Vertical transmission of hepatitis C: Testing and health-care engagement

2018 ◽  
Vol 54 (6) ◽  
pp. 647-652 ◽  
Author(s):  
Sharon Reid ◽  
Carolyn A Day ◽  
David G Bowen ◽  
Jeannie Minnis ◽  
Joanne Ludlow ◽  
...  
Keyword(s):  
Health Care ◽  
Hepatitis C ◽  
Vertical Transmission ◽  
Health Care Engagement

Prevention of percutaneous injuries with risk of hepatitis B, hepatitis C, or other viral infections for health-care workers

2011 ◽  
Author(s):  
Annika Parantainen ◽  
Minna Anthoni ◽  
America Valdes ◽  
Marie-Claude Lavoie ◽  
Ulla-Maija Hellgren ◽  
...  
Keyword(s):  
Health Care ◽  
Hepatitis C ◽  
Hepatitis B ◽  
Health Care Workers ◽  
Viral Infections ◽  
Care Workers

Breastfeeding and the risk of vertical transmission of hepatitis C virus

1995 ◽  
Vol 163 (2) ◽  
pp. 107-107 ◽  
Author(s):  
M Lindsay Grayson ◽  
Kathleen M Braniff ◽  
D Scott Bowden ◽  
John D Turnidge
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Vertical Transmission

Hepatitis C infection in the health care setting. I. Low risk from parenteral exposure to blood of human immunodeficiency virus-infected patients

1991 ◽  
Vol 19 (5) ◽  
pp. 237-242 ◽  
Author(s):  
Gary P. Wormser ◽  
Gilda Forseter ◽  
Carol Joline ◽  
Barbara Tupper ◽  
Thomas A. O'Brien
Keyword(s):  
Health Care ◽  
Human Immunodeficiency Virus ◽  
Hepatitis C ◽  
Care Setting ◽  
Low Risk ◽  
Health Care Setting ◽  
Hepatitis C Infection ◽  
Immunodeficiency Virus ◽  
Parenteral Exposure

scholarly journals Changing Trends in Viral Hepatitis-Associated Hospitalizations in the American Indian/Alaska Native Population, 1995–2007

2011 ◽  
Vol 126 (6) ◽  
pp. 816-825 ◽  
Author(s):  
Kathy K. Byrd ◽  
John T. Redd ◽  
Robert C. Holman ◽  
Dana L. Haberling ◽  
James E. Cheek
Keyword(s):  
Health Care ◽  
Hepatitis C ◽  
Hepatitis B ◽  
American Indian ◽  
Viral Hepatitis ◽  
Alaska Native ◽  
Hepatitis A ◽  
Hospitalization Rate ◽  
Time Periods ◽  
Significant Change

Objective. We described the changing epidemiology of viral hepatitis among the American Indian/Alaska Native (AI/AN) population that uses Indian Health Service (IHS) health care. Methods. We used hospital discharge data from the IHS National Patient Information Reporting System to determine rates of hepatitis A-, B-, and C-associated hospitalization among AI/ANs using IHS health care from 1995–2007 and summary periods 1995–1997 and 2005–2007. Results. Hepatitis A-associated hospitalization rates among AI/AN people decreased from 4.9 per 100,000 population during 1995–1997 to 0.8 per 100,000 population during 2005–2007 (risk ratio [RR] = 0.2, 95% confidence interval [CI] 0.1, 0.2). While there was no significant change in the overall hepatitis B-associated hospitalization rate between time periods, the average annual rate in people aged 45–64 years increased by 109% (RR=2.1, 95% CI 1.4, 3.2). Between the two time periods, the hepatitis C-associated hospitalization rate rose from 13.0 to 55.0 per 100,000 population (RR=4.2, 95% CI 3.8, 4.7), an increase of 323%. The hepatitis C-associated hospitalization rate was highest among people aged 45–64 years, males, and those in the Alaska region. Conclusions. Hepatitis A has decreased to near-eradication levels among the AI/AN population using IHS health care. Hepatitis C-associated hospitalizations increased significantly; however, there was no significant change in hepatitis B-associated hospitalizations. Emphasis should be placed on continued universal childhood and adolescent hepatitis B vaccination and improved vaccination of high-risk adults. Prevention and education efforts should focus on decreasing hepatitis C risk behaviors and identifying people with hepatitis C infection so they may be referred for treatment.

ASSESSMENT OF HEALTH CARE WORKERS' KNOWLEDGE, ATTITUDE AND PRACTICE TOWARD CARING OF PATIENTS WITH HEPATITIS C

2015 ◽  
Vol 2 (2) ◽  
pp. 45-57
Author(s):  
Nora Elneblawy ◽  
Amany Shebl ◽  
Amira Hassanen ◽  
Gamal Shiha
Keyword(s):  
Health Care ◽  
Hepatitis C ◽  
Health Care Workers ◽  
Attitude And Practice ◽  
Care Workers ◽  
Knowledge Attitude And Practice

Limited English Proficiency and Disparities in Health Care Engagement Among Patients With Breast Cancer

2021 ◽  
pp. OP.20.01093
Author(s):  
Mohana Roy ◽  
Natasha Purington ◽  
Mina Liu ◽  
Douglas W. Blayney ◽  
Allison W. Kurian ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Clinical Trial ◽  
Genetic Counseling ◽  
English Proficiency ◽  
Primary Language ◽  
Patient Portal ◽  
Language Groups ◽  
English Speaking ◽  
Health Care Engagement

PURPOSE: Race and ethnicity have been shown to affect quality of cancer care, and patients with low English proficiency (LEP) have increased risk for serious adverse events. We sought to assess the impact of primary language on health care engagement as indicated by clinical trial screening and engagement, use of genetic counseling, and communication via an electronic patient portal. METHODS: Clinical and demographic data on patients with breast cancer diagnosed and treated from 2013 to 2018 within the Stanford University Health Care system were compiled via linkage of electronic health records, an internal clinical trial database, and the California Cancer Registry. Logistic and linear regression models were used to evaluate for association of clinical trial engagement and patient portal message rates with primary language group. RESULTS: Patients with LEP had significantly lower rates of clinical trial engagement compared with their English-speaking counterparts (adjusted odds ratio [OR], 0.29; 95% CI, 0.16 to 0.51). Use of genetic counseling was similar between language groups. Rates of patient portal messaging did not differ between English-speaking and LEP groups on multivariable analysis; however, patients with LEP were less likely to have a portal account (adjusted OR, 0.89; 95% CI, 0.83 to 0.96). Among LEP subgroups, Spanish speakers were significantly less likely to engage with the patient portal compared with English speakers (estimated difference in monthly rate: OR, 0.43; 95% CI, 0.24 to 0.77). CONCLUSION: We found that patients with LEP had lower rates of clinical trial engagement and odds of electronic patient portal enrollment. Interventions designed to overcome language and cultural barriers are essential to optimize the experience of patients with LEP.

scholarly journals Hepatitis C Virus in Pregnancy: Case Reports and Literature Review

1995 ◽  
Vol 3 (6) ◽  
pp. 248-251 ◽  
Author(s):  
Gary M. Joffe
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Vertical Transmission ◽  
Case Reports ◽  
Sexual Transmission ◽  
Severity Of Illness ◽  
The United States ◽  
Maternal Disease ◽  
In Pregnancy

Background: Hepatitis C virus (HCV) is now recognized as the cause of 90% of non-A, non-B (NANB) hepatitis. This virus is responsible for a large percentage of chronic persistent and chronic active hepatitis in the United States. Parenteral and sexual transmission are well described, so a significant population of pregnant patients is at risk. Vertical transmission of the virus to the fetus is dependent upon the level of maternal viremia.Case: The cases described in the following report demonstrate that fulminant disease may present in pregnancy. They also demonstrate the cofactors promoting the severity of illness, methods of diagnosis, potential treatment, and outcome of the infection.Conclusion: HCV may be encountered in pregnancy. Although most acute-phase illness will be self limiting, some patients will manifest liver failure during gestation. Because vertical transmission to the fetus is possible, the pediatrician should be informed of the maternal disease. Chronic hepatitis is almost the rule rather than the exception, so patients require close postpartum follow-up. Interferon, which may alter the course of the chronic disease, has been used on rare occasions in pregnancy.

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