家庭医生:筛查慢性乙型/丙型/丁型肝炎试点项目的重要组成部分(LIVERO 2)

Mihaela Udrescu
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摘要

罗马尼亚是乙型、丙型和丁型肝炎病毒感染率较高的欧洲国家之一。世界卫生组织的目标是到2030年根除乙型、丙型和丁型肝炎病毒的慢性感染。只有在所有乙型、丙型或丁型肝炎病毒感染者都得到确认,所有人都得到正确治疗和监测,并对其接触者进行检测、治疗或接种疫苗的情况下,才有可能对这些感染进行诊断。这是一个非常强烈的问题,理论上是可能的,但在目前的实践中,需要现实的目标。LIVERO 2是筛查病毒性乙型、丙型和丁型肝炎的一个重要试点项目,面向弱势群体(50%以上的受检测人群是来自弱势群体的男性)。家庭医生在这个项目中作出了重要贡献,大多数受试者在他们的医疗办公室接受测试。
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Family doctor, an important element in the pilot project for the screening of chronic viral hepatitis B/C/D (LIVERO 2)
Romania is one of the European countries with a high pre­va­lence of hepatitis viruses B, C and D infections. The World Health Organization objective is to eradicate the chronic in­fec­tions with hepatitis viruses B, C and D until 2030. The era­di­ca­tion of these infections is possible only if all people in­fec­ted with B, C or D hepatitis viruses are identified, all of them are correctly treated and monitored, and their contacts are tested, treated or vaccinated. This is a very strong issue, theo­re­tic­ally possible, but in the current practice, it is need for realistic objectives. LIVERO 2 is an important pilot project for the screening of viral hepatitis B, C and D, addressed to vulnerable people (more than 50% of tested people are man­da­tory from vulnerable categories). Family doctors had an important contribution in this project, the majority of the sub­jects being tested in their medical offices.
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