Identification of patients at risk of HIV, Hepatitis B and Hepatitis C. Infections and Infestations
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Individuals aged 18 and above registered with one of the participating general practices, who can undertake the pre-test discussion in English or with a suitable translator.
Exclusion criteria
Exclusion criteria: 1. Age under 18 years 2. Known BBV positive patients 3. Individuals with limited English abilities, who are unable to understand the info sheet or, who are unable to engage with the pre-test discussion for BBV testing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Numbers of patients newly diagnosed with HIV, HBV or HCV measured using patient records at follow up | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured using patient records at follow up: Clinical outcomes 1. Numbers of patients diagnosed at an early stage of HIV (CD4 count at or above 350 cells per cubic millimetre of blood) 2. Numbers of patients diagnosed with Hepatitis B with liver cirrhosis 3. Numbers of patients diagnosed with Hepatitis C with liver cirrhosis Viral outcomes 4. Initial viral load for HIV, HBV and HCV Health service use 5. Numbers of patients identified at different levels of risk for each BBV 6. Numbers offered testing 7. Numbers accepted testing and had a test 8. Numbers accepted testing but did not attend following three invitations 9. Numbers declined testing 10. Numbers of non-responders 11. Positive tests and yield 12. Numbers referred to peer supporters 13. Numbers referred to specialist clinics 14. Numbers of patients who entered the clinic Economic outcomes 15. Cost-effectiveness of the intervention compared to standard of care 16. Practice activities measured using observation of clinical meetings, data from practice GP or nurse champion | — |
Countries
England, United Kingdom