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Acute HBV cases in NI - audit of follow up

Acute HBV cases in NI - audit of follow up. Dr Ryan Scott Dr Conall McCaughey (Consultant Virologist). Acute HBV. Approximately one third of the world's population has serological evidence of past or present infection with HBV

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Acute HBV cases in NI - audit of follow up

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  1. Acute HBV cases in NI - audit of follow up • Dr Ryan Scott • Dr Conall McCaughey (Consultant Virologist)

  2. Acute HBV • Approximately one third of the world's population has serological evidence of past or present infection with HBV • More than 95–99% of adults with acute HBV infection will recover spontaneously and seroconvert to anti-HBs without anti-viral therapy

  3. Standards • All acute HBV cases should have follow up sample sent 6 months after initial diagnosis (unless HBsAg negative before this)

  4. Methods • January 2009 - May 2012 • Acute HBV on basis of core IgM positivity • RVL year files were interrogated - duplicates removed • 61 acute cases identified

  5. Results • Mean age 41.4 years (range 18-74) • Where surname given on initial specimen - (50/54) 92.6% have traditional UK name

  6. Results

  7. Results • Of the 61 acute HBV cases - 11 have no evidence of 6 month follow up specimen • 7 of the 11 originate from primary care

  8. Conclusions • Raises concerns regarding follow up of acute cases • Further audit in progress

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