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Effect of the introduction of hepatitis medical coordinators to respond hepatitis virus-positive patients Daisuke Todokoro 1 , Hiroki Tojima 2 , Satoru Kakizaki 3 , Masaaki Korenaga 4 , Hideo Akiyama 1 1Department of Ophthalmology, Gunma University Graduate School of Medicine 2Department of Gastro-enterology, Gunma University Hospital 3Department of Gastro-enterology, National Hospital Organization Takasaki General Medical Center 4The Research Center for Hepatitis and Immunology, National Center for Global Health and Medicine pp.329-334
Published Date 2023/3/15
DOI https://doi.org/10.11477/mf.1410214737
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Abstract Purpose:During preoperative laboratory examination at medical institutions, patients are sometimes found to be hepatitis virus-positive. A hepatitis medical care coordinator was trained in the ophthalmology ward to optimize the care of patients who test positive for viral hepatitis.

Subjects and methods:Hepatitis B surface(HBs)antigen and hepatitis C virus(HCV)antibody tests were performed as preoperative tests for 33 months before and after the introduction of the hepatitis medical care coordinator, and the 96 patients whose results were positive on either of these tests were included as the subjects. History of treatment for viral hepatitis, HCV antibody level, whether those who tested positive received any treatment, and the kind of ophthalmological disease were investigated from the medical records.

Results:Of the four patients newly discovered to be positive for HBs antigen, no treatment was provided to one patient prior to the introduction of the coordinator. The number of patients newly discovered to be positive for HCV antibody was 37. Twenty-two patients were newly discovered prior to the introduction of the hepatitis medical care coordinator, and no treatment was provided to 16. Of the 17 combined untreated patients with type B and type C hepatitis, emergency surgery was performed without waiting for test results in 9. After the introduction of the hepatitis medical care coordinator, there were no cases in which no treatment was provided.

Conclusion:The introduction of a hepatitis medical care coordinator was effective in optimizing the explanation of hepatitis virus test results and the care of patients who tested positive.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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