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乙型肝炎母婴传播:全球范围内还需要做哪些工作来消除它?

Mother-to-child transmission of hepatitis B: What more needs to be done to eliminate it around the world?

机构信息

Section of Hepatology and Gastroenterology, Division of Digestive Diseases, Department of Metabolism, Digestion and Reproduction, St Mary's hospital, Imperial College London, UK.

MRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, Imperial College London, UK.

出版信息

J Viral Hepat. 2020 Apr;27(4):342-349. doi: 10.1111/jvh.13231. Epub 2020 Jan 23.

Abstract

Mother-to-child transmission (MTCT) of hepatitis B virus (HBV) is a key component of the hepatitis B burden worldwide. Despite its efficacy to prevent HBV transmission, infant vaccination is not enough to control HBV MTCT. Additional efforts are urgently needed to evaluate and scale-up preventive strategies especially in endemic countries, which are most affected. This review highlights the efficacy and barriers of the currently validated measures for the prevention of HBV MTCT and proposes alternatives adapted to resource-limited settings to eventually achieve HBV elimination worldwide.

摘要

母婴传播(MTCT)乙型肝炎病毒(HBV)是全球乙型肝炎负担的一个关键组成部分。尽管乙型肝炎疫苗接种对于预防 HBV 传播非常有效,但仅靠婴儿接种疫苗还不足以控制 HBV MTCT。迫切需要进一步努力评估和扩大预防策略,特别是在受影响最严重的乙型肝炎流行国家。本综述重点介绍了目前已验证的预防 HBV MTCT 的措施的疗效和障碍,并提出了适合资源有限环境的替代方法,最终实现全球消除 HBV。

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