Managing hepatitis C virus infection

Simple calculations can also give an indication of advanced liver disease; for example, the aspartate aminotransferase to platelet ratio index, calculated as aspartate aminotransferase (U/l)/upper normal x 100/platelet count (109/l), for which scores greater that 1.5 have a positive predictive value...

Full description

Saved in:
Bibliographic Details
Published in:BMJ 2009-07, Vol.338 (7711), p.37-42
Main Authors: Nash, Kathryn L, Bentley, Ian, Hirschfield, Gideon M
Format: Article
Language:English
Subjects:
Alcohol
Algorithms
Antiviral Agents - therapeutic use
Antivirals
Biochemistry
Biopsy
Blood products
Body piercing
Body Piercing - adverse effects
Chronic hepatitis
Clinical Protocols
CLINICAL REVIEW
Clinics
Fibrosis
General practice
Genotype & phenotype
Genotypes
Hepatitis
Hepatitis C
Hepatitis C, Chronic - diagnosis
Hepatitis C, Chronic - prevention & control
Hepatitis C, Chronic - transmission
Humans
Hypertension
Immunoglobulins
Infection
Infections
Liver
Liver cirrhosis
Liver diseases
Needlestick injuries
Needlestick Injuries - complications
Prevalence
Renal Dialysis - adverse effects
Risk Factors
RNA
Sports injuries
Substance abuse treatment
Tattooing - adverse effects
Transfusion Reaction
Travel
Ultrasonic imaging
Unsafe Sex
Virology
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Simple calculations can also give an indication of advanced liver disease; for example, the aspartate aminotransferase to platelet ratio index, calculated as aspartate aminotransferase (U/l)/upper normal x 100/platelet count (109/l), for which scores greater that 1.5 have a positive predictive value for substantial fibrosis of 88%.w2 Other considerations Non-randomised evidence points towards adoption of routine opt-out HIV testing in all patients with chronic viral hepatitis.\nnice.org.uk/TA106 )-UK evidence based guidance on treatment of hepatitis C World Health Organization ( www.who.int/mediacentre/factsheets/fs164/en ) - useful factsheet on hepatitis C Department of Health ( www.dh.gov.uk/en/Publichealth/ )-UK Government webpage on hepatitis C Health Protection Agency ( www.hpa.org.uk/webw/HPAweb )-resources on hepatitis C Gastroenterology and Liver Diseases Specialist Library ( www.library.nhs.uk/Gastroliver )-specialist collection of NHS evidence Resources for patients The Hepatitis C Trust ( www.hepctrust.org.uk )-national UK charity for hepatitis C British Liver Trust ( www.britishlivertrust.org.uk )-national charity working to reduce the impact of liver disease in the UK NHS Choices ( www.nhs.uk/hepatitisc )-patient orientated advice on hepatitis C) American Liver Foundation ( www.liverfoundation.org )-American organisation that aims to facilitate, advocate, and promote education, support, and research for the prevention, treatment, and cure of liver disease The Skipton Fund ( www.skiptonfund.org/Eng/index.html )-UK-wide ex gratia payment scheme established to make payments to certain people who were infected with hepatitis C through treatment with NHS blood or blood products before September 1991 A patient's perspective I had been feeling increasingly tired when a blood test following a sports injury revealed I had hepatitis C. I was concerned but assumed that the condition could be stabilised.
ISSN:0959-8138
0959-535X
1468-5833
1756-1833
DOI:10.1136/bmj.b2366