紧急部门对伊比利亚半岛HCV消除的贡献
Maria Buti1, Inês Vaz-Pinto2, Vítor Magno Pereira3
1Hospital Universitari Vall d'Hebron and CIBEREHD del Instituto Carlos III, 119, 08035, Barcelona, Spain. mariabutiferret@gmail.com.
对于型肝炎病毒 (HCV),急诊室的查是有效的. 这种机会主义的方法显著增加了HCV诊断率,并支持全球消除努力.
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:
- 未经诊断的型肝炎病毒 (HCV) 感染导致严重的疾病,死亡率和传播.
- 紧急诊所 (ED) 是扩大HCV查的重要机会.
- 高昂的公共卫生成本与未经治疗的HCV感染有关.
研究的目的:
- 增加在城市急诊室中接受HCV查的符合条件的患者比例.
- 评估在ED环境中机会性HCV查的可行性和有效性.
主要方法:
- 在西班牙和葡萄牙的4家公共医院急诊室实施自动化,机会性HCV查计划 (2018-2023年).
- 使用单步或反射测试对同一样本进行确认,对HCV患病率的前性评估.
主要成果:
- 查超过了参与中心有资格患者的90%.
- HCV抗体血清流行率在0.6%至3.9%之间.
- 有19%至53%的HCV抗体的人是病毒性.
结论:
- 在ED的机会性HCV查是一种可行的策略,不妨碍ED的操作.
- 这种查方法在增加HCV诊断率方面非常有效.
- 该计划为世界卫生组织 (WHO) 消除HCV的目标做出了重大贡献.
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