Peer-Delivered Outreach With Rapid Treatment Pathways for Hepatitis C Testing and Treatment Among Unhoused People

IF 2.3 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Gabriele Vojt, Philippe Bonnet, Jennifer Scott, Emma Hathorn, Lisa Ellis, Sally Bufton, David Mutimer, Ryan Buchanan, Leila Reid, Danny Morris, Ahmed Elsharkawy
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引用次数: 0

Abstract

This service evaluation describes the co-development of a peer-led rapid hepatitis C virus (HCV) pathway to reach unhoused people. A trained and qualified peer worker visited homeless shelters in West Midlands, England, setting up test and treatment events and collaborating with local services and healthcare staff who also attended the sites. The peer worker offered point of care HCV antibody and ribonucleic acid (RNA) testing for individuals at risk of HCV, peer education and support before and during treatment. Viraemic individuals were offered immediate treatment prescribed by local HCV clinical specialist nurses who attended the homeless shelters with the peer worker. Among the 140 tested individuals, 72 people (51.4%) were HCV antibody positive and 42 (30.0%) were HCV RNA positive. All participants had a history of injecting drug use. The majority were male (75.0%), with a mean age of 39 years and of white ethnicity (89.4%). Treatment uptake was 100.0%, and known treatment completion was 92.3%. Treatment uptake within 2 weeks was 57.1%. Findings suggest that the co-developed and peer-led HCV test and treat pathway is promising in case finding, testing and treating marginalised, unhoused people.

在无家可归者中,通过快速治疗途径进行丙型肝炎检测和治疗的同伴交付外展
这项服务评估描述了共同开发由同行主导的丙型肝炎病毒快速传播途径,以接触无家可归者。一名训练有素的同行工作者访问了英格兰西米德兰兹郡的无家可归者收容所,设置了测试和治疗活动,并与当地服务机构和医疗保健人员合作。同侪工作人员在治疗前和治疗期间为有HCV风险的个体提供HCV抗体和核糖核酸(RNA)检测、同侪教育和支持。当地丙型肝炎临床专科护士与同行工作人员一起前往无家可归者收容所,为感染病毒的个人提供了立即治疗。140例检测中,HCV抗体阳性72例(51.4%),RNA阳性42例(30.0%)。所有参与者都有注射吸毒史。大多数为男性(75.0%),平均年龄39岁,白人(89.4%)。治疗吸收率为100.0%,已知治疗完成率为92.3%。2周内服药率为57.1%。研究结果表明,共同开发和同行主导的丙型肝炎病毒检测和治疗途径在病例发现、检测和治疗边缘化、无家可归者方面很有希望。
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来源期刊
Journal of Viral Hepatitis
Journal of Viral Hepatitis 医学-病毒学
CiteScore
6.00
自引率
8.00%
发文量
138
审稿时长
1.5 months
期刊介绍: The Journal of Viral Hepatitis publishes reviews, original work (full papers) and short, rapid communications in the area of viral hepatitis. It solicits these articles from epidemiologists, clinicians, pathologists, virologists and specialists in transfusion medicine working in the field, thereby bringing together in a single journal the important issues in this expanding speciality. The Journal of Viral Hepatitis is a monthly journal, publishing reviews, original work (full papers) and short rapid communications in the area of viral hepatitis. It brings together in a single journal important issues in this rapidly expanding speciality including articles from: virologists; epidemiologists; clinicians; pathologists; specialists in transfusion medicine.
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