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了解并解决男男性行为人群中丙型肝炎病毒再感染问题。

Understanding and Addressing Hepatitis C Virus Reinfection Among Men Who Have Sex with Men.

机构信息

Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California, San Diego, 9500 Gilman Drive La Jolla, CA 92093-0507, USA.

Institute for Infectious Diseases, University of Bern, Bern, Switzerland, Friedbühlstrasse 53, Personalhaus 6, 3010 Bern, Switzerland.

出版信息

Infect Dis Clin North Am. 2018 Jun;32(2):395-405. doi: 10.1016/j.idc.2018.02.004.

Abstract

Hepatitis C virus reinfection rates among men who have sex with men are high. Factors associated with infection point to varied sexual and drug-related risks that could be targeted for interventions to prevent infection/reinfection. Modeling indicates that tackling increasing incidence and high reinfection rates requires high levels of hepatitis C virus treatment combined with behavioral interventions. Enhanced testing strategies and prompt retreating of reinfection may be required to promptly diagnosed reinfections. Behavioral interventions studies addressing reinfection are required. Other interventions include traditional harm reduction interventions, adapted behavioral interventions, and interventions to prevent harms related to ChemSex and other risk factors.

摘要

男男性行为者中的丙型肝炎病毒再感染率很高。与感染相关的因素表明存在不同的性和与药物相关的风险,这些风险可以作为预防感染/再感染的干预措施的目标。建模表明,要解决发病率上升和高再感染率的问题,需要高水平的丙型肝炎病毒治疗与行为干预相结合。需要增强检测策略和及时对再感染进行治疗,以迅速诊断再感染。需要进行针对再感染的行为干预研究。其他干预措施包括传统的减少伤害干预、适应性行为干预以及预防 ChemSex 和其他风险因素相关危害的干预。

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