型肝炎的患病率正在上升,但安全网机构的查落后
Jarin Prasa1, Syed S Karim2, Bobby Jacob3
1Department of Internal Medicine, Staten Island University Hospital, NY, USA.
International journal of hepatology
|November 29, 2023
概括
在长岛的一家医院,C型肝炎病毒 (HCV) 查率很低,风险人群中发现的患病率为5.9%. 这突显了错失的机会和扩大查计划的需要,以减少HCV负担.
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C病毒 (HCV) 是美国肝脏疾病和死亡的主要原因.
- 急性HCV感染正在增加,与静脉注射药物使用和阿片类药物危机有关.
- 目前的CDC指南建议对成年人进行普遍的HCV查.
研究的目的:
- 评估纽约州长岛的一个特定社区内HCV查率和流行率.
- 在研究人群中确定感染HCV的个体的人口特征.
主要方法:
- 2012-2019年18岁以上患者电子病历 (EMR) 的回顾性审查.
- 鉴定1945-1965年间出生的患者,用于HCV抗体检测分析.
- 对人口统计数据,静脉注射药物使用史和艾滋病毒共感染状态的分析.
主要成果:
- 在1945年至1965年间出生的21,722名确诊患者中,只有8.5%接受了HCV查.
- 检测到5.9%的HCV抗体患病率,活跃感染率为3.0%.
- 在高加索男性和注射毒品的人 (PWID) 中,HCV的患病率更高.
结论:
- 在医院安全网中存在大量错过的HCV查机会.
- 该社区的HCV患病率 (5.9%) 超过了国家和州的平均水平.
- 更广泛的查计划和有针对性的资源分配对于减少HCV负担至关重要.
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