Reichen J, Grob P J
Institut für Klinische Pharmakologie Murtenstrasse 35 3010 Bern.
Praxis (Bern 1994). 2002 Feb 20;91(8):307-19. doi: 10.1024/0369-8394.91.8.307.
This article gives an overview on the clinical epidemiology of hepatitis B in Switzerland. It considers structure of the hepatitis B virus, serologic diagnosis of hepatitis B and its prevention and treatment. The main conclusions are as follows: 1. Hepatitis B prophylaxis is available. Juveniles should be vaccinated before taking up sexual activity. Pregnant women should be tested and their offspring immunised actively and passively when there is evidence of infection. 2. In cases of acute hepatitis B contact persons should be tested and vaccinated where appropriate. Treatment is not indicated. 3. For the treatment of chronic hepatitis B interferons and lamivudine are currently available. Advantages and shortfalls of the different forms of treatment are discussed.
本文概述了瑞士乙型肝炎的临床流行病学。文中探讨了乙型肝炎病毒的结构、乙型肝炎的血清学诊断及其预防和治疗。主要结论如下:1. 乙型肝炎有预防措施。青少年应在开始性行为前接种疫苗。孕妇应接受检测,若有感染证据,其后代应进行主动和被动免疫。2. 对于急性乙型肝炎病例,接触者应接受检测并在适当情况下接种疫苗。无需进行治疗。3. 目前有干扰素和拉米夫定可用于治疗慢性乙型肝炎。文中讨论了不同治疗方式的优缺点。