Skip to main content Accessibility help
×
Home
Hostname: page-component-56f9d74cfd-p4n5r Total loading time: 0.626 Render date: 2022-06-24T23:13:19.667Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true }

37 - Screening for blood-borne viruses

from III - Physical health

Published online by Cambridge University Press:  02 January 2018

Meinou Simmons
Affiliation:
Cambridgeshire and Peterborough NHS Foundation Trust
Clare Oakley
Affiliation:
Institute of Psychiatry, King's College London
Floriana Coccia
Affiliation:
University of Birmingham
Neil Masson
Affiliation:
NHS Greater Glasgow and Clyde
Iain McKinnon
Affiliation:
National Institute for Health Research, Newcastle University
Meinou Simmons
Affiliation:
Cambridge and Peterborough Foundation Trust
Get access

Summary

Setting

This audit may be particularly relevant to substance misuse services, where a high proportion of patients are intravenous drug users (IVDUs). It can be conducted in both out-patient and in-patient services, but may be better suited to the former.

Background

It is important that patients at high risk of becoming infected with a blood-borne viruses (BBV) are regularly screened, for both treatment and infection control purposes. This has been highlighted by the National Institute for Health and Clinical Excellence (NICE) (2007).

Standards

Standards were obtained from the NICE 2007 guideline on opioid detoxification. Two standards were of particular relevance. First, at the start of contact with all IVDUs (i.e. who are new to the service) and for all IVDUs who are known to the service and have a risk history since last contact, there should be a documented discussion with the patient about testing for the following BBVs and, second, a test should be carried out for them:

ᐅ hepatitis B

ᐅ hepatitis C

ᐅ HIV.

The targets are that these standards are met in all patients in a substance misuse service.

Method

Data collection

Service administrators accessed a list of all new referrals to the service each month. This list was used as a basis to track case notes of new referrals. Data were collected over 3 months. The medical notes of these patients were examined to find entries documenting the following:

ᐅ discussion with the patient about testing for BBVs

ᐅ documentation that testing was carried out for BBVs.

Data analysis

The percentage of patients for whom the following standards were met was calculated:

ᐅ For all new referrals to the service in the 3-month period:

  • ▹ documentation of discussion about each BBV

  • ▹ documentation of testing for each BBV.

  • ᐅ For all IVDUs referred to the service in the 3-month period:

  • ▹ documentation of discussion about each BBV

  • ▹ documentation of testing for each BBV.

  • Resources required

    People

    The audit was undertaken by one person.

    Time

    Approximately 10 hours was required to collect data from 20–30 new referrals in a month.

    Type
    Chapter
    Information
    Publisher: Royal College of Psychiatrists
    Print publication year: 2011

    Access options

    Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

    Save book to Kindle

    To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

    Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

    Find out more about the Kindle Personal Document Service.

    Available formats
    ×

    Save book to Dropbox

    To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

    Available formats
    ×

    Save book to Google Drive

    To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

    Available formats
    ×