General practitioners' knowledge and management of viral hepatitis in the migrant population

Guirgis, Marianne; Yan, Kenneth; Bu, Y. M.; Zekry, Amany

doi:10.1111/j.1445-5994.2011.02440.x

Cited by 32 publications

(30 citation statements)

References 16 publications

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“…Majority of the respondents agreed that Hb< 8 and TLC/Platelets around 2500-40,000 is marker for reduction of anti-HCV therapy. Similar findings were reported in a study conducted in Australia where majority of the practitioners were well aware of the screening tests required for chronic hepatitis [8]. The results of the study highlighted that half of the respondents agreed that pregnant and lactating women, low Hb cases and patients with uncontrolled diabetes require observation but not treatment.…”

Section: Discussionsupporting

confidence: 75%

Knowledge and Perceptions of Prescribers Regarding Hepatitis B & C Management: A Cross-sectional Study from Pakistan

Malik¹

2017

PPIJ

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Objective: The main objective of the study was to assess the knowledge and perceptions of prescribers regarding management of hepatitis B & C in the 2 major cities of Pakistan: Islamabad (the national capital) and Rawalpindi (its twin city). Methodology:A structured questionnaire designed with the help of national standard treatment guidelines for hepatitis B & C was distributed to a random sample of 400 prescribers. The data were collected, computed and analyzed using SPSS, version 16 program and descriptive analysis was conducted. Kruskal-Wallis and Mann-Whitney tests (p ≤ 0.05) were used to compare the knowledge scores of prescribers about standard treatment by profession, length of experience, type of health-care facility, gender, sector and city. Results:The median score for overall knowledge of prescribers regarding treatment 16 was (range 12-24). Eighty percent of the prescribers (n=320) had the opinion that lack of availability and implementation of STGs in hospitals is an important factor which affects overall cost of hepatitis B and C treatment. Forty one percent (n=167) of the prescribers identified oral Lamivudine 100mg/day as a most effective drug in treatment of hepatitis B and C whereas seventy five percent (n = 300) of the respondents agreed that 400mg ribazole PO BID is a safe dose for anti HBV and HCV treatment. Conclusion:The results of the present study concluded that the knowledge of prescribers working in public and private healthcare facilities regarding standard treatment regimen of hepatitis B & C was not adequate but they had positive perceptions towards adherence to the standard treatment guidelines linked to their availability in their healthcare facilities to promote effective management of hepatitis B & C.

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Section: Discussionsupporting

confidence: 75%

Knowledge and Perceptions of Prescribers Regarding Hepatitis B & C Management: A Cross-sectional Study from Pakistan

Malik¹

2017

PPIJ

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“…16,19 Educating people with CHB was identified by Australian GPs as an important responsibility in their clinical management 20 although systemic barriers have been identified in providing this support, given GPs' busy schedules and workloads, 21,22 and hepatitis B knowledge gaps among some GPs. 21,23 A study from one tertiary hospital liver clinic reported that clinicians did not provide detailed information about hepatitis B during most ongoing monitoring consultations. 12 This study suggested that even if people with CHB were provided with detailed information upon diagnosis, ongoing education is still needed.…”

Section: Discussionmentioning

confidence: 99%

Hepatitis B knowledge and associated factors among people with chronic hepatitis B

Hajarizadeh

Wallace

Richmond

et al. 2015

Australian and New Zealand Journal of Public Health

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Abstract:Objective: To assess hepatitis B knowledge among people with chronic hepatitis B (CHB) in Australia.Methods: People with CHB in three Australian jurisdictions completed a self-administered questionaire, including 24 hepatitis B knowledge questions across four domains: transmission; natural history; epidemiology and prevention; and clinical management.Results: Ninety-three people completed the survey. Mean age was 45 years, 43% were women and 93% were born overseas (75% from Asia). Mean total knowledge score was 55 out of 100 with 17 participants (18%) scoring ≥75 (defined as a high knowledge). Clinical management scored the lowest (median: 25) and natural history scored the highest (median: 80). In adjusted linear regression, tertiary education (vs. secondary and under) was associated with higher knowledge score (β: 11.95; 95%CI: 2.45, 21.44; p=0.01). In adjusted logistic regression, very good English proficiency (vs. limited/no proficiency) was associated with high knowledge (OR: 7.65; 95%CI: 1. 94, 30.19; p<0.01). Participants reporting hepatitis B-related anxiety demonstrated a significantly higher knowledge score compared to those reporting no such anxiety (β: 15.11; 95%CI: 4.40, 25.81; p<0.01). Conclusions and implications:Hepatitis B-related knowledge gaps were identified among people with CHB. Interventions to improve knowledge should focus on people with low levels of academic education and limited English proficiency.

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“…31,32 GPs' guideline awareness and professional development were associated with increased screening in the US and Australia; [33][34][35] language difficulties have been identified as barriers to testing and treatment. 34,36 In the UK, new entrant migrants identified non-migrant-friendly …”

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confidence: 99%

Low hepatitis B testing among migrants: a cross-sectional study in a UK city

et al. 2016

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BackgroundIn 2012, hepatitis B virus (HBV) testing of people born in a country with a prevalence of ≥2% was recommended in the UK. Implementation of this recommendation requires an understanding of prior HBV testing practice and coverage, for which there are limited data. AimTo estimate the proportion of migrants tested for HBV and explore GP testing practices and barriers to testing. Design and settingA cross-sectional study of (a) migrants for whom testing was recommended under English national guidance, living in Bristol, and registered with a GP in 2006-2013, and (b) GPs practising in Bristol.

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General practitioners' knowledge and management of viral hepatitis in the migrant population

Cited by 32 publications

References 16 publications

Knowledge and Perceptions of Prescribers Regarding Hepatitis B & C Management: A Cross-sectional Study from Pakistan

Knowledge and Perceptions of Prescribers Regarding Hepatitis B & C Management: A Cross-sectional Study from Pakistan

Hepatitis B knowledge and associated factors among people with chronic hepatitis B

Low hepatitis B testing among migrants: a cross-sectional study in a UK city

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