Division of Pediatric Infectious Diseases, University of North Carolina at Chapel Hill School of Medicine.
National Viral Hepatitis Roundtable, Washington, D.C.
Clin Infect Dis. 2018 Oct 30;67(10):1493-1497. doi: 10.1093/cid/ciy586.
The epidemiology of hepatitis C virus (HCV) has changed significantly over the last decade. Once most prevalent among older adults, the current burden has disproportionately affected young adults including women of childbearing age (WOCA). The Society for Maternal-Fetal Medicine recently issued guidelines that made no change in the recommendation to screen pregnant women based on risk factors. The current burden in young adults including WOCA supports a change in strategy away from risk-based screening to universal HCV screening in pregnancy. Universal screening offers several advantages that position us for a future where HCV treatment in pregnancy can happen and offers us progress toward the elimination of HCV.
过去十年中，丙型肝炎病毒（HCV）的流行病学发生了重大变化。曾经在老年人中最为普遍，现在的负担不成比例地影响到包括育龄妇女（WOCA）在内的年轻人。母胎医学学会最近发布的指南没有改变根据危险因素筛查孕妇的建议。目前，包括 WOCA 在内的年轻人中的负担支持从基于风险的筛查策略转变为妊娠期普遍筛查 HCV。普遍筛查具有几个优势，为我们提供了一个可以在妊娠期间进行 HCV 治疗的未来，并为消除 HCV 提供了进展。
