美国孕妇丙型肝炎筛查实践调查。
A Survey of Practices in the United States Regarding Hepatitis C Screening in Pregnant Women.
机构信息
Division of Infectious Diseases, Department of Pediatrics, School of Medicine, University of North Carolina, Chapel Hill, NC, USA.
Division of Infectious Diseases, Department of Pediatrics, School of Medicine, University of North Carolina, Chapel Hill, NC, USA.
出版信息
Clin Ther. 2021 Apr;43(4):780-784. doi: 10.1016/j.clinthera.2021.01.016. Epub 2021 Feb 6.
PURPOSE
Hepatitis C virus (HCV) cases have increased in the past decade, with many cases in pregnant patients. However, recommendations for HCV screening during pregnancy vary by professional organization.
METHODS
Prenatal care providers were surveyed via e-mail about factors affecting choice of HCV screening.
FINDINGS
A total of 86 completed surveys were received. Providers using risk-based screening valued guidance from obstetrics and gynecology societies and risk for vertical transmission. Providers using universal screening valued availability of curative treatment in addition to guidance from the Centers for Disease Control and Prevention/infectious diseases societies and obstetrics and gynecology societies.
IMPLICATIONS
The results highlight the need for consensus guidelines on HCV screening as a part of prenatal care.
目的
过去十年中，丙型肝炎病毒（HCV）病例有所增加，许多孕妇都感染了 HCV。然而，不同专业组织对妊娠期 HCV 筛查的建议存在差异。
方法
通过电子邮件向产前保健提供者调查影响 HCV 筛查选择的因素。
结果
共收到 86 份完整的调查问卷。采用基于风险的筛查方法的提供者重视妇产科协会的指导意见和垂直传播的风险。采用普遍筛查方法的提供者重视可获得根治性治疗，此外还重视疾病控制与预防中心/传染病协会以及妇产科协会的指导意见。
影响
结果突出表明，有必要就 HCV 筛查作为产前保健的一部分制定共识指南。
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