Chronic hepatitis B: current epidemiology in the Americas and implications for management

被引:59
作者
Gish, R. G.
Gadano, A. C.
机构
[1] Calif Pacific Med Ctr, Div Hepatol & Complex GI, Phys Fdn, San Francisco, CA 94115 USA
[2] Calif Pacific Med Ctr, Dept Med, San Francisco, CA 94115 USA
[3] Calif Pacific Med Ctr, Dept Transplantat, San Francisco, CA 94115 USA
[4] Hosp Italiano Buenos Aires, Div Hepatol, Buenos Aires, DF, Argentina
[5] Hosp Italiano Buenos Aires, Dept Internal Med, Buenos Aires, DF, Argentina
[6] Hosp Italiano Buenos Aires, Dept Liver Transplantat, Buenos Aires, DF, Argentina
关键词
chronic hepatitis B; epidemiology; hepatitis B; Latin America; North America; prevalence;
D O I
10.1111/j.1365-2893.2006.00787.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Hepatitis B virus (HBV) remains a serious health threat in many parts of the world. Although its prevalence is lower in the Americas than in Asia, Africa and the Middle East, it is responsible for significant morbidity and mortality in North, Central and South America. There is a nonuniform pattern of distribution throughout this region, with HBV prevalence related to geographical, social and cultural factors that predispose certain individuals to infection. This report details the incidence, modes of viral transmission of hepatitis B in the Americas and clinical course of disease in different regions of the Americas. Additionally, the implications for management focusing on issues predominant in high-risk populations are presented.
引用
收藏
页码:787 / 798
页数:12
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