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Exploring the feasibility of targeted chronic hepatitis B screening in the emergency department: A pilot study
Catherine Brock1, Yuan Yi1, Timothy Papaluca2
1Department of Medicine, Austin Clinical School, The University of Melbourne, Melbourne, Victoria, Australia.
Objective:
To explore the feasibility of an ED chronic hepatitis B (CHB) screening programme.
Methods:
Adult 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.
Results:
Eighty 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.
Conclusion:
Targeted ED CHB screening is feasible but effectiveness and cost-effectiveness need further exploration.
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