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Surveillance Subgroup Update. Dr Ian Cadden Consultant Hepatologist Royal Victoria Hospital. Objectives. Agree actions to be taken following confirmation of new case of HCV infection Establish HCV register recording surveillance data on HCV positive subjects
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Surveillance Subgroup Update Dr Ian Cadden Consultant Hepatologist Royal Victoria Hospital
Objectives • Agree actions to be taken following confirmation of new case of HCV infection • Establish HCV register recording surveillance data on HCV positive subjects • Agree resources required to maintain database • Determine “gap” between those detected and those referred for assessment • Agree methods to close the “gap” between those detected and referred
Progress Achieved to Date • Network Manager and administrative support recruited • Registration with national HCV database • All HCV positive individuals detected, but not referred identified since Sept 2009 • Means of contacting originator of test agreed & initial contact made • Agreement to record RF and ethnicity data for those referred to RVH liver unit
Laboratory confirmed cases of number of individuals tested HCV PCR+ Sept 2009 – Dec 2010
Referrals received for HCV AB+ / PCR- individuals (Sept 2009 - Dec 2010)
Referrals received for HCV PCR+ve individuals (Sept 2009 - Dec 2010)
Closing the Gap – The Process All GP practices received a general update letter Originator of HCV PCR+ve test identified from RVL database Initial Contact letter sent to originator of test Follow-up Contact letter sent
Referrals Received after follow-up letters to originator of test
Closing the Gap – The Process All GP practices received a general update letter Originator of HCV PCR+ve test identified from RVL database Initial Contact letter sent to originator of test Follow-up Contact letter sent Originator of HCV PCR+ve test to be contacted by phone Subsequent 4 further referrals received.
Ongoing Objectives • Addition of details of those referred onto national database • Continued surveillance of those detected, but not yet referred for assessment in order to close the “gap” • Determine surveillance subgroup objectives with respect to HBV infection