Viral hepatitis in patients on hemodialysis

被引:6
|
作者
Winston, Anna [1 ]
Wurcel, Alysse G. [2 ]
Gordon, Craig [3 ]
Goyal, Nitender [3 ]
机构
[1] Tufts Univ, Sch Med, Boston, MA 02111 USA
[2] Tufts Med Ctr, Div Geog Med & Infect Dis, Boston, MA 02111 USA
[3] Tufts Med Ctr, Div Nephrol, Boston, MA 02111 USA
关键词
C VIRUS-INFECTION; QUALITY-OF-LIFE; KIDNEY-TRANSPLANTATION; DIALYSIS UNITS; INJECT DRUGS; TRANSMISSION; PREVALENCE; HCV; STIGMA; SURVIVAL;
D O I
10.1111/sdi.12882
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Hepatitis B and hepatitis C (HCV) prevalence are higher in people on hemodialysis (HD) than the general population. Through implementation of prevention interventions including vaccines, serologic screening, and post-exposure management, transmissions linked to HD have decreased dramatically. In this manuscript, we review epidemiology of viral hepatitis, summarize current screening and vaccine recommendations, and appraise the available data about efforts to decrease incidence within HD facilities, including isolation of people with viral hepatitis within HD units. Also included is a discussion of the highly effective all-oral HCV treatment options and treatment for HCV in people awaiting kidney transplant.
引用
收藏
页码:254 / 262
页数:9
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