Low Rates of Hepatitis Screening and Vaccination of HIV-Infected MSM in HIV Clinics
Background: HIV-infected men who have sex with men (MSM) are at increased risk of viral hepatitis because of similar behavioral risk factors for acquisition of these infections. Our objective was to estimate adherence to HIV management guidelines that recommend screening HIV-infected persons for hep...
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| Veröffentlicht in: | Sexually transmitted diseases 2012-05, Vol.39 (5), p.349-353 |
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| creator | Hoover, Karen W. Butler, Mary Workowski, Kimberly A. Follansbee, Stephen Gratzer, Beau Hare, C. Bradley Johnston, Barbara Theodore, John L. Tao, Guoyu Smith, Bryce D. Chorba, Terence Kent, Charlotte K. |
| description | Background: HIV-infected men who have sex with men (MSM) are at increased risk of viral hepatitis because of similar behavioral risk factors for acquisition of these infections. Our objective was to estimate adherence to HIV management guidelines that recommend screening HIV-infected persons for hepatitis A, B, and C infection, and vaccinating for hepatitis A and B if susceptible. Methods: We evaluated hepatitis prevention services received by a random sample of HIV-infected MSM in 8 HIV clinics in 6 US cities. We abstracted medical records of all visits made by the patients to the clinic during the period from 2004 to 2007, to estimate hepatitis screening and vaccination rates overall and by clinic site. Results: Medical records of 1329 patients who had 14,831 visits from 2004 to 2006 were abstracted. Screening rates for hepatitis A, B, and C were 47%, 52%, and 54%, respectively. Among patients who were screened and found to be susceptible, 29% were vaccinated for hepatitis A and 25% for hepatitis B. The percentage of patients screened and vaccinated varied significantly by clinic. Conclusions: Awareness of hepatitis susceptibility and hepatitis coinfection status in HIV-infected patients is essential for optimal clinical management. Despite recommendations for hepatitis screening and vaccination of HIV-infected MSM, rates were suboptimal at all clinic sites. These low rates highlight the importance of routine review of adherence to recommended clinical services. Such reviews can prompt the development and implementation of simple and sustainable interventions to improve the quality of care. |
| doi_str_mv | 10.1097/OLQ.0b013e318244a923 |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1017957688</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>44981691</jstor_id><sourcerecordid>44981691</sourcerecordid><originalsourceid>FETCH-LOGICAL-c436t-19707c65bb799f6eaf8f53e60394a1c6671b5620364334349f2268a7ec28d5683</originalsourceid><addsrcrecordid>eNqN0c9LwzAUB_AgipvT_0Al4MVLZ36nOcpQN-gYOt21pGkqGV06mxbxv7d108NOnkLyPu_xwheAS4zGGCl5t0iexyhDmFqKY8KYVoQegSHmVEaME3wMhgizOOISywE4C2GN-jvCp2BACEeMKzkEy6T6hC-6sQFWBZzarW5c4wJcmtpa7_w71D6HK22M812p8j9stopmvrCmsTmcL-fQ-f4NTkrnnQnn4KTQZbAX-3ME3h4fXifTKFk8zSb3SWQYFU2ElUTSCJ5lUqlCWF3EBadWIKqYxkYIiTMuCKKCUcooUwUhItbSGhLnXMR0BG53c7d19dHa0KQbF4wtS-1t1YYUIywVlyL-F-VMUClZR28O6Lpqa999pFeIcKG6fUaA7ZSpqxBqW6Tb2m10_dWhtM8n7fJJD_Pp2q73w9tsY_O_pt9AOnC1A-vQVPVfnTEVY6Ew_QYdtZEj</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1010256943</pqid></control><display><type>article</type><title>Low Rates of Hepatitis Screening and Vaccination of HIV-Infected MSM in HIV Clinics</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Jstor Complete Legacy</source><source>MEDLINE</source><creator>Hoover, Karen W. ; Butler, Mary ; Workowski, Kimberly A. ; Follansbee, Stephen ; Gratzer, Beau ; Hare, C. Bradley ; Johnston, Barbara ; Theodore, John L. ; Tao, Guoyu ; Smith, Bryce D. ; Chorba, Terence ; Kent, Charlotte K.</creator><creatorcontrib>Hoover, Karen W. ; Butler, Mary ; Workowski, Kimberly A. ; Follansbee, Stephen ; Gratzer, Beau ; Hare, C. Bradley ; Johnston, Barbara ; Theodore, John L. ; Tao, Guoyu ; Smith, Bryce D. ; Chorba, Terence ; Kent, Charlotte K. ; the Evaluation Group for Adherence to STD and Hepatitis Screening ; Evaluation Group for Adherence to STD and Hepatitis Screening</creatorcontrib><description>Background: HIV-infected men who have sex with men (MSM) are at increased risk of viral hepatitis because of similar behavioral risk factors for acquisition of these infections. Our objective was to estimate adherence to HIV management guidelines that recommend screening HIV-infected persons for hepatitis A, B, and C infection, and vaccinating for hepatitis A and B if susceptible. Methods: We evaluated hepatitis prevention services received by a random sample of HIV-infected MSM in 8 HIV clinics in 6 US cities. We abstracted medical records of all visits made by the patients to the clinic during the period from 2004 to 2007, to estimate hepatitis screening and vaccination rates overall and by clinic site. Results: Medical records of 1329 patients who had 14,831 visits from 2004 to 2006 were abstracted. Screening rates for hepatitis A, B, and C were 47%, 52%, and 54%, respectively. Among patients who were screened and found to be susceptible, 29% were vaccinated for hepatitis A and 25% for hepatitis B. The percentage of patients screened and vaccinated varied significantly by clinic. Conclusions: Awareness of hepatitis susceptibility and hepatitis coinfection status in HIV-infected patients is essential for optimal clinical management. Despite recommendations for hepatitis screening and vaccination of HIV-infected MSM, rates were suboptimal at all clinic sites. These low rates highlight the importance of routine review of adherence to recommended clinical services. Such reviews can prompt the development and implementation of simple and sustainable interventions to improve the quality of care.</description><identifier>ISSN: 0148-5717</identifier><identifier>EISSN: 1537-4521</identifier><identifier>DOI: 10.1097/OLQ.0b013e318244a923</identifier><identifier>PMID: 22504597</identifier><identifier>CODEN: STRDDM</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject><![CDATA[Adult ; Aged ; AIDS-Related Opportunistic Infections - epidemiology ; Ambulatory Care Facilities - statistics & numerical data ; Coinfection ; Disease management ; Gays & lesbians ; Hepatitis ; Hepatitis A - diagnosis ; Hepatitis A - epidemiology ; Hepatitis A - prevention & control ; Hepatitis B, Chronic - diagnosis ; Hepatitis B, Chronic - epidemiology ; Hepatitis B, Chronic - prevention & control ; Hepatitis C, Chronic - diagnosis ; Hepatitis C, Chronic - epidemiology ; Hepatitis C, Chronic - prevention & control ; HIV ; Homosexuality, Male - statistics & numerical data ; Human immunodeficiency virus ; Humans ; Immunization ; Male ; Mass Screening - statistics & numerical data ; Medical screening ; Middle Aged ; Original Study ; Sentinel Surveillance ; Sexual Behavior ; Substance Abuse, Intravenous - epidemiology ; Vaccination - statistics & numerical data ; Viral Hepatitis Vaccines - administration & dosage]]></subject><ispartof>Sexually transmitted diseases, 2012-05, Vol.39 (5), p.349-353</ispartof><rights>Copyright © 2012 American Sexually Transmitted Diseases Association</rights><rights>Copyright Lippincott Williams & Wilkins May 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-19707c65bb799f6eaf8f53e60394a1c6671b5620364334349f2268a7ec28d5683</citedby><cites>FETCH-LOGICAL-c436t-19707c65bb799f6eaf8f53e60394a1c6671b5620364334349f2268a7ec28d5683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44981691$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44981691$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27901,27902,30976,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22504597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hoover, Karen W.</creatorcontrib><creatorcontrib>Butler, Mary</creatorcontrib><creatorcontrib>Workowski, Kimberly A.</creatorcontrib><creatorcontrib>Follansbee, Stephen</creatorcontrib><creatorcontrib>Gratzer, Beau</creatorcontrib><creatorcontrib>Hare, C. Bradley</creatorcontrib><creatorcontrib>Johnston, Barbara</creatorcontrib><creatorcontrib>Theodore, John L.</creatorcontrib><creatorcontrib>Tao, Guoyu</creatorcontrib><creatorcontrib>Smith, Bryce D.</creatorcontrib><creatorcontrib>Chorba, Terence</creatorcontrib><creatorcontrib>Kent, Charlotte K.</creatorcontrib><creatorcontrib>the Evaluation Group for Adherence to STD and Hepatitis Screening</creatorcontrib><creatorcontrib>Evaluation Group for Adherence to STD and Hepatitis Screening</creatorcontrib><title>Low Rates of Hepatitis Screening and Vaccination of HIV-Infected MSM in HIV Clinics</title><title>Sexually transmitted diseases</title><addtitle>Sex Transm Dis</addtitle><description>Background: HIV-infected men who have sex with men (MSM) are at increased risk of viral hepatitis because of similar behavioral risk factors for acquisition of these infections. Our objective was to estimate adherence to HIV management guidelines that recommend screening HIV-infected persons for hepatitis A, B, and C infection, and vaccinating for hepatitis A and B if susceptible. Methods: We evaluated hepatitis prevention services received by a random sample of HIV-infected MSM in 8 HIV clinics in 6 US cities. We abstracted medical records of all visits made by the patients to the clinic during the period from 2004 to 2007, to estimate hepatitis screening and vaccination rates overall and by clinic site. Results: Medical records of 1329 patients who had 14,831 visits from 2004 to 2006 were abstracted. Screening rates for hepatitis A, B, and C were 47%, 52%, and 54%, respectively. Among patients who were screened and found to be susceptible, 29% were vaccinated for hepatitis A and 25% for hepatitis B. The percentage of patients screened and vaccinated varied significantly by clinic. Conclusions: Awareness of hepatitis susceptibility and hepatitis coinfection status in HIV-infected patients is essential for optimal clinical management. Despite recommendations for hepatitis screening and vaccination of HIV-infected MSM, rates were suboptimal at all clinic sites. These low rates highlight the importance of routine review of adherence to recommended clinical services. Such reviews can prompt the development and implementation of simple and sustainable interventions to improve the quality of care.</description><subject>Adult</subject><subject>Aged</subject><subject>AIDS-Related Opportunistic Infections - epidemiology</subject><subject>Ambulatory Care Facilities - statistics & numerical data</subject><subject>Coinfection</subject><subject>Disease management</subject><subject>Gays & lesbians</subject><subject>Hepatitis</subject><subject>Hepatitis A - diagnosis</subject><subject>Hepatitis A - epidemiology</subject><subject>Hepatitis A - prevention & control</subject><subject>Hepatitis B, Chronic - diagnosis</subject><subject>Hepatitis B, Chronic - epidemiology</subject><subject>Hepatitis B, Chronic - prevention & control</subject><subject>Hepatitis C, Chronic - diagnosis</subject><subject>Hepatitis C, Chronic - epidemiology</subject><subject>Hepatitis C, Chronic - prevention & control</subject><subject>HIV</subject><subject>Homosexuality, Male - statistics & numerical data</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Immunization</subject><subject>Male</subject><subject>Mass Screening - statistics & numerical data</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Original Study</subject><subject>Sentinel Surveillance</subject><subject>Sexual Behavior</subject><subject>Substance Abuse, Intravenous - epidemiology</subject><subject>Vaccination - statistics & numerical data</subject><subject>Viral Hepatitis Vaccines - administration & dosage</subject><issn>0148-5717</issn><issn>1537-4521</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqN0c9LwzAUB_AgipvT_0Al4MVLZ36nOcpQN-gYOt21pGkqGV06mxbxv7d108NOnkLyPu_xwheAS4zGGCl5t0iexyhDmFqKY8KYVoQegSHmVEaME3wMhgizOOISywE4C2GN-jvCp2BACEeMKzkEy6T6hC-6sQFWBZzarW5c4wJcmtpa7_w71D6HK22M812p8j9stopmvrCmsTmcL-fQ-f4NTkrnnQnn4KTQZbAX-3ME3h4fXifTKFk8zSb3SWQYFU2ElUTSCJ5lUqlCWF3EBadWIKqYxkYIiTMuCKKCUcooUwUhItbSGhLnXMR0BG53c7d19dHa0KQbF4wtS-1t1YYUIywVlyL-F-VMUClZR28O6Lpqa999pFeIcKG6fUaA7ZSpqxBqW6Tb2m10_dWhtM8n7fJJD_Pp2q73w9tsY_O_pt9AOnC1A-vQVPVfnTEVY6Ew_QYdtZEj</recordid><startdate>20120501</startdate><enddate>20120501</enddate><creator>Hoover, Karen W.</creator><creator>Butler, Mary</creator><creator>Workowski, Kimberly A.</creator><creator>Follansbee, Stephen</creator><creator>Gratzer, Beau</creator><creator>Hare, C. Bradley</creator><creator>Johnston, Barbara</creator><creator>Theodore, John L.</creator><creator>Tao, Guoyu</creator><creator>Smith, Bryce D.</creator><creator>Chorba, Terence</creator><creator>Kent, Charlotte K.</creator><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope></search><sort><creationdate>20120501</creationdate><title>Low Rates of Hepatitis Screening and Vaccination of HIV-Infected MSM in HIV Clinics</title><author>Hoover, Karen W. ; Butler, Mary ; Workowski, Kimberly A. ; Follansbee, Stephen ; Gratzer, Beau ; Hare, C. 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Bradley</au><au>Johnston, Barbara</au><au>Theodore, John L.</au><au>Tao, Guoyu</au><au>Smith, Bryce D.</au><au>Chorba, Terence</au><au>Kent, Charlotte K.</au><aucorp>the Evaluation Group for Adherence to STD and Hepatitis Screening</aucorp><aucorp>Evaluation Group for Adherence to STD and Hepatitis Screening</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low Rates of Hepatitis Screening and Vaccination of HIV-Infected MSM in HIV Clinics</atitle><jtitle>Sexually transmitted diseases</jtitle><addtitle>Sex Transm Dis</addtitle><date>2012-05-01</date><risdate>2012</risdate><volume>39</volume><issue>5</issue><spage>349</spage><epage>353</epage><pages>349-353</pages><issn>0148-5717</issn><eissn>1537-4521</eissn><coden>STRDDM</coden><abstract>Background: HIV-infected men who have sex with men (MSM) are at increased risk of viral hepatitis because of similar behavioral risk factors for acquisition of these infections. Our objective was to estimate adherence to HIV management guidelines that recommend screening HIV-infected persons for hepatitis A, B, and C infection, and vaccinating for hepatitis A and B if susceptible. Methods: We evaluated hepatitis prevention services received by a random sample of HIV-infected MSM in 8 HIV clinics in 6 US cities. We abstracted medical records of all visits made by the patients to the clinic during the period from 2004 to 2007, to estimate hepatitis screening and vaccination rates overall and by clinic site. Results: Medical records of 1329 patients who had 14,831 visits from 2004 to 2006 were abstracted. Screening rates for hepatitis A, B, and C were 47%, 52%, and 54%, respectively. Among patients who were screened and found to be susceptible, 29% were vaccinated for hepatitis A and 25% for hepatitis B. The percentage of patients screened and vaccinated varied significantly by clinic. Conclusions: Awareness of hepatitis susceptibility and hepatitis coinfection status in HIV-infected patients is essential for optimal clinical management. Despite recommendations for hepatitis screening and vaccination of HIV-infected MSM, rates were suboptimal at all clinic sites. These low rates highlight the importance of routine review of adherence to recommended clinical services. Such reviews can prompt the development and implementation of simple and sustainable interventions to improve the quality of care.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins</pub><pmid>22504597</pmid><doi>10.1097/OLQ.0b013e318244a923</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Sexually transmitted diseases, 2012-05, Vol.39 (5), p.349-353 |
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| subjects | Adult Aged AIDS-Related Opportunistic Infections - epidemiology Ambulatory Care Facilities - statistics & numerical data Coinfection Disease management Gays & lesbians Hepatitis Hepatitis A - diagnosis Hepatitis A - epidemiology Hepatitis A - prevention & control Hepatitis B, Chronic - diagnosis Hepatitis B, Chronic - epidemiology Hepatitis B, Chronic - prevention & control Hepatitis C, Chronic - diagnosis Hepatitis C, Chronic - epidemiology Hepatitis C, Chronic - prevention & control HIV Homosexuality, Male - statistics & numerical data Human immunodeficiency virus Humans Immunization Male Mass Screening - statistics & numerical data Medical screening Middle Aged Original Study Sentinel Surveillance Sexual Behavior Substance Abuse, Intravenous - epidemiology Vaccination - statistics & numerical data Viral Hepatitis Vaccines - administration & dosage |
| title | Low Rates of Hepatitis Screening and Vaccination of HIV-Infected MSM in HIV Clinics |
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