Hepatitis B and C

11th January 2013 by Louise Hudman

This guideline aims to get us to increase testing and identification. A lot of the risk factors are fairly obvious, but it is certainly not something I had previously been thinking about testing for outside of an antenatal or GUM scenario. My advice is that if you are thinking of testing for Hep B / C, also consider if HIV testing is worth doing (remember recent NICE guidance). My advice is also to remember that you don’t have to do any lengthy counselling with patients before testing – just let them know what you are testing for and why.

Ask about risk factors:

  • On new registration
  • Men who have sex with men
  • Antenatal presentations

Offer testing to adults and children at presentation or on registration to:

  • Migrants from medium or high prevalence countries (Africa, Asia, the Caribbean, Central and South America, Eastern and Southern Europe, the Middle East and the Pacific islands).
  • People who have ever injected drugs (including performance enhancing or steroid drugs).
  • Men who have sex with men.
  • Anyone who has had unprotected sex (especially with multiple partners, in areas of higher prevalence, commercial sex workers, if attending GUM clinics and if testing positive for other STDs).
  • Looked after children.
  • Prisoners
  • Immigration detainees
  • Close contacts of those with Chronic Hep B or C
  • Babies of mothers with Hep B or C
  • People on hostels or the homeless
  • People who received a blood transfusion before 1991 or blood products
    before 1986.

Join

Join to view the rest of this content, as well as access all the benefits of joining NASGP.

Join

Login

Already a member? Login to view this content.

Login

"We have used LocumDeck for a number of months now and find it really useful when booking locums. You can see the availability of GPs, their documents are all loaded on the site and you can book instantly – it takes minutes to do. There are also no expensive locum agency fees to pay – just the GP’s actual payment. It's quick and hassle-free."

Lesley Munro-Faure, Managing Partner at Unity Health, York

See the full list of features within our NASGP membership plans

Membership