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首页> 外文期刊>The Internet Journal of Academic Physician Assistants >Hepatitis In Primary Care: What Physician Assistants Can Do To Help Save Million Of Lives
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Hepatitis In Primary Care: What Physician Assistants Can Do To Help Save Million Of Lives

机译：初级保健中的肝炎：医师助理可以采取哪些措施来挽救数百万人的生命

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摘要

As millions of infected patients, friends and families commemorate May as hepatitis awareness month, we invite Physician Assistants to reflect on their role as frontline custodians for the health millions of people currently infected or likely to be infected by the seemingly silent epidemic of hepatitis C. Approximately 1 in 50 people in the general population are positive for HCV antibodies1, and about 1 in 20 patients seen in primary care may have acute or chronic hepatitis C2,3,4. How often do we screen patients with this debilitating chronic disease? For every diagnosis of hepatitis B or C missed, several others will be infected from the index case, many others will rapidly progress to liver disease, opportunities to start therapy early will be missed, thousands will need over $200, 000 each year for liver transplant, the waiting time for liver transplant will increase beyond the current average of 300 days, and more will die from liver cancer every day3,4. Thus identifying these patients so that they may receive the optimum treatment and education is of paramount importance.
机译：随着数以百万计的被感染患者，朋友和家人纪念五月为肝炎宣传月，我们邀请医师助理反思他们作为健康的一线监护人的角色，这些人目前已感染或可能被丙型肝炎看似无声的感染所感染。在一般人群中，大约每50个人中就有1人的HCV抗体呈阳性反应，而在初级保健中看到的每20例患者中，就有大约1例患有急性或慢性C2、3、4肝炎。我们多久对患有这种令人衰弱的慢性病的患者进行筛查？对于每一次漏诊的乙型或丙型肝炎诊断，索引病例将感染其他几例，许多其他病例将迅速发展为肝病，将错过早期开始治疗的机会，每年成千上万的患者将需要超过200,000美元的费用进行肝移植，肝移植的等待时间将超过目前的平均300天，每天死于肝癌的人数将更多3,4。因此，识别这些患者，使他们可以得到最佳治疗和教育至关重要。

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