• Emerg Med Australas · Dec 2018

    Observational Study

    Exploring the feasibility of targeted chronic hepatitis B screening in the emergency department: A pilot study.

    • Catherine Brock, Yuan Yi, Timothy Papaluca, Benjamin Lucas, Peter W Angus, David Taylor, and Christopher Leung.
    • Department of Medicine, Austin Clinical School, The University of Melbourne, Melbourne, Victoria, Australia.
    • Emerg Med Australas. 2018 Dec 1; 30 (6): 864-866.

    ObjectiveTo explore the feasibility of an ED chronic hepatitis B (CHB) screening programme.MethodsAdult patients born in intermediate-high CHB prevalent regions completed a pre-screening questionnaire and were offered CHB testing. ED staff were surveyed to gauge potential barriers to the programme.ResultsEighty patients demonstrated limited knowledge of hepatitis B virus transmission and perceived many barriers to screening. Among 65 tested for CHB, no new cases were detected but 36 (55.4%, 95% CI 42.6-67.5) were susceptible to infection. Staff supported the programme but reported potential barriers.ConclusionTargeted ED CHB screening is feasible but effectiveness and cost-effectiveness need further exploration.© 2018 Australasian College for Emergency Medicine.

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