Epidemiology and management of care of hepatitis C infection in the Poitou-Charentes region in 1997 and 2000 - 06/05/08
Eloi Blanchet [1],
Gautier Defossez [2],
Alain Verneau [1],
Isabelle Ingrand [2],
Christine Silvain [1],
Michel Beauchant [1],
le Réseau Hépatite C Poitou-Charentes
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Objectives |
A repeat cross-sectional survey was performed in 1997 and 2000 in the Poitou-Charentes district of France to compare screening and management of hepatitis C virus infection.
Methods |
The “Hepatitis C Network” asked the biological laboratories in the region to provide anonymous results of serology tests performed during two two month periods at a 3 year interval. An epidemiological and follow-up questionnaire was sent to the medical practitioner who prescribed the test for all positive tests.
Results |
More serology tests were prescribed in 2000 (7074) than in 1997 (6168). The access to screening differed significantly between the 4 counties of the district (P ≪ 0.0001). Sixty-nine and 58 patients were first diagnosed respectively in 1997 and 2000. In 2000, these patients were younger (P = 0.05) and were infected later (P = 0.03). The risk factors were similar for the two periods. Respectively 23% and 26% underwent a liver biopsy, and 12% were treated.
Conclusion |
Screening improved after a press campaign, but there was no increase in the number of newly detected patients. In 2000, one third of patients were still inadequately cared for.
Plan
© 2003 Elsevier Masson SAS. Tous droits réservés.
Vol 27 - N° 11
P. 1026-1030 - novembre 2003 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.