了解目前的产前C型肝炎检测和英格兰产妇服务中的护理
Amoolya Vusirikala1, Georgia Threadgold2, Rachel Roche1
1Blood Safety, Hepatitis, STI & HIV Division, UK Health Security Agency (UKHSA), London, UK.
在英格兰,产前型肝炎病毒 (HCV) 检测不足,缺少脆弱人群. 目前基于风险的查需要改进,以确保怀孕妇女的HCV被诊断和有效管理.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 孕产妇医学 孕产妇医学
背景情况:
- 目前的指导方针建议基于风险的C型肝炎病毒 (HCV) 产前查,而不是普遍的选择退出测试.
- 产妇服务机构是否遵守这些测试指南需要进行调查.
研究的目的:
- 评估英格兰孕产妇服务提供者当前的产前HCV检测实践.
- 评估遵守现有的HCV检测指南,并确定护理方面的差距.
主要方法:
- 从2020年11月到12月,向英语产妇服务提供商分发了一项横截面调查.
- 该调查收集了关于检测政策,人员培训和对HCV阳性孕妇的管理协议的数据.
主要成果:
- 87%的受访提供商提供产前HCV基于风险的测试,其中48%的英语服务.
- 在测试所确定的风险因素中存在显著的差异.
- 弱势群体,如无家可归者或有监禁史的人,很少被确定为高风险.
结论:
- 目前产前HCV检测实践不足,导致孕妇潜在的未被诊断的HCV感染,特别是在弱势群体中.
- 需要重新评估和加强基于风险的产前HCV检测策略.
- 为孕产妇单位开发特定的HCV通路指导对于改善诊断和管理至关重要.
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