Duarte Geraldo, Pezzuto Paula, Barros Tiago Dahrug, Mosimann Junior Gláucio, Martínez-Espinosa Flor Ernestina
Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brasil.
Ministério da Saúde, Secretaria de Vigilância em Saúde, Brasília, DF, Brasil.
Epidemiol Serv Saude. 2021 Mar 15;30(spe1):e2020834. doi: 10.1590/S1679-4974202100016.esp1. eCollection 2021.
This article discusses viral hepatitis, a theme addressed by the Clinical Protocol and Therapeutic Guidelines to Comprehensive Care for People with Sexually Transmitted Infections and, more precisely, by the Clinical Protocols and Therapeutic Guidelines for Hepatitis B and Hepatitis C and Coinfections, published by the Brazilian Ministry of Health. Besides the broad spectrum of health impairment, hepatitis A, B and C viruses also present different forms of transmission, whether parenteral, sexual, vertical or oral. Among the strategies suggested for the control of viral hepatitis, in addition to behavioral measures, are expanded diagnosis, early vaccination against hepatitis A and hepatitis B viruses, and access to available therapeutic resources. Considering vertical transmission of the hepatitis B and hepatitis C viruses, screening for pregnant women with chronic hepatitis B and C is an important perinatal health strategy, indicating with precision those who can benefit from the prophylactic interventions.
本文讨论了病毒性肝炎，这是《性传播感染患者综合护理临床协议与治疗指南》所涉及的主题，更确切地说，是巴西卫生部发布的《乙型和丙型肝炎及合并感染临床协议与治疗指南》所涉及的主题。除了广泛的健康损害外，甲型、乙型和丙型肝炎病毒还呈现出不同的传播形式，无论是经肠外、性、垂直还是经口传播。在为控制病毒性肝炎而建议的策略中，除行为措施外，还包括扩大诊断、针对甲型和乙型肝炎病毒的早期疫苗接种以及获取可用的治疗资源。考虑到乙型和丙型肝炎病毒的垂直传播，对慢性乙型和丙型肝炎孕妇进行筛查是一项重要的围产期健康策略，能准确指出那些可从预防性干预措施中受益的人群。
