查看更多>>摘要:目前我国乙型肝炎病毒(Hepatitis B virus,HBV)感染者诊断率和治疗率与世界卫生组织提出的"2030年消除病毒性肝炎作为公共卫生危害"目标仍有较大差距。为实现乙型病毒性肝炎全人群治疗,中国医师协会感染科医师分会、国家感染性疾病临床医学研究中心邀请国内感染病和肝炎疾病领域相关专家,在充分复习国内外相关指南与文献的基础上,共同撰写《乙型病毒性肝炎全人群管理专家共识(2023)》,以进一步扩大乙型肝炎社区筛查,规范抗病毒治疗适应群体,细化各类特殊人群乙型肝炎患者治疗,针对《慢性乙型肝炎防治指南(2022)》未覆盖人群进行临床管理,从而实现乙型病毒性肝炎的扩大筛查、应治尽治、全程管理、降本增效的目的。 There is still a substantial gap between the current diagnosis and treatment rates of hepatitis B virus (HBV) infection in China and the the goal of eliminating viral hepatitis as a major public health threat by 2030 set by World Health Organization。 In order to achieve the management of viral hepatitis type B infection in a whole population approach, the Infectious Disease Physicians Branch of Chinese Medical Doctor Association and National Clinical Research Center for Infectious Diseases invited experts in the field of infectious diseases and hepatitis diseases to jointly develop the Expert consensus on whole-population management of hepatitis B virus infection (2023) based on reviewing relevant guidelines and literature at home and abroad。 The expert consensus further simplifies the indications for antiviral treatment, refines the treatment of special types of patients, and guides the clinical management of populations not covered by Guidelines for the prevention and treatment of chronic hepatitis B (version 2022) to achieve the expanded screening and universal treatment of hepatitis B virus infection。
查看更多>>摘要:肥胖是心血管疾病、糖尿病及其他代谢性疾病的重要危险因素。目前全球一般人群肥胖患病率逐年上升,人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染者也面临着肥胖的问题,特别是新型抗反转录病毒治疗(antiretroviral therapy,ART)相关的体重增加已成为日益关注的健康问题。科学合理的体重管理是肥胖及预防相关慢性疾病的基础治疗手段。为了规范HIV感染者体重管理,中华医学会热带病与寄生虫病分会艾滋病学组、浙江省数理医学学会感染性疾病专业委员会和浙江省性病艾滋病防治协会艾滋病诊疗质控管理专业委员会邀请有关专家,结合国内外指南共识及最新研究进展制订HIV感染者体重管理专家共识,针对体重管理设立标准化的流程,使超重或肥胖者的体重管理科学、规范和易于实施。 Obesity is a risk factor for cardiovascular disease, diabetes and other metabolic diseases, with a increased prevalence rate in the general population globally。 People living with HIV are also facing obesity problems, in particular, weight gain associated with new antiretroviral therapy (ART) has become a growing health concern。 Rational and standardized weight management is important for obese population in the prevention and treatment of related chronic diseases。 The AIDS Committee of Chinese Society of Tropical Disease and Parasitology the Infection Disease Committee of Zhejiang Society for Mathematical Medicine and the Committee of AIDS Diagnosis and Treatment Quality Control Management of Zhejiang Provincial STD/AIDS Prevention Association invited experts in relevant fields to develop this expert consensus in reference of the related domestic and foreign guidelines and the latest research progress, to provide standardized procedures of weight management for overweight or obese people living with HIV after ART。