Feasibility and outcomes of a hepatitis C screening programme in community pharmacies

被引:0
|
作者
Gauld, Natalie [1 ,2 ]
Perry, John [3 ]
Jackson, Catherine [4 ,5 ]
Gane, Ed [6 ]
机构
[1] Natalie Gauld Ltd, Auckland, New Zealand
[2] Univ Auckland, Dept Paediat Child & Youth Hlth, Auckland, New Zealand
[3] Waitemata Dist Hlth Board, Gastroenterol, Auckland, New Zealand
[4] Waitemata Dist Hlth Boards, Planning & Funding, Auckland, New Zealand
[5] Auckland Dist Hlth Boards, Planning & Funding, Auckland, New Zealand
[6] Auckland City Hosp, New Zealand Liver Transplant Unit, Auckland, New Zealand
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中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
AIMS: To ascertain the feasibility and outcomes of point-of-care testing for hepatitis C virus (HCV) antibodies in people with risk factors screened in community pharmacies. METHODS: Ten pharmacies in the Waitemata District Health Board piloted point-of-care antibody HCV screening with consenting participants. Individuals with a positive HCV antibody result had a confirmatory HCV RNA test performed at a local laboratory, with pharmacist follow-up to discuss the result. RNA positive individuals were referred to their general practitioner for further follow-up including antiviral therapy. Number of tests, number of positives and number treated were collected. Pharmacists completed a survey about their experiences. RESULTS: Of 192 participants, seven (3.6%) had positive tests on screening, four of whom had a positive RNA assay and received HCV medication, and one of whom had a positive RNA assay but has not yet received treatment. Two had negative RNA results. Pharmacist feedback was very positive with most wishing to continue the point-of-care testing service. Most wanted to be able to treat HCV in order to improve linkage to care. CONCLUSIONS: Pharmacy point-of-care testing with immediate results and pharmacist follow-up of positive results can aid diagnosis of HCV in at-risk populations and help treatment uptake.
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页码:74 / 83
页数:10
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