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首页> 外文期刊>Infectious diseases in obstetrics and gynecology >Screening and counseling practices reported by obstetrician-gynecologists for patients with hepatitis C virus infection.
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Screening and counseling practices reported by obstetrician-gynecologists for patients with hepatitis C virus infection.

机译:妇产科医生对丙型肝炎病毒感染患者的筛查和咨询实践。

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BACKGROUND: Obstetrician-gynecologists are important providers of primary health care to women, and the hepatitis C virus (HCV) infection screening practices and recommendations provided by obstetrician-gynecologists for HCV-infected patients are unknown. METHODS: We surveyed American College of Obstetricians and Gynecologists (ACOG) Fellows, including 413 Fellows who were participating in the Collaborative Ambulatory Research Network (CARN) and 650 randomly sampled Fellows, about HCV screening and counseling practices. RESULTS: In total, 74% of CARN members and 44% of non-CARN members responded. Demographics and practice structure were similar between the two groups. More than 80% of providers routinely collected drug use and blood transfusion histories from their patients. Of the respondents, 49% always screened for HCV infection when patients had a history of injection drug use, and 35% screened all patients who had received a blood transfusion before 1992. For HCV-infected patients, 47% of the physicians always advised against breastfeeding, 70% recommended condom use with a long-term steady partner, and 64% advised against alcohol consumption. Respondents who considered themselves to be primary care providers were no more likely to screen or provide appropriate counseling messages than were other providers. CONCLUSIONS: Most obstetrician-gynecologists are routinely collecting information that can be used to assess HCV infection risk, but HCV screening practices and counseling that are provided for those with HCV infection are not always consistent with current Centers for Disease Control and Prevention and ACOG recommendations.
机译:背景:妇产科医生是为妇女提供初级卫生保健的重要提供者,而妇产科医生针对HCV感染患者提供的丙型肝炎病毒(HCV)感染筛查方法和建议尚不清楚。方法:我们调查了美国妇产科学院(ACOG)的研究人员,包括HCV筛查和咨询实践的413名参加协作门诊研究网络(CARN)的研究人员和650名随机抽样的研究人员。结果:总共有74%的CARN成员和44%的非CARN成员对此做出了回应。两组的人口统计学和业务结构相似。超过80%的提供者定期从患者那里收集药物使用和输血史。在受访者中,有49%的人在有注射毒品史的时候总是进行HCV感染的筛查,而35%的人对1992年前接受过输血的患者进行筛查。对于HCV感染的患者,47%的医生总是建议不要使用HCV。母乳喂养,建议70%与长期稳定伴侣一起使用安全套,建议64%避免饮酒。认为自己是初级保健提供者的受访者与其他提供者相比,不太可能筛查或提供适当的咨询信息。结论:大多数妇产科医师通常会收集可用于评估HCV感染风险的信息,但是为HCV感染者提供的HCV筛查实践和咨询并不总是与当前疾病控制与预防中心和ACOG建议保持一致。

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