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乙型肝炎表面抗原的产前筛查。有必要进行普遍筛查吗?

Prenatal screening for hepatitis B surface antigen. Is universal screening necessary?

作者信息

Morris B A, Sabetti L

机构信息

Department of Family and Community Medicine, University of Toronto.

出版信息

Can Fam Physician. 1993 Jan;39:61-4.

Abstract

Prenatal screening for hepatitis B is now recommended as a universal practice in Canada. This study questions whether that policy should apply outside large urban centres. We studied women delivering babies at the Royal Victoria Hospital in Barrie, Ont. Of 1216 women, results of HBsAg screening were available for 716; only two women, both from a high-risk group, were HBsAg positive. If selective screening is used, physicians must question patients carefully to ensure that women at risk are identified and tested.

摘要

目前,加拿大建议将乙型肝炎产前筛查作为一项普遍做法。本研究质疑该政策是否应适用于大城市中心以外的地区。我们对安大略省巴里市皇家维多利亚医院分娩的妇女进行了研究。在1216名妇女中,有716名妇女的乙肝表面抗原(HBsAg)筛查结果可用;只有两名妇女HBsAg呈阳性,且均来自高危组。如果采用选择性筛查,医生必须仔细询问患者,以确保识别出有风险的妇女并进行检测。

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