Multisociety consensus recommendations on hepatitis delta virus infection.

Autor:	Alqahtani SA; Liver, Digestive, and Lifestyle Health Research Section, and Organ Transplant Center of Excellence, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.; Division of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, NY, USA., Sanai FM; Department of Medicine, Gastroenterology Section, King Abdulaziz Medical City, Jeddah, Saudi Arabia.; King Abdullah International Medical Research Center, Ministry of National Guard - Health Affairs, Jeddah, Saudi Arabia., Banama MA; Gastroenterology Unit, Rashid Hospital, Dubai Academic Health Corporation, Dubai, UAE., Alghamdi MY; Department of Medicine, Gastroenterology Unit, King Fahd Military Complex, Dhahran, Saudi Arabia., Altarrah MY; Gastroenterology and Transplant Hepatology Unit, Thunayan Al Ghanim Gastroenterology Center, Al Amiri Hospital, Kuwait., Abaalkhail FA; Department of Medicine, Section of Gastroenterology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.; College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association [Saudi J Gastroenterol] 2024 Dec 05. Date of Electronic Publication: 2024 Dec 05.
DOI:	10.4103/sjg.sjg_322_24
Abstrakt:	Abstract: Hepatitis D virus (HDV) prevalence data and country-specific HDV guidelines are not widely available in the Gulf Cooperation Council (GCC) states. We developed consensus recommendations to guide healthcare professionals, policymakers, and researchers in improving HDV management and patient health outcomes in three GCC states: Kuwait, Saudi Arabia, and the United Arab Emirates. A consensus panel comprising hepatology experts (n = 6) from the three GCC societies was formed. The panel identified two broader areas related to clinical practice (screening and diagnosis, and treatment and management), addressed critical questions, and developed draft recommendations in February 2024. The strength of the final set of recommendations was subjected to consensus voting in March 2024. A majority was defined a priori with a two-thirds vote (67%). The paper outlines those recommendations alongside showcasing the current epidemiology of HDV in the GCC states, emphasizing the variability in prevalence, demographic patterns, and region-specific risk factors. It also highlights the current state of screening and diagnosis practices, identifying key obstacles, such as access to advanced screening protocols and diagnostic tools. Furthermore, HDV treatment landscape and preventative strategies are outlined, focusing on vaccination, public health initiatives, and the crucial role of public awareness and education. Ethical and sociocultural considerations are discussed, underscoring the importance of culturally sensitive healthcare practices. These recommendations present a comprehensive overview of the challenges and strategies for managing HDV in these states. Policy recommendations are provided to support HDV management, including standardizing care protocols and promoting public health measures. (Copyright © 2024 Saudi Journal of Gastroenterology.)
Databáze:	MEDLINE
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