Factors to Improve the Management of Hepatitis C in Drug Users: An Observational Study in an Addiction Centre
Barriers to management of HCV in injection drug users are related to patients, health providers, and facilities. In a primary care drug user's addiction centre we studied access to HCV standard of care before and after using an onsite total care concept provided by a multidisciplinary team and...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2010/261472 |
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| author | Joseph Moussalli Helene Delaquaize Dominique Boubilley Jean Pierre Lhomme Jules Merleau Ponty David Sabot Anne Kerever Marc Valleur Thierry Poynard |
| author_facet | Joseph Moussalli Helene Delaquaize Dominique Boubilley Jean Pierre Lhomme Jules Merleau Ponty David Sabot Anne Kerever Marc Valleur Thierry Poynard |
| author_sort | Joseph Moussalli |
| collection | DOAJ |
| description | Barriers to management of HCV in injection drug users are related to patients, health providers, and facilities. In a primary care drug user's addiction centre we studied access to HCV standard of care before and after using an onsite total care concept provided by a multidisciplinary team and noninvasive liver fibrosis evaluation.
A total of 586 patients were seen between 2002 and 2004. The majority, 417 patients, were HCV positive and of these patients 337 were tested positive for HCV RNA. In 2002, patients were sent to the hospital. with the Starting of 2003, patients were offered standard of care HCV management in the center by a team of general practitioners, a consultant hepatologist, psychiatrists, nurses, and a health counsellor. Liver fibrosis was assessed by a non invasive method.
In 2002, 6 patients had liver fibrosis assessment at hospital facilities, 4 patients were assessed with liver biopsy and 2 patients with Fibrotest-Actitest. 2 patients were treated for HCV at hospital. In 2003 and 2004, 224 patients were assessed with Fibrotest-Actitest on site. Of these, 85 were treated for HCV. SVR was achieved in 43%.
We conclude that the combination of an onsite multidisciplinary team with the use of a noninvasive assessment method led to improved management of HCV infection in drug users' primary care facility. |
| format | Article |
| id | doaj-art-aab74869a06944c780f26d218f09ee94 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-aab74869a06944c780f26d218f09ee942025-02-03T05:58:58ZengWileyGastroenterology Research and Practice1687-61211687-630X2010-01-01201010.1155/2010/261472261472Factors to Improve the Management of Hepatitis C in Drug Users: An Observational Study in an Addiction CentreJoseph Moussalli0Helene Delaquaize1Dominique Boubilley2Jean Pierre Lhomme3Jules Merleau Ponty4David Sabot5Anne Kerever6Marc Valleur7Thierry Poynard8Université Pierre and Marie Curie Liver Center, Hôpital La Pitié Salpêtrière, 75013 Paris, FranceHôpital Marmottan, General Medicin, 17 rue d'Armaillé, 75017 Paris, FranceHôpital Marmottan, General Medicin, 17 rue d'Armaillé, 75017 Paris, FranceHôpital Marmottan, General Medicin, 17 rue d'Armaillé, 75017 Paris, FranceHôpital Marmottan, General Medicin, 17 rue d'Armaillé, 75017 Paris, FranceHôpital Marmottan, General Medicin, 17 rue d'Armaillé, 75017 Paris, FranceHôpital Marmottan, General Medicin, 17 rue d'Armaillé, 75017 Paris, FranceHôpital Marmottan, General Medicin, 17 rue d'Armaillé, 75017 Paris, FranceUniversité Pierre and Marie Curie Liver Center, Hôpital La Pitié Salpêtrière, 75013 Paris, FranceBarriers to management of HCV in injection drug users are related to patients, health providers, and facilities. In a primary care drug user's addiction centre we studied access to HCV standard of care before and after using an onsite total care concept provided by a multidisciplinary team and noninvasive liver fibrosis evaluation. A total of 586 patients were seen between 2002 and 2004. The majority, 417 patients, were HCV positive and of these patients 337 were tested positive for HCV RNA. In 2002, patients were sent to the hospital. with the Starting of 2003, patients were offered standard of care HCV management in the center by a team of general practitioners, a consultant hepatologist, psychiatrists, nurses, and a health counsellor. Liver fibrosis was assessed by a non invasive method. In 2002, 6 patients had liver fibrosis assessment at hospital facilities, 4 patients were assessed with liver biopsy and 2 patients with Fibrotest-Actitest. 2 patients were treated for HCV at hospital. In 2003 and 2004, 224 patients were assessed with Fibrotest-Actitest on site. Of these, 85 were treated for HCV. SVR was achieved in 43%. We conclude that the combination of an onsite multidisciplinary team with the use of a noninvasive assessment method led to improved management of HCV infection in drug users' primary care facility.http://dx.doi.org/10.1155/2010/261472 |
| spellingShingle | Joseph Moussalli Helene Delaquaize Dominique Boubilley Jean Pierre Lhomme Jules Merleau Ponty David Sabot Anne Kerever Marc Valleur Thierry Poynard Factors to Improve the Management of Hepatitis C in Drug Users: An Observational Study in an Addiction Centre Gastroenterology Research and Practice |
| title | Factors to Improve the Management of Hepatitis C in Drug Users: An Observational Study in an Addiction Centre |
| title_full | Factors to Improve the Management of Hepatitis C in Drug Users: An Observational Study in an Addiction Centre |
| title_fullStr | Factors to Improve the Management of Hepatitis C in Drug Users: An Observational Study in an Addiction Centre |
| title_full_unstemmed | Factors to Improve the Management of Hepatitis C in Drug Users: An Observational Study in an Addiction Centre |
| title_short | Factors to Improve the Management of Hepatitis C in Drug Users: An Observational Study in an Addiction Centre |
| title_sort | factors to improve the management of hepatitis c in drug users an observational study in an addiction centre |
| url | http://dx.doi.org/10.1155/2010/261472 |
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