Enhanced patient identification for undiagnosed hepatitis C: Collaborative approach of hepatology specialists and clinical laboratory technicians in a single institution

DOI
  • ITO Yoko
    Department of Clinical Laboratory, National Hospital Organization Kyusyu Medical Center
  • FUJINO Tatsuya
    Clinical Research Center, National Hospital Organization Kyusyu Medical Center
  • ARATAKE Yoshifusa
    Department of Gastroenterology, National Hospital Organization Kyusyu Medical Center
  • MATSUSHITA Yoshiteru
    Department of Clinical Laboratory, National Hospital Organization Kyusyu Medical Center
  • ARAKAWA Kimika
    Department of Clinical Laboratory, National Hospital Organization Kyusyu Medical Center
  • KOHJIMA Motoyuki
    Department of Gastroenterology, National Hospital Organization Kyusyu Medical Center
  • FUKUIZUMI Kunitaka
    Department of Gastroenterology, National Hospital Organization Kyusyu Medical Center
  • NAKAMUTA Makoto
    Department of Gastroenterology, National Hospital Organization Kyusyu Medical Center

Bibliographic Information

Other Title
  • 当院の肝臓専門医と臨床検査技師による未診断C型肝炎患者拾い上げの新たな取り組み

Abstract

<p>Direct acting antivirals (DAA) therapy offers a cure for most chronic hepatitis C cases, underscoring the importance of identifying undiagnosed patients. To enhance viral hepatitis elimination, our institution introduced an HCV antibody-positive alert system in February 2018. However, initially, the system lacked the ability to effectively identify patients with hepatitis C. Since September 2022, our hepatology specialist and clinical laboratory technician team has implemented the Hepatitis Patrol system to identify patients with hepatitis C. Together with an automatic alert system, this integrated approach has significantly improved the appropriate management rate for patients with positive hepatitis C virus antibodies ordered by non-hepatology specialists, increasing it from 67% to an impressive 99%. Moreover, the system has successfully detected six previously undiagnosed hepatitis C patients, highlighting the valuable contribution of the automatic alert and Hepatitis Patrol systems in capturing cases and facilitating DAA therapy initiation. Overall, this refined system shows great promise in enhancing hepatitis C detection and treatment, delivering substantial benefits to clinical practice.</p>

Journal

Details 詳細情報について

  • CRID
    1390018451149463424
  • DOI
    10.14932/jamt.23-64
  • ISSN
    21885346
    09158669
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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