在蒙古,与D型肝炎病毒感染相关的风险因素和预防策略
Chien-Wei Su1,2,3,4,5, Bayarmaa Ochirkhuree6, Bira Namdag7
1Division of General Medicine, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Journal of the Chinese Medical Association : JCMA
|February 28, 2024
概括
牙科手术和注射与蒙古D型肝炎病毒 (HDV) 感染风险较高有关. 近年来,合作努力成功地降低了HVD发病率.
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:
- 在蒙古,D型肝炎病毒 (HDV) 感染是一个重大的公共卫生挑战.
- 了解风险因素对于制定有效的预防策略至关重要.
- 台湾和蒙古之间的合作项目旨在解决HDV的流行问题.
研究的目的:
- 确定与蒙古的D型肝炎病毒感染相关的关键风险因素.
- 提出和实施有针对性的预防策略.
- 评估一个为期三年的合作项目的对HV感染率的影响.
主要方法:
- 现场访问蒙古收集数据,包括风险因素问卷和血清样本.
- 在感染控制方面培训蒙古"种子教师",后者随后培训了400多名医务人员.
- 分析2011-2021年国家传染病中心 (NCCD) 数据,以评估急性HDV感染的趋势.
主要成果:
- 与急性乙型肝炎 (AHB) 患者相比,B型肝炎病毒 (HBV) /HDV双重感染的患者年龄较大,更有可能接受牙科治疗并接受注射治疗.
- 观察到HDV新感染病例的显著减少,从111.20±29.79例/年 (2011-2015年) 降至54.67±27.34例/年 (2016-2021年).
- 合作培训计划成功地在蒙古医疗人员中传播了感染控制知识.
结论:
- 牙科治疗和注射疗法被确定为蒙古急性HDV感染的重要风险因素.
- 国际合作的努力已被证明是有效的减少高强度病毒感染的发生率.
- 持续的警和有针对性的干预措施是必要的,以进一步控制HV传播.
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