Programa de Prevención, Control y Atención al VIH, las ITS y las Hepatitis Víricas (PCAVIHV) y Subdirección General de Drogodependencias. Agencia de Salud Pública de Cataluña, Departamento de Salud, Generalitat de Catalunya, Barcelona.
Adicciones. 2024 Jun 1;36(2):129-144. doi: 10.20882/adicciones.1743.
Microelimination strategies for the hepatitis C virus (HCV) in vulnerable populations, such as users of Addiction Centres (AC), are key for the elimination of hepatitis C. The aim of the HepCelentes project was to design a certification program for AC from the generation of a guide with the criteria to favour the prevention, diagnosis, control, and treatment of HCV in Spain. The project was structured in 4 phases: normalisation, implementation, certification, and communication. In the first phase, developed between July and December 2020, a Steering Committee was created (formed by representatives of scientific societies, healthcare professionals from AC, primary care centres and hospital units, and patient associations) that, from of an exhaustive bibliographic review, generated by consensus an accreditation guide for AC. The guide consists of 22 criteria (15 mandatory and 7 recommended) structured based on the requirements to be met by AC, justification for the selection, level of action (management, prevention, diagnosis and treatment/follow-up), measurement of the indicator, objective level to be achieved, evidence of compliance, clarifications to improve understanding, and mandatory / recommendation (depending on their relevance to achieve HCV elimination and its feasibility for implementation in real practice). The development of a certification system for the AC, based on consensus and coordination of multidisciplinary teams, is intended to favour the management of hepatitis C and its elimination in AC users, supporting the international, national, and regional elimination strategies.
在易感染人群（如成瘾治疗中心（AC）使用者）中针对丙型肝炎病毒（HCV）的微消除策略是消除丙型肝炎的关键。HepCelentes 项目的目的是从生成具有在西班牙预防、诊断、控制和治疗 HCV 的标准的指南开始，为 AC 设计一个认证计划。该项目分为 4 个阶段：规范化、实施、认证和沟通。在 2020 年 7 月至 12 月期间进行的第一阶段，创建了一个指导委员会（由科学协会的代表、AC 的医疗保健专业人员、初级保健中心和医院单位以及患者协会组成），该委员会从详尽的文献综述中生成了一个 AC 的认证指南。该指南由 22 项标准（15 项强制性和 7 项建议性）组成，这些标准基于 AC 必须满足的要求、选择的理由、行动级别（管理、预防、诊断和治疗/随访）、指标的测量、要达到的目标水平、合规证据、澄清以提高理解能力，以及强制性/推荐性（取决于它们对实现 HCV 消除及其在实际实践中的可行性的重要性）。基于共识和多学科团队的协调，为 AC 开发认证系统旨在促进 AC 用户中丙型肝炎的管理和消除，支持国际、国家和地区的消除策略。
