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本文引用的文献

1
Hepatitis B Virus Prevalence and Transmission in the Households of Pregnant Women in Kinshasa, Democratic Republic of Congo.刚果民主共和国金沙萨孕妇家庭中乙肝病毒的流行情况与传播
Open Forum Infect Dis. 2024 Apr 9;11(4):ofae150. doi: 10.1093/ofid/ofae150. eCollection 2024 Apr.
2
Level of screening for and vaccination against hepatitis B among healthcare workers in the Eastern Democratic Republic of the Congo: a public health concern.刚果民主共和国东部医护人员的乙肝筛查及疫苗接种水平:一项公共卫生问题
Infect Prev Pract. 2022 Jun 24;4(3):100226. doi: 10.1016/j.infpip.2022.100226. eCollection 2022 Sep.
3
Global, regional, and national burden of hepatitis B, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.全球、区域和国家乙型肝炎负担,1990-2019 年:基于 2019 年全球疾病负担研究的系统分析。
Lancet Gastroenterol Hepatol. 2022 Sep;7(9):796-829. doi: 10.1016/S2468-1253(22)00124-8. Epub 2022 Jun 21.
4
Seroepidemiology of Hepatitis B in the Democratic Republic of the Congo.刚果民主共和国乙型肝炎血清流行病学。
Am J Trop Med Hyg. 2019 Jul;101(1):226-229. doi: 10.4269/ajtmh.18-0883.
5
Hepatitis B vaccination coverage among health-care workers in Africa: A systematic review and meta-analysis.非洲卫生保健工作者乙型肝炎疫苗接种率:系统评价和荟萃分析。
Vaccine. 2018 Aug 6;36(32 Pt B):4851-4860. doi: 10.1016/j.vaccine.2018.06.043. Epub 2018 Jun 30.
6
Health-care workers' occupational exposures to body fluids in 21 countries in Africa: systematic review and meta-analysis.21 个非洲国家卫生保健工作者接触体液的职业暴露情况:系统评价和荟萃分析。
Bull World Health Organ. 2017 Dec 1;95(12):831-841F. doi: 10.2471/BLT.17.195735. Epub 2017 Oct 13.
7
Hepatitis B vaccines: WHO position paper, July 2017 - Recommendations.乙型肝炎疫苗:世卫组织立场文件,2017 年 7 月-建议。
Vaccine. 2019 Jan 7;37(2):223-225. doi: 10.1016/j.vaccine.2017.07.046. Epub 2017 Jul 22.
8
Knowledge, Attitudes, and Practices of Health-Care Workers About Viral Hepatitis B and C in South Kivu.南基伍医护人员关于乙型和丙型病毒性肝炎的知识、态度及实践
Am J Trop Med Hyg. 2017 Feb 8;96(2):400-404. doi: 10.4269/ajtmh.16-0287. Epub 2016 Dec 5.
9
Hepatitis B virus burden in developing countries.发展中国家的乙肝病毒负担
World J Gastroenterol. 2015 Nov 14;21(42):11941-53. doi: 10.3748/wjg.v21.i42.11941.
10
Hepatitis B vaccination status among healthcare workers in a tertiary care hospital in Tripoli, Libya.利比亚的黎波里一家三级医院医护人员的乙型肝炎疫苗接种状况。
J Infect Public Health. 2013 Aug;6(4):246-51. doi: 10.1016/j.jiph.2013.02.001. Epub 2013 Apr 25.

刚果医护人员乙型肝炎认知度低且预防意识薄弱:急需政策落实。

Low level of awareness and prevention of hepatitis B among Congolese healthcare workers: urgent need for policy implementation.

机构信息

Université Catholique de Bukavu, Bukavu, Democratic Republic of Congo.

Hôpital Provincial Général de Référence de Bukavu, Bukavu, Democratic Republic of Congo.

出版信息

Front Public Health. 2024 Oct 8;12:1463455. doi: 10.3389/fpubh.2024.1463455. eCollection 2024.

DOI:10.3389/fpubh.2024.1463455
PMID:39440169
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11493591/
Abstract

The Democratic Republic of Congo (DRC) is a country with many public health challenges, including those related to the prevention and management of viral hepatitis B. Healthcare workers, who are at the frontline of patient care, are particularly at risk of contracting and spreading this virus, especially given its high prevalence in the general population. This paper examines the level of awareness and preventive measures among Congolese healthcare workers. Overall, the data show that health workers are under-immunized and lack formal training in hepatitis B prevention and management. In addition to limited awareness, health facilities are insufficiently involved in the implementation of standardized infection control protocols, the provision of personal protective equipment and routine hepatitis B vaccination programmes. There also appears to be a lack of clear and effective national policies outlining the main axes of infection control targets by 2030. This calls for urgent policy implementation focusing on mandatory vaccination, training, resource availability, adherence to infection control practices and comprehensive post-exposure management.

摘要

刚果民主共和国(DRC)面临许多公共卫生挑战,包括预防和管理乙型病毒性肝炎。医护人员处于患者护理的第一线,因此特别容易感染和传播这种病毒,尤其是考虑到其在普通人群中的高患病率。本文研究了刚果医护人员的认知水平和预防措施。总体而言,数据显示卫生工作者免疫不足,缺乏乙型肝炎预防和管理方面的正规培训。除了认知有限外,卫生机构也没有充分参与实施标准化感染控制方案、提供个人防护设备和常规乙型肝炎疫苗接种方案。此外,似乎也缺乏明确有效的国家政策,概述到 2030 年感染控制目标的主要方向。这呼吁紧急实施政策,重点是强制性疫苗接种、培训、资源可用性、坚持感染控制实践和全面的接触后管理。