基于药房的查计划,在加拿大西部的"婴儿潮"队伍中检测型肝炎
Brandon A Chiew1, Anita Yp Fong2, Linh T Cosgrove2
1Liver Unit, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
Canadian liver journal
|December 28, 2023
概括
社区药房有效查型肝炎病毒 (HCV) 使用点诊所检测 (POCT),特别是在婴儿潮一代. 这种方法有助于识别不知情的个人,并支持世卫组织的消除目标.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 型肝炎病毒 (HCV) 影响了大约1.0%的加拿大人,其中30-44%的人不知道他们感染了.
- 可访问和有效的查对治疗和实现世卫组织的HCV消除目标至关重要.
- 社区药房为实施HCV查计划提供了一个可行的环境.
研究的目的:
- 评估社区药房中HCV临床检测 (POCT) 计划的有效性和可行性.
- 在查的人群中识别HCV风险因素.
主要方法:
- 在英属哥伦比亚省和阿尔伯塔省的22家伦敦药品药房实施了HCV POCT计划.
- 使用OraQuick快速抗体测试,以及风险因素查问卷.
- 参与者在等待测试结果时接受了关于HCV和治疗选择的教育.
主要成果:
- 371名参与者进行了查;确定的主要危险因素是婴儿潮一代 (出生于1945年至1975年) (93%).
- 纹身或穿刺是第二个最常见的危险因素 (22%).
- 七名参与者 (2%) 呈阳性检测;四人呈HCV-RNA PCR阳性并接受治疗.
结论:
- 基于药房的POCT是加拿大西部HCV查的有效和可行的方法,特别是对于婴儿潮一代.
- 药店查计划的可持续资金可以帮助在全国范围内识别感染HCV的个体.
- 该战略支持实现全球HCV消除目标的努力.
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