Year 2021 / Volume 113 / Number 12
Original
Active search for hepatitis C patients in primary care

820-824

DOI: 10.17235/reed.2021.8067/2021

Lucía Seoane Blanco, Javier Soto Sánchez, Gema Sierra Dorado, Leire Parapar Álvarez, Manuel Crespo Sánchez, Luis Sánchez Domínguez, Juan de la Vega Fernández,

Abstract
Introduction: undiagnosed active hepatitis C virus (HCV) infections are an obstacle to achieve the WHO (World Health Organization) hepatitis C elimination goal by 2030. One of the possible strategies to identify these patients is the active search for patients in primary care (PC). Methods: patient medical records in PC were reviewed with a “hepatitis C” open case in the last five years. Cases with an incomplete diagnostic study (due to the absence of active infection confirmation) or those who did not start or finish treatment were included. A blood analysis was recommended to prove the existence of an active infection. The one-step diagnosis (OSD) was implemented to assess viremia in all patients with a new serologic diagnosis. Results: of 253 cases with a “hepatitis C” open case in their medical records, 24.1 % (61) did not finish the diagnostic study or did not follow the treatment. Four were not suitable candidates to finish the study. Of the other 57, 92.9 % accepted the diagnostic test. Active infections were confirmed in 40 patients (75.4 %) and the treatment was completed in all of them. Conclusions: active searching for patients with hepatitis C in PC together with the OSD are effective measures to detect hidden infections and to increase the number of treatments, thus contributing to the elimination of hepatitis C.
Share Button
New comment
Comments
No comments for this article
References
1. Secretaría General de Sanidad. Ministerio de Sanidad. Plan estratégico para el Abordaje de la Hepatitis C en el Sistema Nacional de Salud (PEAHC) [Internet]. [consultado 1 octubre 2020]. Disponible en: https://www.mscbs.gob.es/ciudadanos/enfLesiones/enfTransmisibles/hepatitisC/PlanEstrategicoHEPATITISC/home.htm
2. Informe del Ministerio de Sanidad de Seroprevalencia del VHC en España. [Internet]. [consultado 1 septiembre 2020]. Disponible en: http://www.mscbs. gob.es/ciudadanos/enfLesiones/enfTransmisibles/sida/docs/INFORME INFECCION VHC ESPANA2019.pdf
3. Crespo J, Albillos A, Buti M, et al. Eliminación de la hepatitis C. Documento de posicionamiento de la Asociación Española para el Estudio del Hígado (AEEH). Rev Esp Enferm Dig 2019;111(11):862-73. DOI: 10.17235/reed.2019.6700/2019
4. Sociedad Española de Medicina de Familia y Comunitaria. Consenso de recomendaciones para el diagnóstico precoz, la prevención y la atención clínica de la hepatitis C en Atención Primaria [Internet]. [consultado 11 abril 2019]. Disponible en: https://www.semfyc.es/wp-content/uploads/2017/02/CRIPRE_DOCUMENTO-CONSENSO-CRIPRE_AEEH_SEMG_SMERGEN_semFYC-VERSION-FINAL-2017.pdf
5. OMS. Estrategia mundial del sector de la salud contra las hepatitis víricas 2016-2021. Hacia el fin de las hepatitis víricas. Junio de 2016.
6. Crespo J, Tejerina A, Cuadrado A, et al. Estrategia para la eliminación de la hepatitis C en Cantabria. Rev Esp Enferm Dig 2020:112(7):565-70. DOI: 10.17235/reed.2020.7108/2020
7. Del Pino P, Guerra MF, Cordero P, et al. Chronic hepatitis C patients lost in the system: predictive factors of non-referral or loss of follow up to hepatology units. Rev Esp Enferm Dig 2021. DOI: 10.17235/reed.2020.7573/2020. Online ahead of print.
8. Sánchez G, Sañudo S, Jiménez T, et al. Hepatitis C: un ejemplo de planificación estratégica desde un área sanitaria. En: XXI Congreso Nacional de Hospitales y Gestión Sanitaria: 8-10-mayo-2019; Santiago de Compostela; 254.
9. Andaluz I, Arcos MM, Montero MD, et al. Pacientes con hepatitis C perdidos en el sistema: aspectos éticos-legales y resultados de su búsqueda. Rev Esp Enferm Dig 2020:112(7):532-7. DOI: 10.17235/reed.2020.7077/2020
10. Cabezas J, García F, Calleja JL, et al. Fundamentos para aplicar una estrategia de cribado poblacional de la hepatitis C en España. Rev Esp Enferm Dig 2020;112(1):64-70. DOI: 10.17235/reed.2019.6768/2019
11. Cuadrado A, Llerena S, Escudero MD, et al. Diseño y coste-efectividad de una política de eliminación del VHC basada en un estudio epidemiológico actualizado (cohorte Ethon). En: 43º Congreso Anual de la Asociación Española para el Estudio del Hígado: 21-23-Febrero-2018; Madrid. Gastroenterol Hepatol 2018;4-5.
12. Casas P, Navarro D, Aguilera A, et al. A pilot study on the implementation of reflex testing for the diagnosis of active hepatitis C virus infection at two healthcare centres. Enferm Infecc Microbiol Clin 2019;37(5):348-9. DOI: 10.1016/j.eimc.2018.05.005
13. Casas MP, García F, Freyre-Carrillo C, et al. Towards the elimination of hepatitis C: implementation of reflex testing in Andalusia. Rev Esp Enferm Dig 2020:112(7):515-9. DOI: 10.17235/reed.2020.6370/2019
14. López R, Arias A, Rodríguez F, et al. Significant improvement in diagnosis of hepatitis C virus by a one-step strategy in a central laboratory: an optimal tool for hepatitis C elimination? J Clin Microbiol 2019;58(1):e01815-19. DOI: 10.1128/JCM.01815-19
15. García F, Domínguez R, Casado M, et al. The simplification of the diagnosis process of chronic hepatitis C is cost-effective strategy. Enferm Infecc Microbiol Clin 2019;37(10):634-41. DOI: 10.1016/j.eimc.2019.03.001
16. Feld JJ. HCV elimination: It will take a village and then some. J Hepatol 2020;72(4):601-3. DOI: 10.1016/j.jhep.2020.01.002
Related articles

Editorial

Cases of liver disease lost in the health system: a call to action

DOI: 10.17235/reed.2021.8316/2021

Original

Hepatitis C in homeless people: reaching a hard-to-reach population

DOI: 10.17235/reed.2021.7737/2020

Editorial

Screening guide for hepatitis C virus infection in Spain

DOI: 10.17235/reed.2020.7728/2020

Special Article

Strategy for the Elimination of Hepatitis C in Cantabria

DOI: 10.17235/reed.2020.7108/2020

Editorial

Reflex testing. A key tool for the elimination of hepatitis C

DOI: 10.17235/reed.2020.7201/2020

Original

Quality of life study in asymptomatic patients with hepatitis C

DOI: 10.17235/reed.2019.6339/2019

Letter

Acute seronegative hepatitis C: two case reports

DOI: 10.17235/reed.2019.5921/2018

Citation tools
Seoane Blanco L, Soto Sánchez J, Sierra Dorado G, Parapar Álvarez L, Crespo Sánchez M, Sánchez Domínguez L, et all. Active search for hepatitis C patients in primary care. 8067/2021


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 5026 visits.
This article has been downloaded 200 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 27/04/2021

Accepted: 17/06/2021

Online First: 21/07/2021

Published: 09/12/2021

Article revision time: 40 days

Article Online First time: 85 days

Article editing time: 226 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology