LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 2 of total 2

Search options

  1. Article: Emergency department contribution to HCV elimination in the Iberian Peninsula.

    Buti, Maria / Vaz-Pinto, Inês / Magno Pereira, Vítor / Casado, Marta / Llaneras, Jordi / Barreira, Ana / Esteves, Catarina / Guimarães, Mafalda / Gorgulho, Ana / Mourão, Tomás / Xavier, Elisa / Jasmins, Luís / Reis, Ana Paula / Faria, Nancy / Freitas, Bruno / Andrade, Graça / Camelo-Castillo, Anny / Rodríguez-Maresca, Manuel Ángel / Carrodeguas, Alba /
    Medina, Diogo / Esteban, Rafael

    International journal of emergency medicine

    2024  Volume 17, Issue 1, Page(s) 5

    Abstract: Background: Undiagnosed cases of hepatitis C virus (HCV) infection result in significant morbidity and mortality, further transmission, and increased public health costs. Testing in emergency departments (EDs) is an opportunity to expand HCV screening. ... ...

    Abstract Background: Undiagnosed cases of hepatitis C virus (HCV) infection result in significant morbidity and mortality, further transmission, and increased public health costs. Testing in emergency departments (EDs) is an opportunity to expand HCV screening. The goal of this project was to increase the proportion of eligible patients screened for HCV in urban areas.
    Methods: An opportunistic automated HCV screening program was implemented in the EDs of 4 public hospitals in Spain and Portugal at different periods between 2018 and 2023. HCV prevalence was prospectively evaluated, and single-step or reflex testing was used for confirmation in the same sample.
    Results: More than 90% of the population eligible for testing were screened in the participating centers. We found HCV antibody seroprevalence rates ranging from 0.6 to 3.9%, with between 19 and 53% of viremic individuals.
    Conclusions: Opportunistic HCV screening in EDs is feasible, does not disrupt ED activities, is highly effective in increasing diagnosis, and contributes to WHO's HCV elimination goals.
    Language English
    Publishing date 2024-01-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 2411462-5
    ISSN 1865-1380 ; 1865-1372
    ISSN (online) 1865-1380
    ISSN 1865-1372
    DOI 10.1186/s12245-023-00570-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article ; Online: Increasing and sustaining blood-borne virus screening in Spain and Portugal throughout the COVID-19 pandemic: a multi-center quality improvement intervention.

    Vaz-Pinto, Inês / Ortega, Enrique / Chivite, Ivan / Butí, María / Turnes-Vázquez, Juan / Magno-Pereira, Vítor / Rocha, Miguel / Garrido, Jorge / Esteves-Santos, Catarina / Guimaraes, Mafalda / Mourão, Tomás / Martínez Roma, María / Guilera, Vanessa / Llaneras-Artigues, Jordi / Barreira-Díaz, Ana / Pérez Cachafeiro, Santiago / Daponte Angueira, Sandra / Xavier, Elisa / Vicente, Mariana /
    Garrido, Gema / Heredia, Maria Teresa / Medina, Diogo / García Deltoro, Miguel

    Frontiers in public health

    2024  Volume 11, Page(s) 1268888

    Abstract: Background: Around 57,000 people in Spain and Portugal currently living with HIV or chronic hepatitis C are unaware of their infection. The COVID-19 pandemic severely disrupted screening efforts for these infections. We designed an intervention to ... ...

    Abstract Background: Around 57,000 people in Spain and Portugal currently living with HIV or chronic hepatitis C are unaware of their infection. The COVID-19 pandemic severely disrupted screening efforts for these infections. We designed an intervention to increase and sustain opportunistic blood-borne virus (BBV) screening and linkage to care (SLTC) by implementing the TEST model.
    Methods: The Plan Do Study Act (PDSA) method of quality improvement (QI) was implemented in 8 healthcare organizations (HCOs), including four hospitals, two clusters of community health centers, and two community-based organizations (CBOs). Baseline assessment included a review of BBV SLTC practices, testing volume, and results 12 months before the intervention. Changes in BBV testing rates over time were measured before, during, and after the COVID-19 lockdowns in 2020. A mixed ANOVA model was used to analyze the possible effect on testing volumes among HCOs over the three study periods.
    Intervention: BBV testing was integrated into normal clinical flow in all HCOs using existing clinical infrastructure and staff. Electronic health record (EHR) systems were modified whenever possible to streamline screening processes, implement systemic institutional policy changes, and promote QI.
    Results: Two years after the launch of the intervention in screening practices, testing volumes increased by 116%, with formal healthcare settings recording larger increases than CBOs. The start of the COVID-19 lockdowns was accompanied by a global 60% decrease in testing in all HCOs. Screening emergency department patients or using EHR systems to automate screening showed the highest resilience and lowest reduction in testing. HCOs recovered 77% of their testing volume once the lockdowns were lifted, with CBOs making the fullest recovery. Globally, enhanced screening techniques enabled HCOs to diagnose a total of 1,860 individuals over the research period.
    Conclusions: Implementation of the TEST model enabled HCOs to increase and sustain BBV screening, even during COVID-19 lockdowns. Although improvement in screening was noted in all HCOs, additional work is needed to develop strong patient linkage to care models in challenging times, such as global pandemics.
    MeSH term(s) Humans ; Communicable Disease Control ; COVID-19/epidemiology ; COVID-19/prevention & control ; Hepatitis C/diagnosis ; HIV Infections/diagnosis ; Pandemics ; Portugal/epidemiology ; Quality Improvement ; Spain/epidemiology ; Mass Screening/statistics & numerical data
    Language English
    Publishing date 2024-01-24
    Publishing country Switzerland
    Document type Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2023.1268888
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top