Sasisopin Kiertiburanakul, MD, MHS Darunee Chotiprasitsakul , MD,

Late and Low Compliance with Hepatitis B Serology Screening among HIV-infected Patients in a Resource-limited Setting: An Issue to Improve HIV CareAbstract WEPDB206 Sasisopin Kiertiburanakul, MD, MHSDaruneeChotiprasitsakul, MD, KalayaneeAtamasirikul, MSc, SomnuekSungkanuparph, MD Faculty of Medicine Ramathibodi Hospital MahidolUniversity Bangkok, Thailand IAC, Vienna (July 21, 2010)

Background and Methods Hepatitis B serology screening for HIV-infected patients has not been routinely performed, particularly in resource-limited settings Timing of ART initiation Selection of initial ART regimen To assess the compliance and timing of hepatitis B serology screening Factors associated with no HBsAg screening before ART initiation Cross-sectional study in 2008 Kiertiburanakul S et al. Abstract WEPDB206

Results 416 adult HIV-infected patients were enrolled HBsAg screening Before/on the day of HIV testing: 9.1% Before ART: 27.2% Dramatically increased in 2007 (P-trend <0.001) Kiertiburanakul S et al. Abstract WEPDB206

Characteristics and Laboratory Investigations of 383 HIV-infected Patients Kiertiburanakul S et al. Abstract WEPDB206

Results Median time from anti-HIV testing to HBsAg screening: 56 (95% CI 44, 68) months Factors associated with no HBsAg screening before ART initiation Kiertiburanakul S et al. Abstract WEPDB206

Conclusions • Compliance with hepatitis B serology screening was relatively low and late • Duration of HIV infection, no anti-HBs screening and no anti-HCV screening were associated with no HBsAg screening before ART initiation • Educational program regarding hepatitis B serology screening, identification of barriers, and interventions to eliminate these barriers in resource-limited settings are crucial to improve HIV care Kiertiburanakul S et al. Abstract WEPDB206

Sasisopin Kiertiburanakul, MD, MHS Darunee Chotiprasitsakul , MD,

Sasisopin Kiertiburanakul, MD, MHS Darunee Chotiprasitsakul , MD,

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Daniele Tognetto MD, Pia Leon MD, Paolo Cecchini MD, Silvia Rinaldi MD, Giuseppe Ravalico MD

RP Giugliano MD, SM; MT Roe, MD, MHS; RA Harrington MD; CM Gibson, MS, MD; U Zeymer, MD; F Van de Werf, MD, PhD; KW Bara

Clarissa J. Diamantidis, MD, MHS October 2013

Sasisopin Kiertiburanakul , MD, MHS , Surakameth Mahasirimongkol , MD, MSc, PhD,

A Kheirkhah MD, A Izadi MD, R Nazari MD H Hashemi MD, M Jabbarvand MD, H Hashemian MD

Dr. S.Chakravarty MBBS, MD MD

Megan Miller MD, Nancy Schindler MD, John Seal MD, Mark Russo MD

Ahmet ALANAY, MD Cagatay OZTURK, MD Meric ENERCAN, MD Ibrahim ORNEK, MD Mehmet TEZER, MD

David J. Whellan, MD, MHS Jefferson Medical College, Philadelphia, PA Christopher M. O’Connor, MD

Hiroo Matsuse, MD; Naoto Shiba, MD; Yoshio Takano, MD;

Presented by Elizabeth Kraft, MD, MHS with support from:

Azmi HAMZAOGLU, MD Cagatay OZTURK, MD Ahmet ALANAY, MD Mehmet TEZER, MD Selhan KARADERELER, MD

Burcu Oktay MD , Sadık Ardıç MD, Hikmet Firat MD, Erdem Akbal MD, Ramazan Akdemir MD

Patricia P. Chang, MD MHS FACC Associate Professor, Medicine

HELVACIOGLU Firat , MD, SENCAN Sadik , MD, OGUZHAN Hasan, MD, YETER Celal, MD

Akiko Masai, MD, Tomoichiro Ogawa, MD Takuya Shiba, MD, Hiroshi Tsuneoka, MD

Osman Akdag, MD Mustafa Sutcu, MD Mustafa Keskin, MD

Daisuke Aizawa,MD Kazutaka Kamiya,MD Tetsuya Ikeda,MD Kimiya Shimizu,MD

Renee D. Boss, MD MHS

Tracy Wang, MD, MHS, MSc on behalf of

David J. Whellan, MD, MHS Jefferson Medical College, Philadelphia, PA Christopher M. O’Connor, MD

Mustafa Serinken MD, Cenker Eken MD, Kamil Tunay MD, Yalcin Golcuk MD