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减少注射吸毒者中丙型肝炎病毒再感染的策略。

Strategies to Reduce Hepatitis C Virus Reinfection in People Who Inject Drugs.

机构信息

Viral Hepatitis Clinical Research Program, Kirby Institute, Level 5, Wallace Wurth Building, High Street, UNSW Sydney, Kensington NSW 2052, Australia.

Viral Hepatitis Clinical Research Program, Kirby Institute, Level 5, Wallace Wurth Building, High Street, UNSW Sydney, Kensington NSW 2052, Australia.

出版信息

Infect Dis Clin North Am. 2018 Jun;32(2):371-393. doi: 10.1016/j.idc.2018.02.003.

Abstract

Reinfection after direct-acting antiviral therapy may pose a challenge to hepatitis C virus elimination efforts. Reinfection risk is cited as a reason for not offering treatment to people who inject drugs. As treatment scale-up expands among populations with risks for reacquisition, acknowledgment that reinfection can and will occur is essential. Efforts to prevent and manage reinfection should be incorporated into individual- and population-level strategies. The risk of reinfection after successful treatment emphasises the need for education, harm reduction, and posttreatment surveillance. Reinfection must not be considered an impediment to treatment, if hepatitis C virus elimination is to be achieved.

摘要

直接作用抗病毒治疗后的再感染可能对丙型肝炎病毒消除工作构成挑战。再感染风险被认为是不给注射吸毒者提供治疗的原因。随着具有再感染风险的人群中治疗规模的扩大,必须承认再感染是可能发生的。应将预防和管理再感染的工作纳入个人和人群层面的策略中。成功治疗后再感染的风险强调了教育、减少伤害和治疗后监测的必要性。如果要实现丙型肝炎病毒消除,再感染就绝不能被视为治疗的障碍。

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