Hepatitis C: Nutrition Care Canadian Guidelines for Health Care Providers

2003 ◽  
Vol 64 (3) ◽  
pp. 139-141 ◽  
Keyword(s):  
Health Care ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Health Care Providers ◽  
Scientific Evidence ◽  
Critical Role ◽  
Care Providers ◽  
Nutrition Care ◽  
On Line ◽  
Accepted Practice

Nutrition plays a critical role in the management of hepatitis C. Dietitians of Canada has developed comprehensive, evidencebased guidelines to familiarize health care providers with effective nutrition care for the growing number of Canadians infected with the hepatitis C virus. The complete guidelines and two supporting educational fact sheets are available for downloading from http://www.dietitians.ca/resources/HepatitisC_Guidelines.htm . The guidelines and fact sheets are available in both English and French. The guidelines contain the full text, practice essentials, references, and extensive appendices with practical tools to assist educators in promoting nutrition to persons infected with the hepatitis C virus. Reprinting or photocopying of the document is encouraged provided the source is acknowledged. In addition, an on-line education course is available for health care providers and is available on www.dieteticsatwork.ca . These guidelines are directed to all health care providers who are in a position to offer nutrition-related advice and guidance to persons infected with the hepatitis C virus, in all stages of the disease. A national advisory committee comprised of leading authorities in Canada steered the development of the guidelines. The guidelines are based on the best information available at the time of publication; where scientific evidence was not available, best-accepted practice is presented.

Management of HIV Infection in Persons Co-infected With Hepatitis

2005 ◽  
Vol 18 (4) ◽  
pp. 295-309
Author(s):  
Naomi S. Boston ◽  
Judianne C. Slish
Keyword(s):  
Health Care ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Hepatitis B Virus ◽  
Hiv Infection ◽  
Health Care Providers ◽  
Antiretroviral Treatment ◽  
Care Providers ◽  
Hcv Treatment ◽  
B Virus

Co-infection with hepatitis C virus (HCV) and/or hepatitis B virus (HBV) is becoming a rampant disparity in HIV-infected patients. The advent of antiretroviral therapy has led to agents that are effective for suppression of both HIV and HBV; however, this can not be extrapolated to patients who are coinfected with HCV. Treatment of HCV disease is often strenuous and can lead to untoward adverse effects. Co-infection with HIV often leads to higher rates of cirrhosis and liver failure in patients with HBV or HCV, compromising antiretroviral treatment in this patient population due to the hepatotoxicity of these agents. The purpose of this review is to familiarize health care providers to the management of HIV infection in patients who are also co-infected with HBV or HCV.

scholarly journals Evaluation of the Impact of Mandating Health Care Providers to Offer Hepatitis C Virus Screening to All Persons Born During 1945–1965 — New York, 2014

2017 ◽  
Vol 66 (38) ◽  
pp. 1023-1026 ◽  
Author(s):  
Colleen A. Flanigan ◽  
Shu-Yin J. Leung ◽  
Kirsten A. Rowe ◽  
Wendy K. Levey ◽  
Andrea King ◽  
...  
Keyword(s):  
Health Care ◽  
New York ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Health Care Providers ◽  
Care Providers ◽  
The Impact ◽  
Virus Screening

scholarly journals Pregnancy Status, Risk Factors, and Opportunities for Referral to Care Among Reproductive-Aged Women With Newly Reported Chronic Hepatitis C Virus Infection in Tennessee

2019 ◽  
Vol 135 (1) ◽  
pp. 90-96 ◽  
Author(s):  
Cassandra Oliver ◽  
Jennifer Black ◽  
Shannon De Pont ◽  
Lindsey Sizemore ◽  
Carolyn Wester
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Health Care Providers ◽  
Hcv Infection ◽  
Newly Diagnosed ◽  
Care Providers ◽  
Pregnancy Status ◽  
Reproductive Aged Women

Objectives: From 2006 through 2012, the number of acute hepatitis C virus (HCV) infections increased 364% among persons aged ≤30, including reproductive-aged women, in Central Appalachian states. Outreach to reproductive-aged women with newly diagnosed HCV infection affords a unique opportunity to provide counseling, further testing, and linkage to treatment. We modeled a centrally located statewide effort to reach this population and their health care providers to ascertain pregnancy status, HCV risk factors, and opportunities for linkage to additional services. Methods: Using the Tennessee Department of Health’s surveillance database, we identified women aged 18-45 residing in Tennessee with newly reported chronic HCV infection from May through October 2017. We contacted health care providers and patients to request information on pregnancy status and HCV risk factors as well as to provide linkage to treatment services. Results: Of 1548 women included in this study, health care provider or patient contact information was available for 1316 (85.0%) women. Of the 1316 women, 806 (61.2%) women had a health care provider or patient response, of whom 242 (30.0%) were pregnant. Of 296 patients contacted, 194 (65.5%) reported intranasal drug use, 193 (65.2%) reported having been incarcerated for more than 24 hours, and 180 (60.8%) reported injection drug use. Ninety-eight (33.1%) patients were referred for confirmatory testing, and 174 (58.8%) were referred to treatment. Conclusion: A high proportion of reproductive-aged women with newly diagnosed HCV infection were pregnant. Surveillance-informed outreach to this population was feasible and provided opportunities for counseling and linkage to confirmatory testing and treatment. Future studies should evaluate whether a similar model would enhance testing and linkage to care of HCV-exposed infants.

scholarly journals Hepatitis C virus exposure rate among health-care workers in rural Lower Egypt governorates

2017 ◽  
Vol 5 (3) ◽  
pp. 164-168 ◽  
Author(s):  
Ashraf Elbahrawy ◽  
Ahmed Elwassief ◽  
Abdallah Mahmoud Abdallah ◽  
Arafat Kasem ◽  
Sadek Mostafa ◽  
...  
Keyword(s):  
Health Care ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Hcv Rna ◽  
Care Providers ◽  
Health Care Work ◽  
Care Workers ◽  
The Mean

Abstract Background and Objectives Studies on hepatitis C virus (HCV) in Egypt supported a strong role for various exposures in the health-care setting. In this study, we attempted to estimate the frequency of HCV exposure among Egyptian health-care workers (HCWs). Methods Five hundred and sixty-four (564) HCWs were included in this study. Two hundred and fifty-eight (45.74%) were health-care providers and 306 (54.25%) were non-health-care providers. All HCWs completed both the study questionnaire and provided a blood sample for anti-HCV testing by third-generation enzyme-linked immunosorbent assay. Subsequently, anti-HCV-positive samples were tested for HCV RNA using nested polymerase chain reaction (PCR). Results The mean age of included HCWs was 33.0 ± 9.8 years; of them, 319 (56.56%) were males and 245 (43.44%) were females. The mean duration of health-care work was 9.3 ± 6.7 years. The frequency of antibody against hepatitis C virus (anti-HCV) among included HCWs was 8.7% (n = 49). Old age and prolonged duration of health-care work were significantly associated with anti-HCV seropositivity. Forty (81.63%) of 49 with anti-HCV-positive HCWs had positive hepatitis C viremia. The frequency of HCV RNA positivity increased with age. The frequency of eradicated past infection among nurses (36.85%) was markedly higher than that (6.7%) detected in non-health-care providers. Conclusion High rate of HCV infection is detected in Egyptian HCWs in rural Lower Egypt governorates. Health-care providers seem to eradicate HCV infection more frequently than non-health-care providers. National screening and treatment of infected HCWs are recommended.

scholarly journals Sero-epidemiology of Hepatitis C Virus and Malaria (Plasmodium falciparum) Co-infection among pregnant women Attending National Hospital Abuja in Central Nigeria

2019 ◽  
Author(s):  
ASAGA MAC PETER ◽  
HALIMA SALIHU ◽  
AMALI OKWOLI
Keyword(s):  
Health Care ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Care Delivery ◽  
Public Health Problem ◽  
Reproductive Age ◽  
Care Providers ◽  
National Hospital

Abstract Background Hepatitis C virus is an RNA virus of the flaviviridae family and appears to have humans and chimpanzees as the only species susceptible to its infection [1]. Infection is often asymptomatic but once established, chronic infection can lead to scarring of the liver (fibrosis) and advanced scarring (cirrhosis) which is generally apparent after many years [2]. It is a major and growing public health problem that can easily lead to chronic liver disease, cirrhosis and hepatocellular carcinoma [3]. Methods This study was conducted on one hundred and thirty (130) pregnant women of reproductive age (15 – 45 years) who were randomly selected at National hospital Abuja. 5 ml of blood was obtained from study participants for rapid HCV screening and malaria thick films and thin films for parasite densities and parasite species identification. Result The preponderance of HCV was 130 (17.1%), malaria (49.4%) and HCV and malaria co-infection was (10.9%), of the hundred and thirty (130) samples obtained from pregnant women in the Abuja National Hospital. Conclusion The sero-prevalence of HCV infection and its infectivity is high in central Nigeria. This study findings guide the want for routine HCV and malaria screening among pregnant women at some stage in antenatal care within the region and Nigeria. It also form a base for continual education campaign about HCV amongst rural/Urban pregnant mothers/women and food vendors in central states and other parts of Nigeria. Those efforts will guarantee top of the line and better outcome for excellent health care delivery for the expecting mothers and other health care providers in our hospitals.

scholarly journals Evaluating the Effectiveness of the AIDS Education and Training Center (AETC) National Human Immunodeficiency Virus/Hepatitis C Virus (HCV) Curriculum

2021 ◽  
Vol 8 ◽  
pp. 238212052110411
Author(s):  
Waridibo E Allison ◽  
Aro N Choi ◽  
Keito Kawasaki ◽  
Trisha V Melhado
Keyword(s):  
Health Care ◽  
Human Immunodeficiency Virus ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Health Care Providers ◽  
Therapeutic Option ◽  
Aids Education ◽  
Care Providers ◽  
Immunodeficiency Virus ◽  
Hcv Coinfection

Background People with human immunodeficiency virus (PWHIV) who have hepatitis C virus (HCV) coinfection are at a higher risk of progression of liver disease than the general population. Direct acting antivirals provide a therapeutic option for HCV cure, however access to HCV specific care for PWHIV can be challenging. A paucity of specialist providers is a barrier to this care. Objectives This study aims to assess knowledge gained about HIV/HCV coinfection among health care providers. Methods AIDS Education Training Centers (AETC) have developed a modular national HIV/HCV coinfection curriculum consisting of a free selfdirected online curriculum to educate health care providers, including nonspecialist providers, involved in the care of PWHIV on HCV care and management. The effectiveness of this curriculum was evaluated with pre and post module assessment completion by learners compared with a paired t-test. Results 716 people received links to the curriculum and 277 modules were completed by 221 unique individuals. 86% completed one module, 9% complete 2 modules, and the remaining 5% completed between 3 and all 6 modules. There were statistically significant increases in knowledge in the epidemiology module.

scholarly journals Spirituality as an Essential Element of Person-Centered Care

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 885-886
Author(s):  
Rachel Nathan ◽  
Deborah Zuercher ◽  
Steven Eveland ◽  
Anjana Chacko ◽  
Raya Kheirbek
Keyword(s):  
Health Care ◽  
Chronic Illness ◽  
Health Care Providers ◽  
Spiritual Care ◽  
Ethical Issues ◽  
Critical Role ◽  
Essential Element ◽  
Care Providers ◽  
Sensitivity Assessment ◽  
Centered Care

Abstract Data demonstrate that the majority of patients with serious or chronic illness would like their clinicians to address their spirituality but that the majority of clinicians do not provide such care. Reasons cited include lack of training. Palliative Medicine, built on the biopsychosocial-spiritual model of care, has long recognized the critical role of spirituality in the care of patients with complex, serious, and chronic illness. There is mounting evidence that spiritual care is a fundamental component of all high-quality compassionate health care, and it is most effective when it is recognized and reflected in the attitudes and actions of both patients and health care providers. We conducted focus groups as a first step in the process to arrive at a consensus definition of “spiritual care.” A second step involved collecting and comparing frameworks and models that recognize that providers cannot be made compassionate simply through the imposition of rules; methods were needed to achieve behavior change. The study group developed and piloted curriculum to train health care providers. The created curricula covered the definitions of a spiritual care, self-awareness, cultural sensitivity, assessment, and skills. As part of ongoing curriculum development processes, training included evaluation tools to accompany skill development . Our work demonstrated the need for compassionate presence during encounters, for applying the spirituality in professional life; and for identifying ethical issues in inter-professional spiritual care. We concluded that it is feasible to train clinicians to address spirituality and provide holistic and patient-centered care in an effort to minimize suffering.

scholarly journals Clinical Encounters and Treatment Initiation for Chronic Hepatitis C Patients: Applications of Adaptive Leadership Framework for Chronic Illness

SAGE Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. 215824401882446 ◽  
Author(s):  
Donald E. Bailey ◽  
Andrew J. Muir ◽  
Judith A. Adams ◽  
N. Marcus Thygeson ◽  
Hants Williams ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Hepatitis ◽  
Hepatitis C ◽  
Chronic Illness ◽  
Chronic Hepatitis C ◽  
Health Care Providers ◽  
The United States ◽  
Clinical Encounter ◽  
Adaptive Leadership ◽  
Care Providers

Chronic hepatitis C (CHC) is the most common blood-borne infection in the United States. Patients with CHC undergoing treatment face many challenges including adherence to medications and management of symptoms; health care practitioners are well positioned to facilitate patients’ ability to address these challenges. We used the Adaptive Leadership for Chronic Illness Framework to investigate the difficulties inherent in affecting behavior change in patients undergoing treatment. We enrolled 11 patient participants and 10 provider participants. We used data from the first clinical encounter between patients and providers during which treatment was discussed. We found examples of adaptive leadership and categorized these behaviors into three themes: support for medication, coping with family/home life, and strategizing to manage employment. We also saw examples of what we termed missed opportunities for adaptive leadership. This study illustrates the contributions of adaptive leadership behaviors by health care providers and the potential risk to patients in their absence.

scholarly journals HERBAL MEDICINES QUESTIONNAIRE AND EVALUATION OF ATTITUDE, PERCEPTIONS AND SELF-USE AMONG HEALTH CARE PROFESSIONALS IN RAK, UAE: PILOT STUDY

2019 ◽  
pp. 86-90
Author(s):  
AMAD M. AL-AZZAWI ◽  
NEHAD MEHDI ◽  
ALYAA G. AL-JUBOORI ◽  
ANAM EJAZ ◽  
HANEEN ALI ◽  
...  
Keyword(s):  
Health Care ◽  
Herbal Medicine ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Task Force ◽  
Scientific Evidence ◽  
Herbal Medicines ◽  
Care Providers ◽  
Item Questionnaire

Objective: The aim of this study was to assess the perceptions of different healthcare professionals towards HM. Methods: The 16-item questionnaire on the belief of health care professionals in herbal medicine was designed by the interdisciplinary task force. Eligible participants were health care providers who were English-and Arabic-literate. The response rate was 78% of participants (781 of 1000) were respondents. In total, 553 out of 781 (71%) participants indicated that they had previously used herbal medicines. The remaining 228 participants did not believe in herbal medicine due to lack of scientific evidence, ineffectiveness and other reasons. Results: The findings of this study indicate that health care professionals including pharmacists believe they have a responsibility to provide information on HM to their patients. However, the current consensus among the respondents is that current HM-focused knowledge is inadequate for such an application. Conclusion: Health care professionals believe in using HM for their needs and have a responsibility to provide information on HM to their patients.

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