欧洲的丙型肝炎病毒感染情况。

IF 3.3 3区 医学 Q2 MICROBIOLOGY Pathogens Pub Date : 2024-09-28 DOI:10.3390/pathogens13100841
Margarida Simão, Cristina Gonçalves
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引用次数: 0

摘要

丙型肝炎病毒(HCV)是欧洲国家面临的一项重大公共卫生挑战。一直以来,医疗保健相关程序是欧洲丙型肝炎病毒感染的主要来源。然而,随着血液安全计划的实施,注射吸毒已成为主要的传播途径。欧洲大陆的感染分布和基因型流行率差异很大。即使有高效的直接作用抗病毒(DAA)疗法,HCV 感染仍远未得到控制。相当一部分患者仍未得到诊断,导致病毒持续传播。此外,DAAs 的广泛使用还面临一些障碍,包括高昂的治疗费用、污名化、就医渠道不畅以及流行率和传播途径的巨大地域差异。世界卫生组织制定了雄心勃勃的目标:到 2030 年,减少与肝脏相关的死亡、减少新的病毒性肝炎感染,并确保 90% 的感染者得到诊断。然而,大多数欧洲国家都面临着挑战,这凸显了在欧洲有效控制 HCV 感染需要筛查计划、资助机制和公共卫生战略。
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Hepatitis C Virus Infection in Europe.

The Hepatitis C Virus (HCV) is a significant public health challenge in European countries. Historically, healthcare-related procedures were the primary source of HCV infection in Europe. However, with the implementation of blood safety programs, injection drug use has become the main transmission route. The infection's distribution and genotype prevalence vary widely across the continent. Even with the availability of highly effective direct-acting antiviral (DAA) therapies, HCV infection is far from being controlled. A significant proportion of patients remain undiagnosed, contributing to the ongoing transmission of the virus. Additionally, several barriers hinder the widespread use of DAAs, including high treatment costs, stigma, poor linkage to care, and considerable geographical variations in prevalence and transmission routes. The World Health Organization has set ambitious targets to reduce liver-related deaths, decrease new viral hepatitis infections, and ensure that 90% of infected individuals are diagnosed by 2030. However, most European countries face challenges, highlighting the need for screening programs, funding mechanisms, and public health strategies to effectively control HCV infection in Europe.

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来源期刊
Pathogens
Pathogens Medicine-Immunology and Allergy
CiteScore
6.40
自引率
8.10%
发文量
1285
审稿时长
17.75 days
期刊介绍: Pathogens (ISSN 2076-0817) publishes reviews, regular research papers and short notes on all aspects of pathogens and pathogen-host interactions. There is no restriction on the length of the papers. Our aim is to encourage scientists to publish their experimental and theoretical research in as much detail as possible. Full experimental and/or methodical details must be provided for research articles.
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