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- Title
Community hepatitis C treatment in Cornwall: a model to improve care.
- Authors
Hampton, Helen; Farrington, Elizabeth; Ellergy, Adam; McKenna, Mary; Stableforth, William; Hussaini, Hyder
- Abstract
Many people who inject drugs (PWID) who are infected with chronic hepatitis C virus (HCV) cannot engage with secondary care services due to social and geographical difficulties. The Cornish HCV management model integrates hospital-based hepatology and community drug and alcohol services, such as Addaction. Community blood-borne virus (BBV) screening is performed by Addaction staff. BBV nurses discuss results with patients. Results are reviewed at multidisciplinary meetings with the hepatology secondary care team with regard to a management plan. Patients were then treated either in the community by a BBV nurse or in secondary care. The community-based treatment of 43 HCV-positive PWID (2008-2012) resulted in a sustained virological response rate of 72% across genotypes 1-3 with only a 5% failure to complete therapy. This integrated model can help to increase HCV treatment rates in Cornwall and provide a national model for HCV treatment, particularly in non-urban areas.
- Subjects
ENGLAND; HEPATITIS C diagnosis; HEPATITIS C prevention; CHARITY; BIOPSY; COMMUNITY health services; HEPATITIS C; MEDICAL screening; RURAL conditions; PILOT projects; INTRAVENOUS drug abusers; TREATMENT effectiveness; INSTITUTIONAL cooperation; HUMAN services programs; EVALUATION of human services programs; DESCRIPTIVE statistics; GENOTYPES; SOCIETIES
- Publication
Gastrointestinal Nursing, 2015, Vol 13, Issue Sup9, pS17
- ISSN
1479-5248
- Publication type
Article
- DOI
10.12968/gasn.2015.13.Sup5.S17