美国和领土的肝炎三角洲病毒报告要求:系统性审查
Milaveh Assadi-Rad1, Brenda E Acosta1, Matthew C Hesterman1
1School of Dentistry, University of Utah, Salt Lake City, Utah, USA.
Open forum infectious diseases
|April 9, 2024
概括
肝炎D病毒 (HDV) 感染往往被忽视,因为它不是美国的国家可通知的疾病. 标准化报告对于了解HDV流行病学至关重要.
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
- 公共卫生监督 公共卫生监督
背景情况:
- 肝炎D病毒 (HDV) 是肝脏疾病的重要原因,仅以与乙型肝炎病毒 (HBV) 的同时感染的方式发生.
- 高强度病毒感染是一个重大的公共卫生挑战,因为它可能导致严重的肝损伤和不良结果.
- 美国目前对疾病报告的分散方法阻碍了有效的监测.
研究的目的:
- 突出加强对D型肝炎病毒 (HDV) 感染的国家监测的迫切需要.
- 强调国家级报告要求不一致对理解HDV流行病学的影响.
- 倡导标准化病例定义和强制性报告HDV在美国所有州和地区.
主要方法:
- 对美国各州和地区的肝炎D病毒 (HDV) 目前报告实践的分析.
- 审查现有的国家特定案例定义和HV的报告任务.
- 评估非标准化报告对国家公共卫生监测工作的影响.
主要成果:
- 在美国,D型肝炎病毒 (HDV) 不是国家级报告疾病.
- 目前,只有55%的美国州和地区要求报告高强度病毒感染.
- 大多数州和地区缺乏标准化病例定义来报告HVD,这使得准确的病例确诊变得复杂.
结论:
- 由于缺乏对D型肝炎病毒 (HDV) 的国家报告义务和标准化报告,严重阻碍了准确的流行病学监测.
- 实施统一的报告要求和病例定义对于有效的针对HV的公共卫生战略至关重要.
- 加强对HDV的监测对于应对这种严重共感染的负担至关重要.
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