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P244 An audit of hepatitis c testing in a sexual health service
  1. Matthew Chou,
  2. Sharmin Obeyesekera,
  3. Cecelia Theodore,
  4. Rageshri Dhairyawan
  1. Barking, Havering and Redbridge NHS Trust, London, UK

Abstract

Introduction With new effective treatments for hepatitis C (HCV), identifying cases is increasingly important. The BASHH Viral Hepatitis Guidelines (2015) recommend HCV screening in sexual health services for people at high-risk. We carried out a retrospective audit in our clinic.

Methods We reviewed our patient records and laboratory database for HCV antibody (AB) tests between 1st January 2015 – 30th June 2016. The management of those HCV RNA positive was compared with the BASHH auditable standards (2015).

Results From 56483 attendances, 12008 HCV AB tests were taken. 18/12008 cases were HCV AB positive of which 11 were also HCV RNA positive giving a prevalence of 0.09%. 8/11 newly diagnosed; 6/11 male; 6/11 Eastern European, 3 White British, 2 Asian; 4 co-infected with HIV. Genotypes were available for 6/11 and of these 4 had G1a, 1 had G1b and 1 had G3a. 11/11 had LFTs/AFP (target 90%) and all had hepatitis B tests (target >95%). 11/11 were referred for ongoing care within 2 months (target 100%). All had a written follow up plan (target 97%) and all had a documented discussion regarding the natural history and transmission of HCV, but only 2 (18%) had documentation that written information was also given (target >95%). All had partner notification (target 97%).

Discussion The prevalence of HCV infection in our screened population was lower than we expected (0.09%) for an area with a large migrant population. Our service met all auditable standards in management except for documenting that written information had been given.

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