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从 5700 万公民的筛查中发现并治疗了 400 万患者:从埃及消除丙型肝炎的未来策略。

Emerging from the screening of 57 million citizens and treating 4 million patients: future strategies to eliminate hepatitis C from Egypt.

机构信息

Endemic Hepatogastroenterology, Faculty of Medicine, Cairo University , Giza, Egypt.

Medical Research Division, National Research Center , Egypt.

出版信息

Expert Rev Anti Infect Ther. 2020 Jul;18(7):637-642. doi: 10.1080/14787210.2020.1758065. Epub 2020 Apr 23.

DOI:10.1080/14787210.2020.1758065
PMID:32302245
Abstract

INTRODUCTION

Egypt succeeded in establishing a successful model of care for hepatitis C virus (HCV) management in the country with the highest worldwide disease prevalence. The Egyptian ministry of health announced an optimistic goal of near disease elimination. More steps are still required to achieve such a goal.

AREAS COVERED

This review covers the efforts made in treatment and prevention of HCV by the Egyptian National Committee for the Control of Viral Hepatitis (NCCVH) with emphasis on the extensive screening program that was able to screen more than 57 million citizens, and future strategies implemented to ensure eradicating the virus from the country.

EXPERT OPINION

Despite the great efforts and the proven success in controlling the HCV epidemic in Egypt, some facets of the Egyptian program still need to be upgraded to reach the HCV elimination goal. A significant workload with follow up programs for those who were successfully treated, and treatment failure cases are existing. More enhancement for the currently performed prevention and control measure is missing. Also, we strongly recommend conducting a recent nationwide survey to document the actual infection rates of HCV after all these efforts.

摘要

简介

埃及在全球 HCV 发病率最高的国家成功建立了 HCV 管理的成功护理模式。埃及卫生部宣布了一个乐观的目标,即接近消除该病。要实现这一目标,还需要采取更多措施。

涵盖领域

这篇综述涵盖了埃及国家病毒性肝炎控制委员会(NCCVH)在 HCV 治疗和预防方面所做的努力,重点介绍了能够对超过 5700 万公民进行筛查的广泛筛查计划,以及为确保从该国消除该病毒而实施的未来战略。

专家意见

尽管埃及在控制 HCV 流行方面做出了巨大努力并取得了显著成功,但埃及方案的某些方面仍需要升级,以实现 HCV 消除目标。对于那些成功治疗的患者和治疗失败的患者,存在大量的后续工作。目前实施的预防和控制措施还需要进一步加强。此外,我们强烈建议在所有这些努力之后进行最近的全国性调查,以记录 HCV 的实际感染率。

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