欧洲紧急部门的血液病毒检测:当前的证据和服务考虑
Elizabeth Smout1, Murad Ruf2, Maria Buti3
1Public Health, Gloucestershire NHS Trust, United Kingdom.
European journal of public health
|July 4, 2025
概括
欧洲的急诊室有效地对艾滋病毒,HBV和HCV进行查,将患者与护理联系起来. 选择退出策略和电子健康记录显著提高了血液传播病毒的测试吸收率.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 临床医学 临床医学
背景情况:
- 全球目标需要创新的血液传播病毒 (BBV) 检测策略.
- 紧急诊所 (ED) 是医疗保健的关键接入点,特别是对于边缘化的人群.
研究的目的:
- 在欧洲ED中系统审查BBV测试.
- 在ED环境中评估BBV流行,测试有效性和与护理 (LTC) 的联系.
主要方法:
- 对PubMed,Embase和Cochrane图书馆 (2012-2022) 的系统审查.
- 包括欧洲关于ED BBV测试的研究,报告核心参数.
- 从包含的文章中手动搜索参考列表.
主要成果:
- 患病率:艾滋病毒抗体 (0.0%-1.1%),HBsAg (0.2%-0.9%),HCVRNA (0.2%-3.9%). 这种疾病的发病率是
- 测试采用率各不相同:选择退出 (9.7%-44.2%),EHR修改 (52.1%-88.9%),选择加入 (3.9%-37.7%).
- 与护理率的关联率在8.1%至100%之间,HIV的关联率最高,HCV的关联率最低.
结论:
- 欧洲的EDBBV测试是可行的,可以识别许多感染,包括新诊断和脱离患者.
- 选择退出测试,EHR集成和社区服务联系提高了测试的普及率.
- 建议为高性能ED BBV测试程序提供一个工具包.
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