Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Viral Hepatitis Diagnosis & Linkage to Care

J Viral Hepat; ePub 2017 Aug 2; de la Torre, et al

Use of audio-computer-assisted survey interview (audio-CASI) can identify patients at risk for hepatitis C virus (HCV) or hepatitis B virus (HBV) infection and those in need of HBV vaccination in urban medical centers, a recent study found. In the study, audio-CASI was used to guide HCV and HBV infection testing in urban clinics and risk reporting, blood testing and serology results were compared to historical controls. A patient navigator (PN) followed up blood test results and provided patients with positive serology linkage to care (LTC). Researchers found:

  • Of 1,932 patients surveyed, 574 (30%) were at risk for chronic viral hepatitis.
  • 254 (44.3%) patients were tested, 34 (13.5%) had serology warranting treatment evaluation, and 64% required HBV vaccination.
  • Of 16 patients with infection, 7 HCV and 3 HBV patients started treatment following LTC.
  • The average monthly HCV antibody testing increased from 245 (January-June) to 1,187 (July-October).


de la Torre AN, Castaneda I, Ahmad M, et al. Audio-computer-assisted survey interview and patient navigation to increase chronic viral hepatitis diagnosis and linkage to care in urban health clinics. [Published online ahead of print August 2, 2017]. J Viral Hepat. doi:10.1111/jvh.12744.

This Week's Must Reads

ED Visits for ADEs From Antibiotics in Children, J Pediatric Infect Dis Soc; ePub 2018 Aug 23; Lovegrove, et al

Food Insecurity & Inflammation in Women Living with HIV, J Infect Dis; ePub 2018 Aug 27; Leddy, et al

Racial and Ethnic Disparities in HIV Care, Clin Infect Dis; ePub 2018 Aug 31; Desir, et al

Outcomes of Community & Hospital-Onset CDI, Clin Infect Dis; ePub 2018 Aug 23; Pinzon, et al

MRSA Infections After Hospital Discharge, Clin Infect Dis; ePub 2018 Aug 11; Nelson, et al

Must Reads in Hepatitis

Mortality in US Patients with Chronic HBV, Clin Infect Dis; ePub 2018 Jul 28; Bixler, et al

Pregnancy Outcomes in Women with HBV , Open Forum Infect Dis; ePub 2018 Jun 9; Bajema, et al

HBV Prevention in Foreign-Born Women, Clin Infect Dis; ePub 2018 Jun 1; Kilmer, et al

ACIP Recommends Hepatitis B Vaccine for Adults, MMWR; 2018 Apr 20; Schillie, Harris, et al

HCV Treatment as Prevention in PWIDs, Lancet; 2018 Feb; Zelenev, Li, et al