日本某综合医院急症室非肝病科抗丙型肝炎病毒抗体阳性患者的管理

IF 0.9 Q4 GASTROENTEROLOGY & HEPATOLOGY
H. Kawabata, Kojiro Nakase, Tetsuya Yamamoto, Hiroaki Satake, K. Yamaguchi, Yuji Okazaki, M. Miyata, S. Motoi
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引用次数: 0

摘要

在日本医院,接受侵入性手术或手术的患者会接受抗HCV抗体筛查;然而,大多数可能从事丙型肝炎的职业并没有转介给肝病学家。除了传统的警报电子邮件系统外,一名肝病学家每月提取两个月前接受检测的抗-HCV抗体阳性患者名单,并检查医疗记录,以确定下令进行检测的医生是否正确处理了阳性结果。如果医生还没有进行适当的随访,肝病学家会向医生和医务人员发送电子邮件,通知他们进行HCV-RNA检测,并将HCV-RNA阳性患者转介给肝病学家。总共有130名在干预前治疗的患者和151名在干预后治疗的患者被纳入本研究。在引入双重警报系统后,结果未得到妥善处理的抗-HCV阳性患者数量显著减少(p=0.034)。在接受筛查抗-HCV抗体检测的患者中,大量可能患有慢性HCV肝炎的患者被电子邮件警报系统忽视,其结果未得到正确处理。双重警报系统有助于减少未正确处理结果的抗-HCV抗体阳性患者的数量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of Anti-Hepatitis C Virus-Antibody-Positive Patients in Non-Hepatology Departments in an Acute Care, General Hospital in Japan
In Japanese hospitals, patients undergoing invasive procedures or surgery are screened for anti-HCV antibodies; however, the majority of possible HCV careers are not referred to hepatologists. In addition to the conventional alert email system, a hepatologist extracted monthly lists of anti-HCV-antibody-positive patients who had been tested two months previously and checked medical records to determine whether the doctors who ordered the tests had properly dealt with the positive results. If the doctors had not yet properly followed up, the hepatologist would send emails to both the doctor and a medical clerk to inform them to conduct an HCV-RNA test and to refer HCV-RNA-positive patients to hepatologists. In total, 130 patients managed in the pre-intervention period and 151 patients managed in the post-intervention period were included in this study. The number of anti-HCV-positive patients whose results were not properly handled showed a significant decrease after the introduction of the double alert system (p = 0.034). Among patients undergoing screening anti-HCV antibody testing, a significant number of patients with probable chronic HCV hepatitis were overlooked by the email alert system and their results were not properly handled. The double alert system was useful for reducing the number of positive anti-HCV antibody patients whose results were not properly handled.
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CiteScore
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