scholarly journals Implementation and Preliminary Results of an Emergency Department Nontargeted, Opt‐out Hepatitis C Virus Screening Program

2018 ◽  
Vol 25 (11) ◽  
pp. 1216-1226 ◽  
Author(s):  
Elissa M. Schechter‐Perkins ◽  
Nancy S. Miller ◽  
Jon Hall ◽  
Joshua J. Hartman ◽  
David H. Dorfman ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Screening Program ◽  
Preliminary Results ◽  
Opt Out ◽  
Virus Screening

scholarly journals Prevalence of Hepatitis C Virus Infection Identified from Non-Targeted Screening Among Adult Visitors in an Academic Appalachian Regional Emergency Department

2021 ◽  
Author(s):  
J Daniel Moore ◽  
James Galbraith ◽  
Roger Humphries ◽  
Jennifer R Havens
Keyword(s):  
Emergency Department ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Screening Program ◽  
Clinical Care ◽  
White Male ◽  
Hcv Infection ◽  
Primary Study ◽  
Opt Out ◽  
Hcv Testing

Abstract Study Objectives We describe the initial results of an adult academic emergency department (ED) non-targeted hepatitis C virus (HCV) screening program serving Appalachia, which is disproportionately affected by the opioid epidemic. Methods The study was a retrospective screening study of ED systematic, non-targeted, opt-out HCV testing outcomes from July 2018 through September 2020. Eligibility requirements for “non-targeted” HCV testing included: adults (greater than 17 years), verbally able to communicate, receiving blood work already as part of routine clinical care, and not opting-out of testing. For eligible individuals who did not opt-out of testing, an HCV antibody (Ab) test was performed. Reactive Ab tests were confirmed with reflexive HCV ribonucleic acid (RNA) testing. The primary study outcome was the characterization of HCV Ab and RNA prevalence. Results There were 75,722 unique adult visitors during the period studied. Of these, 54,931 individuals were verbally engaged regarding testing and did not opt-out. A total of 34,848 individuals received HCV Ab testing, with 3,665 patients (10.5%) having reactive results. RNA confirmatory testing was reflexively performed in all Ab positive patients, with 1,601 (50.3%) positive. The majority of HCV Ab and RNA positive patients were young, born after 1965, and were more likely to be White, male, Medicaid insured, and report a history of injection drug use. Conclusion ED non-targeted, opt-out testing can identify a high prevalence of HCV infection among adult visitors. HCV infection was disproportionately high among younger, White individuals, likely reflecting the escalating syndemic of opioid injection and HCV transmission in Appalachia.

scholarly journals Results of a Hepatitis C Virus Screening Program of the 1945-1965 Birth Cohort in a Large Emergency Department in New Jersey

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S201-S201
Author(s):  
Julia Kang Cornett ◽  
Vimal Bodiwala ◽  
Victor Razuk ◽  
Devangi Shukla ◽  
Navaneeth Narayanan
Keyword(s):  
Emergency Department ◽  
New Jersey ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Birth Cohort ◽  
Screening Program ◽  
Virus Screening

scholarly journals Results of a Rapid Hepatitis C Virus Screening and Diagnostic Testing Program in an Urban Emergency Department

2016 ◽  
Vol 67 (1) ◽  
pp. 119-128 ◽  
Author(s):  
Douglas A.E. White ◽  
Erik S. Anderson ◽  
Sarah K. Pfeil ◽  
Tarak K. Trivedi ◽  
Harrison J. Alter
Keyword(s):  
Emergency Department ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Diagnostic Testing ◽  
Testing Program ◽  
Urban Emergency Department ◽  
Virus Screening

scholarly journals Hepatitis C Virus Screening and Emergency Department Length of Stay

PLoS ONE ◽  
2016 ◽  
Vol 11 (10) ◽  
pp. e0164831 ◽  
Author(s):  
Douglas A. E. White ◽  
Erik S. Anderson ◽  
Sarah K. Pfeil ◽  
Laura J. Deering ◽  
Tamara Todorovic ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Length Of Stay ◽  
Virus Screening

Differences Between Emergency Nurse Perception and Patient Reported Experience With an ED HIV and Hepatitis C Virus Screening Program

2016 ◽  
Vol 42 (2) ◽  
pp. 139-145 ◽  
Author(s):  
Douglas A.E. White ◽  
Erik S. Anderson ◽  
Sarah K. Pfeil ◽  
Sarah E. Graffman ◽  
Tarak K. Trivedi
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Screening Program ◽  
Nurse Perception ◽  
Patient Reported ◽  
Virus Screening
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