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Identifier 39634
Title Ηπατίτιδα C και η συμβολή του γενικού ιατρού στην έγκαιρη διάγνωση και θεραπεία της σε ένα γεωγραφικά προσδιορισμένο πληθυσμό
Alternative Title General Practitioner's contribution in early diagnosis and treatment of Hepatitis C in a geographically well defined area
Creator Skliros, Efstathios A
Abstract Hepatitis C is a serious matter of public health world wide because of its chronicity that leads to cirrhosis and hepatic cancer. Thirteen years after the cloning of the HCV’s genome, the necessity of the doctor’s participation in coping with Hepatitis C in Primary Health Care has just been understood. The main purpose of this PhD is to study Hepatitis C in a district region and define the General Practitioner’s role in the epidemiological analysis and treatment. In this direction, four individual studies were conducted to determine: a. The prevalence of Hepatitis C among patients of regional Health Centres or other Primary Health Care physicians. b. Possible ways of transmission and high risk factors in Greece. c. The ability of General Practitioners to cope with Hepatitis C in rural regions. Results show that Hepatitis C is an existing problem in Primary Health Care in Greece. In our study, the prevalence of anti-HCV is 3.5% varying between 0 and 12.7%. Hepatitis C is related to hospital admission for more than four days, dentical acts, blood transfusion, intravenous drug use and more than 5 deliveries. The prevalence of anti-HCV between individuals with high blood ALT levels is 6.5% (7/107) and therefore, the use of blood transaminase levels as a method to diagnose patients is limited. Furthermore, the study in Kurdish population does not reveal any anti-HCV positive individual, which makes the construction of conclusions very difficult. The results of our study demonstrate that Primary Care physicians deal with and treat Hepatitis C patients. In addition to that, they are capable of coping with Hepatitis C in rural regions. Finally, multidisciplinary working between General Practitioners and Gastrenterologists appears to be extremely necessary and at the same time very successful when patients have already been treated in their region. In conclusion, taking and evaluating a complete history during the physical examination is essential to determine all the possible risk factors. The diagnosis in Primary Health Care is based on revealing these factors. Finally, a second important conclusion is that primary health care physicians can participate in treating Hepatitis C in collaboration with secondary health care practitioners or units.
Language Greek
Issue date 2003-04-01
Date available 2003-07-10
Collection   School/Department--School of Medicine--Department of Medicine--Doctoral theses
  Type of Work--Doctoral theses
Permanent Link https://elocus.lib.uoc.gr//dlib/3/f/3/metadata-dlib-2003skliros.tkl Bookmark and Share
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