scholarly journals Pilot study of microelimination in hepatitis C: direct derivation between drug centers and the hepatology unit in a university hospital.

2020 ◽  
Vol 43 (5) ◽  
pp. 181-185
Author(s):  
J Pinazo Bandera ◽  
AM García García ◽  
J Cobos Rodríguez ◽  
J Bautista ◽  
JJ Benítez ◽  
...  

Resumen Introducción: Siguiendo las recomendaciones de la OMS para eliminar la hepatitis C (2030) se han elaborado múltiples estrategias de micro/macroeliminación. Dentro de las estrategias de microeliminación debe incluirse la búsqueda activa y la simplificación del manejo de la infección en poblaciones de riesgo como los usuarios adictos a drogas. Material y métodos: Se han analizado de manera descriptiva variables demográficas, clínicas, analíticas, virológicas, de adherencia y de tratamiento de los pacientes derivados desde dos centros de drogodependencia de Málaga capital a la Unidad de Hepatología de un Hospital Universitario en Málaga durante el año 2019 mediante un proceso de derivación simplificado. Resultados: Se incluyeron un total de 24 pacientes de los cuales 17 (70,8%) acudieron a la primera consulta, resultando el 70,6% virémicos. Se pautaron 10 tratamientos con antivirales de acción directa. La adherencia al tratamiento fue del 80% y a consulta tras una primera visita en Hepatología fue del 91,6%. Conclusiones: La estrategia implantada en este estudio piloto ha simplificado el diagnóstico y el tratamiento de los pacientes con adicciones y hepatitis C reduciendo el número de visitas de 9 a un máximo de 3 para la prescripción del tratamiento antiviral permitiendo el aumento de pacientes que acuden a la consulta especializada. A pesar de este avance, sigue habiendo un 29% de los pacientes enviados desde estos centros que no acuden a su primera visita. Por lo tanto, creemos de importancia seguir avanzando en la accesibilidad y la simplificación en el diagnóstico y tratamiento de estos pacientes.

Medicine ◽  
2019 ◽  
Vol 98 (51) ◽  
pp. e18334
Author(s):  
Dongxian Ye ◽  
Yuqing Tang ◽  
Yuanliang Gu ◽  
Harris Haleem ◽  
Libo Zhang ◽  
...  
Keyword(s):  

Author(s):  
Irina Paula Doica ◽  
Dan Nicolae Florescu ◽  
Carmen Nicoleta Oancea ◽  
Adina Turcu-Stiolica ◽  
Mihaela-Simona Subtirelu ◽  
...  

The COVID-19 pandemic is currently delaying the process of chronic hepatitis C (HCV) eradication, since most of the chronic diseases are neglected. Thus, there is a need for alternative programs for HCV therapy implementation and disease monitoring. Our aim was to provide a multidisciplinary approach, so that HCV-infected patients from distant locations may benefit from HCV antivirals during the COVID-19 outbreak and within the lockdown period in Romania. Previously diagnosed HCV patients willing to participate in this telemedicine pilot study were included. Patient characteristics and medical adherence were assessed and compared to the year preceding the pandemic. We proposed a multidisciplinary approach by using a telemedicine program for HCV therapy monitoring. Patients also received a satisfaction questionnaire after delivering the sustained virologic response (SVR) result. A total of 41 patients agreed to participate in this study. The medication adherence was 100% for patients included in the telemedicine group, with a statistically significant difference from the medication adherence of the patients treated in 2019. The satisfaction item score was 4.92 out of 5 and our results (r = −0.94, p < 0.0001) suggested that older patients embraced the telemedicine program less, but with the same success in terms of SVR (100%) and medication adherence (100%). Our pilot study offers the first example of a telemedicine program in Romania for HCV therapeutic management. During the lockdown period, telemedicine has served as a reliable tool and novel alternative for conventional monitoring of patients treated with direct antiviral agents and should be further considered even following the pandemic.


1999 ◽  
Vol 90 (4) ◽  
pp. 367-371 ◽  
Author(s):  
Katsuaki Tanaka ◽  
Masanori Ikeda ◽  
Akito Nozaki ◽  
Nobuyuki Kato ◽  
Hiroyuki Tsuda ◽  
...  

2021 ◽  
Vol 13 (7) ◽  
pp. 3860
Author(s):  
Anna Rita Corvino ◽  
Pasquale Manco ◽  
Elpidio Maria Garzillo ◽  
Maria Grazia Lourdes Monaco ◽  
Alessandro Greco ◽  
...  

Background: In this study, we promote a global approach to occupational risk perception in order to improve occupational health and safety training programs. The study investigates the occupational risk perception of operating room healthcare workers using an Analytic Hierarchy Process approach. Methods: A pilot study was carried out through a cross-sectional survey in a university hospital in Southern Italy. An ad hoc questionnaire was administered to enrolled medical post-graduate students working in the operating room. Results: Fifty medical specialists from seven fields (anaesthetists, digestive system surgeons, general surgeons, maxillofacial surgeons, thoracic surgeons, urologists, and gynaecologists) were questioned about perceived occupational risk by themselves. Biological, ionizing radiation, and chemical risks were the most commonly perceived in order of priority (w = 0.300, 0.219, 0.210). Concerning the biological risk, gynaecologists unexpected perceived this risk as less critical (w = 0.2820) than anaesthesiologists (w = 0.3354), which have the lowest perception of the risk of ionizing radiation (w = 0.1657). Conclusions: Prioritization methods could improve risk perception in healthcare settings and help detect training needs and perform sustainable training programs.


2015 ◽  
Vol 74 (Suppl 2) ◽  
pp. 321.3-322
Author(s):  
J.M. Pego-Reigosa ◽  
M. Ucha ◽  
F. Maceiras ◽  
R. Melero ◽  
M. Άlvarez ◽  
...  

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