Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA.
Barre Family Health Center, 151 Worcester Road, Barre, MA, 01005, USA.
Addict Sci Clin Pract. 2018 Apr 25;13(1):10. doi: 10.1186/s13722-018-0111-7.
For over a decade, the vast majority of new hepatitis C virus (HCV) infections have been among young people who inject drugs (PWID). Well-characterized gaps in chronic HCV diagnosis, evaluation, and treatment have resulted in fewer than 5% of PWID receiving HCV treatment. While interferon-based treatment may have intentionally been foregone during part of this time in anticipation of improved oral therapies, the overall pattern points to deficiencies and treatment exclusions in the health care system. Treatment for HCV with all-oral, highly effective direct-acting antiviral medication for 12 weeks or less is now the standard of care, putting renewed focus on effective delivery of care. We describe here both the need for and process of chronic HCV care under the roof of addiction medicine.
十多年来，绝大多数新的丙型肝炎病毒 (HCV) 感染发生在注射毒品的年轻人 (PWID) 中。慢性 HCV 诊断、评估和治疗方面的特点明显不足，导致不到 5%的 PWID 接受 HCV 治疗。虽然在这段时间的一部分，由于预期会有更好的口服疗法，干扰素为基础的治疗可能被故意放弃，但总体情况表明医疗体系存在不足和治疗排斥。用全口服、高效直接作用抗病毒药物治疗 12 周或更短时间治疗 HCV 现在是标准的治疗方法，这重新强调了有效提供护理的重要性。我们在这里描述了成瘾医学框架下慢性 HCV 护理的必要性和流程。
