对乙型肝炎的护理连锁 - - 从艾滋病毒领域有什么教训?
Vicente Soriano1, Víctor Moreno-Torres1,2, Pablo Barreiro3
1UNIR Health Sciences School, Universidad Internacional de La Rioja (UNIR), Madrid, Spain.
有效控制艾滋病毒和乙型肝炎病毒 (HBV) 需要改进疫苗接种,查和早期抗病毒治疗. 解决HBV护理方面的差距对于全球健康至关重要,目标是到2030年消除.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 病毒学 病毒学
背景情况:
- 艾滋病毒和乙型肝炎病毒 (HBV) 给全球健康带来了重大挑战,每年有数百万新的感染和慢性病例.
- 虽然存在有效的HBV疫苗,但免疫覆盖率低,查不善导致HBV的高发病率.
- 对这两种病毒的抗病毒药物开发正在进行中,长效配方对艾滋病毒有希望.
研究的目的:
- 分析目前控制艾滋病毒和HBV流行病的方法.
- 与艾滋病毒相比,确定慢性乙型肝炎的护理级联中的差距.
- 突出实现世界卫生组织到2030年消除艾滋病毒和HBV作为公共卫生威胁的目标所需的战略.
主要方法:
- PubMed搜索审查HIV和HBV流行病控制的战略.
- 分析疫苗接种覆盖率,查率,以及两种病毒与护理的联系.
- 艾滋病毒和HBV护理级联的比较.
主要成果:
- 艾滋病毒护理级联已经很成熟 (80-80-80%),而HBV护理级联显著滞后 (13-3-? ) 的情况.
- 在HBV疫苗接种,查,与护理联系和监测方面存在重大差距.
- 对HBV的抗病毒治疗是不理想的,需要更早地开始.
结论:
- 实现世界卫生组织2030年消除艾滋病毒和HBV的目标,需要迫切关注HBV特定的挑战.
- 扩大HBV疫苗接种和查,改善护理联系以及早期的抗病毒治疗至关重要.
- 对HBV长效配方的进一步研究是有必要的.
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