Hepatitis B and C testing strategies in healthcare and community settings in the EU/EEA: A systematic review
| Autor: | Lauren M. K. Mason, Andrew J Amato-Gauci, Ayla van Ahee, Erika Duffell, Irene K. Veldhuijzen, Eveline M. Bunge, Lara Tavoschi |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Hepatitis B virus medicine.medical_specialty Population Psychological intervention Pharmacy Hepacivirus medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Virology Health care Humans Mass Screening Medicine media_common.cataloged_instance Public Health Surveillance Community Health Services 030212 general & internal medicine European union education media_common education.field_of_study Primary Health Care Hepatology business.industry screening Original Articles Hepatitis C Hepatitis B medicine.disease Hospitals testing Europe Infectious Diseases Family medicine hepatitis B hepatitis C Female Original Article 030211 gastroenterology & hepatology business Delivery of Health Care |
| Zdroj: | Journal of Viral Hepatitis |
| Popis: | An estimated 9 million individuals are chronically infected with hepatitis B virus (HBV) and hepatitis C virus (HCV) across the European Union/European Economic Area (EU/EEA), many of which are yet to be diagnosed. We performed a systematic review to identify interventions effective at improving testing offer and uptake in the EU/EEA. Original research articles published between 1 January 2008 and 1 September 2017 were retrieved from PubMed and EMBASE. Search strings combined terms for HBV/HCV, intervention, testing and geographic terms (EU/EEA). Out of 8331 records retrieved, 93 studies were selected. Included studies reported on testing initiatives in primary health care (9), hospital (12), other healthcare settings (31) and community settings (41). Testing initiatives targeted population groups such as migrants, drug users, prisoners, pregnant women and the general population. Testing targeted to populations at higher risk yielded high coverage rates in many settings. Implementation of novel testing approaches, including dried blood spot (DBS) testing, was associated with increased coverage in several settings including drug services, pharmacies and STI clinics. Community‐based testing services were effective in reaching populations at higher risk for infection, vulnerable and hard‐to‐reach populations. In conclusion, our review identified several successful testing approaches implemented in healthcare and community settings, including testing approaches targeting groups at higher risk, community‐based testing services and DBS testing. Combining a diverse set of testing opportunities within national testing strategies may lead to higher impact both in terms of testing coverage and in terms of reduction, on the undiagnosed fraction. |
| Databáze: | OpenAIRE |
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