在初级保健机构使用临床决策支持系统检测隐藏的C型肝炎病毒感染:CriVHado C研究
Maria Pilar Griñó1, Maite López-Garrigós2, Javier Guzman3
1Gastroenterology Department, Hospital Universitario de Sant Joan d'Alacant, San Juan de Alicante, Spain.
概括
针对C型肝炎病毒 (HCV) 的普遍查对于WHO的2030年目标至关重要. 一项试点研究在初级保健患者中发现了隐藏的HCV感染,这表明有针对性的实验室查是有效和成本效益的.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 临床实验室科学 临床实验室科学
背景情况:
- 肝炎C病毒 (HCV) 查对世界卫生组织2030年目标至关重要,但由于流行率低,在西班牙不广泛推.
- 有相当数量的患者因其他原因咨询初级保健,这为机会性查提供了机会.
研究的目的:
- 评估在接受常规血液检查的初级保健患者中隐藏的HCV感染的患病率.
- 评估基于实验室的自动查方法的可行性和成本效益.
主要方法:
- 开发了一个与实验室信息系统 (LIS) 和电子处方集成的自动化软件系统.
- 符合条件的患者在常规测试期间自动从同一抽血中提供额外的HCV测试.
- 一个临床决策支持系统 (CDSS) 促进了这一过程.
主要成果:
- 在提供查的11,490名患者中,7,013人 (61.03%) 参与了查.
- 55名患者检测出HCV阳性 (0.78%),9名患者有活跃感染 (HCV-RNA阳性,0.13%).
- 每个检测到的活跃感染的直接成本为2,282.47.7欧元.
结论:
- 隐藏的HCV感染率与国家估计相一致.
- 同时提供额外的测试减少了参与障碍.
- 针对性,自动化,实验室管理的查活动可以成为检测HCV的成本有效策略.
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