ArticleThe American journal of emergency medicine2020
Hepatitis B screening in an argentine ED: Increasing vaccination in a resource-limited setting.
Article in The American journal of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Review
- Community-Based Point-of-Care Screening for Hepatitis B Virus and Hepatocellular Carcinoma in Rural Tanzania.The American journal of tropical medicine and hygiene · 2025Article
- Sexually Transmitted Infection Co-testing in a Large Urban Emergency Department.The western journal of emergency medicine · 2024Article
- Combined Hepatitis B Virus and Hepatocellular Carcinoma Screening Using Point-of-Care Testing and Ultrasound in a Tanzanian Emergency Department.The American journal of tropical medicine and hygiene · 2024Article
- Assessment of a COVID-19 vaccination protocol for unhoused patients in the emergency department.Vaccine · 2023Article
- Comparing Hepatitis C Virus Screening in Clinics Versus the Emergency Department.The western journal of emergency medicine · 2022Article
- Universal Screening for Hepatitis C Virus in the ED Using a Best Practice Advisory.The western journal of emergency medicine · 2021Article
- Review
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundThere is limited data regarding the use of emergency departments (EDs) for infectious disease screening and vaccination in resource-limited regions. In these settings, EDs are often the only contact that patients have with the healthcare system, turning an ED visit into an opportune time to deliver preventative health services.
methodsIn this pilot study, patients that met inclusion criteria were prospectively tested for hepatitis B surface antigen test (HBsAg). Previously unvaccinated patients who tested negative for HBsAg were offered HBV vaccination. The study setting was a public infectious disease hospital in Cordoba, Argentina. The primary outcomes were new HBV diagnoses, as well as vaccination completion between screening modalities (Point-of-Care-Testing-POCT vs. laboratory testing) and same vs. different day vaccination.
resultsWe screened 100 patients for HBV (75 POCT & 25 laboratory). The median age of participants was 35 years (IQR 24-52) and 55% were male. No patients tested positive for HBsAg. All patients who completed first dose vaccination were initially screened with the POCT. No patients screened with laboratory testing returned for vaccination. Patients who were scheduled for vaccination the same day were more likely to complete vaccination compared to those scheduled for another day (75% vs. 14%, p < .001).
conclusionOur study supports the use of HBV POCTs in the ED in conjunction with vaccination of HBV-negative individuals. In regions with low HBV endemicity, direct vaccination without HBsAg testing may be more cost effective. We believe that this acute-care screening model is applicable to other resource-limited settings.
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