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实体器官移植接受者肝炎E病毒查:患病率和实施影响,西班牙,2021年至2023年
Sara Pereira1, Alfredo Pérez-Rivilla2, Raquel Carracedo1
1Clinical Microbiology Unit, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain.
概括
肝炎E病毒 (HEV) 感染在西班牙0.53%的实体器官移植接受者中存在,慢性感染率为0.32%. 在这个脆弱人群中,建议定期对HEV进行分子监测.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 病毒学 病毒学
- 移植医学 移植医学 移植医学
背景情况:
- 肝炎E病毒 (HEV) 感染在固体器官移植 (SOT) 接受者中具有重大临床挑战,因为存在持续感染的风险.
- 欧洲指导方针主张在SOT接收者中进行HEV查,但常规实施仍然不够理想.
- 未被识别的HEV感染可能会导致免疫受损个体的严重并发症.
研究的目的:
- 确定西班牙SOT接收者中HEV病毒病的流行率.
- 评估这一队列中HEV感染的临床进展和病毒持续性.
- 在SOT接受者的HEV查和管理方面为临床实践提供信息.
主要方法:
- 在西班牙进行了一项多中心,横截面的研究,涉及940名成人SOT接受者.
- 患者在外周血液中被前性地测试了HEV RNA.
- 患有可检测的HEV病毒病的个体每三个月进行一次随访,以监测病毒的持续性.
主要成果:
- 该研究发现西班牙SOT接受者中HEV感染的患病率为0.53% (95%CI:0.23-1.24).
- 在所有成功基因定型的病例中,发现了E型肝炎3型基因.
- 在5名感染患者中,有3名患者表现出持续的HEV RNA阳性,这表明研究群体中慢性感染的流行率为0.32%.
结论:
- 这些发现强调了在SOT接受者中实施HEV定期分子监测的必要性.
- 积极的查和监测可以帮助检测和管理HEV感染,可能防止慢性疾病的进展.
- 这项研究强调了关于在SOT接受者中进行HEV查的推指南和临床实践之间的差距.
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