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血液透析人群中消除丙型肝炎病毒感染

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我国血液透析人群呈逐年增长的趋势.由于血液透析治疗的特殊性,血液透析患者的丙型肝炎病毒(HCV)感染的患病率和新发病率都远高于普通人群.为了实现世界卫生组织2030年消除丙型肝炎公共卫生危害的倡议,实现血液透析人群的微消除,应严格执行标准预防,做好手卫生,切断医源性感染的途径,特别是避免血液透析中心的HCV感染暴发;对新入和转换透析中心的患者进行HCV感染筛查,对维持性血液透析患者定期筛查,及早发现HCV新发感染;与专科医生合作,对有HCV感染的血液透析患者进行直接抗病毒药物治疗.
Micro-elimination of hepatitis C virus infection in the hemodialysis population
The hemodialysis population is increasing year by year in China.Due to the specific nature of hemodialysis treatment,the prevalence and incidence rates of hepatitis C virus(HCV)infection in hemodialysis patients are much higher than the general population.In order to achieve the WHO's initiative to eliminate HCV by 2030 and realize the micro-elimination of HCV in the hemodialysis population,standard infection control and hand hygiene procedures should be implemented to cut off the route of iatrogenic infection,especially to prevent the outbreak of HCV infection in hemodialysis centers.Screening for HCV infection should be conducted for patients newly admitted to the hemodialysis center or transferred to another hemodialysis center,and regular screening should be conducted for patients receiving maintenance hemodialysis to identify new HCV infections in the early stage.It is also necessary to collaborate with specialists and provide direct-acting antiviral therapy for hemodialysis patients with HCV infection.

Renal DialysisHepacivirusDisease Eradication

甘良英、左力

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北京大学人民医院肾内科,北京 100044

肾透析 肝炎病毒属 疾病消除

2024

临床肝胆病杂志
吉林大学

临床肝胆病杂志

CSTPCD北大核心
影响因子:1.428
ISSN:1001-5256
年,卷(期):2024.40(4)
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