Department of Gastroenterology and Hepatology, People's Hospital, Zhengzhou University, Zhengzhou, Henan, China
Department of Gastroenterology and Hepatology, People's Hospital, Henan University, Kaifeng, Henan, China.
Gut. 2022 Feb;71(2):238-253. doi: 10.1136/gutjnl-2021-325630. Epub 2021 Nov 26.
infection is mostly a family-based infectious disease. To facilitate its prevention and management, a national consensus meeting was held to review current evidence and propose strategies for population-wide and family-based infection control and management to reduce the related disease burden.
Fifty-seven experts from 41 major universities and institutions in 20 provinces/regions of mainland China were invited to review evidence and modify statements using Delphi process and grading of recommendations assessment, development and evaluation system. The consensus level was defined as ≥80% for agreement on the proposed statements.
Experts discussed and modified the original 23 statements on family-based infection transmission, control and management, and reached consensus on 16 statements. The final report consists of three parts: (1) infection and transmission among family members, (2) prevention and management of infection in children and elderly people within households, and (3) strategies for prevention and management of infection for family members. In addition to the 'test-and-treat' and 'screen-and-treat' strategies, this consensus also introduced a novel third 'family-based infection control and management' strategy to prevent its intrafamilial transmission and development of related diseases.
is transmissible from person to person, and among family members. A family-based prevention and eradication strategy would be a suitable approach to prevent its intra-familial transmission and related diseases. The notion and practice would be beneficial not only for Chinese residents but also valuable as a reference for other highly infected areas.
感染主要是一种家族内传染病。为了便于其预防和管理，召开了一次全国共识会议，以审查当前的证据，并提出针对人群和家庭的感染控制和管理策略，以减轻相关疾病负担。
邀请了来自中国大陆 20 个省/地区的 41 所主要大学和机构的 57 名专家，使用德尔菲法和推荐评估、制定和评估系统的分级对证据进行审查和修改意见。对于提出的建议，共识水平定义为≥80%的专家表示同意。
专家们讨论并修改了关于家庭内感染传播、控制和管理的原始 23 条陈述，并就 16 条陈述达成共识。最终报告包括三个部分：（1）家庭成员之间的感染和传播；（2）家庭内儿童和老年人的感染预防和管理；（3）家庭成员感染预防和管理策略。除了“检测和治疗”和“筛查和治疗”策略外，本共识还引入了一种新的“家庭内感染控制和管理”策略，以防止其在家庭内传播和相关疾病的发展。
感染可在人与人之间以及家庭成员之间传播。基于家庭的预防和消除策略将是预防其家庭内传播和相关疾病的合适方法。这一概念和实践不仅对中国居民有益，而且对其他高感染地区也有参考价值。
