利比亚东部的乙型肝炎病毒感染:目前为克服消除该病毒的区域障碍而采取的努力
Faisal Ismail1,2,3, Soghra Haq4, Tarik Salih Hasan5
1Department of Clinical Laboratory, Faculty of Medical Technology, University of Tobruk, Tobruk, Libya. faisal.ismail@tu.edu.ly.
Journal of community health
|February 23, 2024
概括
利比亚的乙型肝炎感染率正在下降,但检测和护理联系的障碍阻碍了消除目标. 建立一个注册表改善了管理,但诊断和治疗基础设施的缺口仍然存在.
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:
- 慢性乙型肝炎 (CHB) 影响大约2.2%的利比亚人,对末期肝病造成重大风险.
- 由于检测和护理联系障碍,利比亚等资源有限的国家在实现世界卫生组织2030年乙型肝炎消除目标方面面临挑战.
- 关于利比亚目前的乙型肝炎病毒 (HBV) 感染情况的数据有限.
研究的目的:
- 评估利比亚东部托布鲁克地区的HBV感染趋势.
- 为了确定区域特定的阻碍,延迟HBV消除努力的障碍.
- 评估HBV管理的现状,并确定缺口.
主要方法:
- 在18年内对392,952份医疗记录进行了回顾性审查.
- 与管理CHB注册表的临床工作人员进行定性采访.
- 分析托布鲁克地区的HBV感染趋势和管理实践.
主要成果:
- 观察到HBV感染的下降趋势,记录了371 (0.09%) 的阳性病例.
- 2019年底建立了一个CHB注册表,改进了HBV感染管理.
- 仍然存在重大障碍,包括肝功能评估的诊断基础设施不足和对抗病毒治疗的获取有限.
结论:
- 虽然利比亚东部的HBV感染率正在下降,管理策略正在改善,但大量的基础设施和资源限制阻碍了消除乙型肝炎的进展.
- 建立CHB注册是一个积极的步骤,但克服诊断和治疗障碍对于未来的成功至关重要.
- 需要继续努力解决医疗保健基础设施的缺口,以加快实现世卫组织在利比亚消除乙型肝炎的目标.
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