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JCR 2016
جستجوی مقالات
سه شنبه 2 دی 1404
Middle East Journal of Digestive Diseases
، جلد ۷، شماره ۴، صفحات ۲۲۸-۰
عنوان فارسی
چکیده فارسی مقاله
کلیدواژههای فارسی مقاله
عنوان انگلیسی
The Early Results of a New Health Care Program Implementation in HBV Screening: an Iranian Experience
چکیده انگلیسی مقاله
BACKGROUND According to the reports of World Health Organization (WHO) and Centers for Disease Control and Prevention, the prevalence of chronic hepatitis B infection in Iran has decreased from 2-7% in 2001 to 1.3-0.8% in children aged 2-14 years. In 2010 the Institute of Medicine recommended more comprehensive screening by primary care physicians (PCPs) for evaluation, vaccination, and management of infected patients for further decrease in the prevalence of chronic HBV infection. Thus, with contribution of the Health Department, we developed a practical flowchart for PCPs to start active screening of hepatitis B virus (HBV) in all visited patients and refer the positive cases for further evaluation and management to Taleghani Hospital. METHODS With collaboration of Health Department of Shahid Beheshti University of Medical Sciences), physicians of health centers were asked to screen all their patients for HBsAg. Positive cases were referred to Taleghani Hospital. They were first registered and educated about their disease, life style, and prevention methods. Their first degree families were screened for HBV infection too and were referred for vaccination if needed. According to the results of lab tests, appropriate management was done by a hepatologist. RESULTS Since implementation of this program, we have encountered a significant rise in patient detection (even in high risk groups). Many of them were not aware of their disease and most of those who were aware of their disease were not managed appropriately. Family screening and vaccination were inadequate and need more emphasis. CONCLUSION Although health system is active about screening of HBV infection in high risk populations, it is not perfect. It seems that health system needs to upgrade the screening and management programs of HBV infection.
کلیدواژههای انگلیسی مقاله
Health Care,HBV,Screening,Iran
نویسندگان مقاله
افسانه شریفیان | afsaneh sharifian
basic and molecular epidemiology of gastrointestinal disorders research center, shahid beheshti university of medical science, tehran, iran. afsaneh sharifian
سازمان اصلی تایید شده
: دانشگاه شهید بهشتی (Shahid beheshti university)
nostratollah نادری | nostratollah naderi
basic and molecular epidemiology of gastrointestinal disorders research center, shahid beheshti university of medical science, tehran, iran. afsaneh sharifian
سازمان اصلی تایید شده
: دانشگاه شهید بهشتی (Shahid beheshti university)
آذر صنعتی | azar sanati
basic and molecular epidemiology of gastrointestinal disorders research center, shahid beheshti university of medical science, tehran, iran. afsaneh sharifian
سازمان اصلی تایید شده
: دانشگاه شهید بهشتی (Shahid beheshti university)
سید رضا محبی | seyed reza mohebi
basic and molecular epidemiology of gastrointestinal disorders research center, shahid beheshti university of medical sciences, tehran, iran.
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)
پدرام عظیم زاده | pedram azimzadeh
علی گلمحمدی | ali golmohamadi
department of health, iran university of medical sciences, tehran, iran.
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)
سیمین نوری | simin nori
department of health, iran university of medical sciences, tehran, iran.
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)
مهسا خوان یغما | mahsa khanyaghma
basic and molecular epidemiology of gastrointestinal disorders research center, shahid beheshti university of medical sciences, tehran, iran.
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)
فرشاد شیخ اسمعیلی | farshad sheikhesmaeili
محمد رضا زالی | mohamad reza zali
basic and molecular epidemiology of gastrointestinal disorders research center, shahid beheshti university of medical sciences, tehran, iran.
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)
نشانی اینترنتی
http://www.mejdd.org/index.php/mejdd/article/view/1416
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زبان مقاله منتشر شده
en
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نوع مقاله منتشر شده
Original Article
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