学领域:
- 传染性疾病 传染性疾病
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
背景情况:
- 型肝炎病毒 (HCV) 感染不成比例地影响使用非法药物的个人.
- 传统的治疗准入障碍,如强制性清醒期,排除了许多符合条件的患者.
- 未经治疗的HCV可以导致严重的肝脏并发症,包括肝硬化和肝功能衰竭.
研究的目的:
- 评估将HCV治疗整合到联邦合格卫生诊所 (FQHC) 环境中的有效性.
- 为解决寻求HCV治愈的物质使用障碍患者的治疗缺口.
- 评估初级保健提供者对HCV的直接作用抗病毒疗法 (DAA) 处方的可行性.
主要方法:
- 一个质量改善项目,涉及20名参与者在FQHC接受HCV治疗.
- 参与者完成了为期8周的Mavyret每日疗程,这是一种直接作用的抗病毒药物 (DAA),由初级保健护士执业人员 (NP) 处方.
- 在治疗前测量HCV病毒载量,并与治疗后12周的持续病毒载量 (SVR-12) 进行比较,以确定治愈.
主要成果:
- 所有20名参与者都完成了为期8周的治疗方案.
- 100%的参与者实现了持续的病毒学反应 (SVR-12),表明治愈HCV.
- 该计划成功地将HCV治疗纳入了弱势群体的初级保健.
结论:
- 将HCV治疗整合到FQHC中是一种有效的战略,以达到服务不足的人群.
- 基于初级保健的HCV治疗计划,利用DAA,可以在物质使用障碍患者中实现高治愈率.
- 这种模式可以改善健康结果,并减少边缘化社区的HCV负担.
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