Assessing candidacy for acute hepatitis C treatment among active young injection drug users: a case-series report.
Assessing candidacy for acute hepatitis C treatment among active young injection drug users: a case-series report.
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DOI：
10.1016/j.jana.2011.01.006
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发表时间：
2012-01
影响因子：
2
通讯作者：
Page, Kimberly
中科院分区：
文献类型：
--
作者：
Asher, Alice;Lum, Paula J.;Page, Kimberly
急性丙型肝炎病毒（HCV）感染的治疗效果明显优于慢性感染的治疗。急性期的短暂窗口期对年轻注射吸毒者（IDU）提出了挑战，他们是HCV感染的最高风险，以证明治疗候选人。我们从一项前瞻性队列研究中招募了急性HCV患者，以检查与治疗候选资格相关的临床和行为问题。我们报告的结果和护理案例管理如何影响候选人。所有5名急性感染的参与者都报告了基线时的每日药物使用情况。所有人都建立了初级保健，减少了吸毒。没有人因急性感染接受治疗; 1人在感染后12个月内接受治疗。.为处于急性期的年轻注射吸毒者确定治疗候选人涉及多个卫生领域。急性感染的短暂时期对建立候选人资格提出了许多挑战，但这是让年轻的注射吸毒者参与卫生保健的机会之窗。
Treatment for acute hepatitis C virus (HCV) infection has significantly better outcomes than treatment for chronic infection. The short window of the acute period poses challenges for young injection drug users (IDU), who are at highest risk of HCV infection, to demonstrate treatment candidacy. We recruited patients with acute HCV from a prospective cohort study to examine clinical and behavioral issues related to treatment candidacy. We report on outcomes and how nursing case management affected candidacy. All 5 acutely-infected participants reported daily drug use at baseline. All established primary care and decreased their drug use. None received treatment for their acute infection; one was treated within 12 months of infection. . Establishing treatment candidacy for young IDU in the acute phase involves various health domains. Acute infection's short period poses many challenges to establishing candidacy, but it is a window of opportunity to engage young IDU in health care.
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