胃肠内镜单位的机会性人口查的效率作为一种C型肝炎消除策略
Antonio García-Herola1, María S Sánchez-Reyes2, Laura Gómez-Escolar1
1Digestive System Section.
European journal of gastroenterology & hepatology
|May 13, 2025
概括
胃肠内镜装置可以有效地查型肝炎病毒 (HCV) 感染. 机会性查发现了1.49%的血清流行率,有助于型肝炎的消除策略.
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:
- 消除C型肝炎病毒 (HCV) 需要有效的查策略.
- 胃肠内镜装置是机会性查的潜在设置.
研究的目的:
- 评估在医院的消化内镜检查部门对机会性,基于人群的HCV查的可行性和接受性.
- 评估HCV血清发病率,并在这种环境中确定风险因素.
主要方法:
- 在西班牙一家医院的消化内镜科从2019年2月到2020年进行了一项横截面研究.
- 对接受胃肠内镜检查的患者提供机会性查.
主要成果:
- 在4701名被评估个体中观察到高参与率 (99.6%).
- HCV抗体血清流行率为1.49% (95% CI: 1.14-1.84%),活跃感染的流行率为0.26%.
- 关键的危险因素包括之前的手术和药物使用;80%的阳性个体出生于1950-1980年之间.
结论:
- 在内镜单位进行机会性查是可行的,可以识别感染HCV的个体.
- 在这些环境中查40岁以上的患者可以为消除C型肝炎的努力做出贡献.
- 这种方法有助于在医院层面与诊断患者的护理联系起来.
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