暴露儿童中围产期C型肝炎查相关的因素:2016-2020年
Danica E Kuncio1, Emily J Waterman1, S Z Ginny Robison2
1Philadelphia Department of Public Health, Philadelphia, Pennsylvania.
Pediatrics
|June 13, 2024
概括
儿童肝炎C病毒 (HCV) 检测完成率较低. 测试2个月的婴儿显著提高了查率,这表明早期测试可以提高儿童的健康结果.
科学领域:
- 儿童传染病 儿童传染病
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
背景情况:
- 建议对长产期暴露的儿童进行查C型肝炎病毒 (HCV),但未充分利用.
- 临床试验指南的变化可能会影响完成率.
- 这项研究调查了影响围产期HCV检测遵守的儿科护理因素.
研究的目的:
- 检查与完成查型肝炎病毒 (HCV) 相关的儿科护理因素,在周围暴露的儿童中.
- 确定HCV检测政策的最佳时间,以提高查率.
主要方法:
- 在费城 (2016-2020年) 出生于HCV阳性个体的儿童的回顾性队列研究.
- 分析人口统计,儿科护理和测试政策因素,使用千平方和后勤回归.
- 基于儿科医生政策的HCV检测完成和充分性的评估.
主要成果:
- 在457名儿童中,67.2%完成了HCV检测,17.2%的检测不足.
- 对于母体艾滋病毒共感染的儿童,按计划接种疫苗的儿童和参加18个月井检查的儿童,测试完成率更高.
- 儿科医生测试政策显著影响了完成:在2个月内完成了90.9%,而在18个月内完成了58.5%.
结论:
- 儿科C型肝炎病毒 (HCV) 检测政策的时间是完成率的一个关键因素.
- 2个月后的测试表明,与以后的测试策略相比,测试完成率更高.
- 围产期暴露儿童的常规HCV检测应优先在生命的第一年内进行.
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