Elimination of hepatitis C. Positioning document of the Spanish Association for the Study of the Liver (AEEH)

被引：21

作者：

Crespo, Javier ^{[1
]}

Albillos, Agustin ^{[2
]}

Buti, Maria ^{[3
]}

Luis Calleja, Jose ^{[4
]}

Garcia Samaniego, Javier ^{[5
]}

Hernandez Guerra, Manuel ^{[6
]}

Serrano, Trinidad ^{[7
]}

Turnes, Juan ^{[8
]}

Acin, Enrique ^{[9
]}

Berenguer, Juan ^{[10
]}

Berenguer, Marina ^{[11
]}

Colom, Joan ^{[12
]}

Fernandez, Inmaculada ^{[13
]}

Fernandez Rodriguez, Conrado ^{[14
]}

Forns, Xavier ^{[15
]}

Garcia, Federico ^{[16
]}

Granados, Rafael ^{[17
]}

Lazarus, Jeffrey ^{[18
]}

Maria Molero, Jose ^{[19
]}

Molina, Esther ^{[20
]}

Perez Escanilla, Fernando ^{[21
]}

Pineda, Juan A. ^{[22
]}

Rodriguez, Manuel ^{[23
]}

Romero, Manuel ^{[24
]}

Roncero, Carlos ^{[25
]}

Saiz de la Hoya, Pablo ^{[26
]}

Sanchez Antolin, Gloria ^{[27
]}

机构：

[1] UNICAN, Fac Med, Serv Digest, Hosp Univ Marques Valdecilla,Dept Digest Dis,IDIV, Santander, Spain

[2] Univ Alcala de Henares, Sch Med, Hosp Univ Ramon y Cajal, Dept Digest Dis, Madrid, Spain

[3] Ciberehd Inst Carlos III Barcelona, Hosp Univ Vall dHebron, Dept Hepatol, Barcelona, Spain

[4] Univ Autonoma, Sch Med, Hosp Univ Puerta de Hierro Majadahonda, Dept Digest Dis, Madrid, Spain

[5] Hosp Univ La Paz, IdiPAZ, CIBERehd, Unit Hepatol, Madrid, Spain

[6] Hosp Univ Canarias, Santa Cruz De Tenerife, Spain

[7] ISS Aragon, Hosp Univ Lozano Blesa, Zaragoza, Spain

[8] Hosp Univ Pontevedra, Dept Digest Dis, Pontevedra, Spain

[9] Minist Interior, Secretaria Gen II PP, Subdirecc Gen Sanidad Penitenciaria, Area Salud Publ, Madrid, Spain

[10] Hosp Gen Univ Gregorio Maranon, Unit Infect Dis HIV, Madrid, Spain

[11] Univ Valencia, Hosp Univ & Politecn La Fe, Dept Digest Dis, Valencia, Spain

[12] Agencia Salud Publ Cataluna, Subdirecc Gen Drogodependencias, ITS & Hepatitis Meas, Direct Programa Prevent Control & Atenc VIH, Barcelona, Spain

[13] Hosp Univ 12 Octubre, Dept Digest Dis, Madrid, Spain

[14] Hosp Univ Fdn Alcorcon, Com Cient SEPD, Unit Digest Dis, Madrid, Spain

[15] Univ Barcelona, CIBEREHD, IDIBAPS, Dept Hepatol,Hosp Clin, Barcelona, Spain

[16] Hosp Univ San Cecilio, Inst Invest Ibs Granada, Grp Estudio Hepatitis Sociedad Espanola Enfermeda, Dept Clin Microbiol, Granada, Spain

[17] Hosp Univ Gran Canaria Dr Negrin, Las Palmas Gran Canaria, Spain

[18] Univ Barcelona, Hosp Clin, Barcelona Inst Global Hlth ISGlobal, Barcelona, Spain

[19] Ctr Salud San Andres, Madrid, Spain

[20] Hosp Clin Univ, Dept Digest Dis, Santiago De Compostela, Spain

[21] USAL Representante SEMG, Fac Med, Ctr Salud San Juan Salamanca, Salamanca, Spain

[22] Hosp Univ Valme, Grp Estudio Hepatitis Vir GEHEPI SEIMC, Unit Infect Dis & Microbiol, Seville, Spain

[23] Hosp Univ Cent Asturias, Dept Digest Dis, Hepatol Sect, Oviedo, Spain

[24] Univ Seville, Fac Med, Hosp Univ Virgen del Rocio, Dept Digest Dis, Seville, Spain

[25] Univ Salamanca, Inst Biomed Salamanca, Complejo Asistencial Univ Salamanca, Dept Psychiat, Salamanca, Spain

[26] Ctr Penitenciario Fontcalent Alicante 1, Med Serv, Alicante, Spain

[27] Hosp Univ Rio Hortega, Dept Digest Dis, Valladolid, Spain

来源：

REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS | 2019年 / 111卷 / 11期

关键词：

HCV; Hepatitis C; Elimination; Cirrhosis C; One-step diagnosis; Point of care; Decentralised diagnosis; Antiviral treatment; Screening; PQID; MSM; Prisons; Vulnerable population; DIRECT-ACTING ANTIVIRALS; ECONOMIC-EVALUATION; SCREENING-PROGRAMS; COST-EFFECTIVENESS; VIRAL-HEPATITIS; VIRUS-INFECTION; STRATEGIC PLAN; SPAIN; CARE; TRANSMISSION;

D O I：

10.17235/reed.2019.6700/2019

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The Spanish Association for the Study of the Liver (AEEH) is convinced that the elimination of hepatitis C virus (HCV) in Spain is possible as long as we are able to use the resources and tools necessary for it. This document reflects the position of the AEEH regarding the elimination of HCV, establishing a wide range of recommendations that can be grouped into five categories: 1) Screening of HCV according to age, of the existence of classic acquisition risk factors of infection, active search of previously diagnosed patients and development of microelimination strategies in vulnerable populations; 2) Simplification of HCV diagnosis (one-step diagnosis and diagnosis at the point of patient care); 3) Simplification of patient treatment and improvement of care circuits; 4) Health policy measures, and, finally, 5) Establishment of HCV elimination indicators.

引用

页码：862 / 873

页数：12

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