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Hepatitis C Issue Toolkit
Hepatitis C (HCV) Toolkit

OVERVIEW  | REGULATIONS & GUIDELINES | BEST PRACTICES | INSTRUCTIONAL RESOURCES | PATIENT RESOURCES  


Overview

Hepatitis C is a liver infection caused by the Hepatitis C virus (HCV). Hepatitis C is a blood-borne virus. Today, most people become infected with the Hepatitis C virus by sharing needles or other equipment to inject drugs. For some people, hepatitis C is a short-term illness but for 70%–85% of people who become infected with Hepatitis C, it becomes a long-term, chronic infection. Chronic Hepatitis C is a serious disease than can result in long-term health problems, even death. The majority of infected persons might not be aware of their infection because they are not clinically ill. There is no vaccine for Hepatitis C. The best way to prevent Hepatitis C is by avoiding behaviors that can spread the disease, especially injecting drugs.   Source: CDC

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Regulations & Guidelines

CDC

US Centers for Disease Control and Prevention
Hepatitis C Guidance for Health Professionals

USPSTF

US Preventative Services (USPSTF) Task Force

Recommendation Statement on Screening for Hepatitis C Virus Infection in Adults

CDC

US Centers for Disease Control and Prevention

Recommendations for the Identification of Chronic Hepatitis C Virus Infection Among Persons Born During 1945-1965

Guidelines for the Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents

Testing for HCV Infection: An Update of Guidance for Clinicians and Laboratorians

Information for Healthcare Personnel Potentially Exposed to Hepatitis C Virus (HCV)

Guidelines for Infection Control in Dental Health-Care ---2003

SHEA

Society for Healthcare Epidemiology of America

SHEA Guideline for Management of Healthcare Workers Who Are Infected with Hepatitis B Virus, Hepatitis C Virus, and/or Human Immunodeficiency Virus

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Best Practices

 

 

Key Learnings

Exposures to blood and other body fluids occur across a wide variety of occupations. Health care workers, emergency response and public safety personnel, and other workers can be exposed to blood through needlestick and other sharps injuries, mucous membrane, and skin exposures. The pathogens of primary concern are the human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV). Workers and employers are urged to take advantage of available engineering controls and work practices to prevent exposure to blood and other body fluids. Source: NIOSH

 

 

Dental Case

 (2)

  • On September 18, 2013 the Oklahoma State Department of Health and Tulsa Health Department announced the first documented report of patient-to-patient transmission of hepatitis C virus associated with a dental setting in the United States.  Oklahoma State Epidemiologist Dr. Kristy Bradley, said, "While dental procedures are generally safe, this reinforces the importance of adhering to strict infection control procedures in dental settings."  Note that Dr. Bradley spoke at the OSAP 2013 Symposium on this case in June. (Click HERE and see pages 2-3 of Proceedings)
  • Testing baby boomers saves lives: about 3 million adults in the US are infected with HCV, most are baby boomers; up to 3 in 4 people who are infected don’t know they have hepatitis C so they aren’t getting the necessary medical care; baby boomers, anyone born from 1945 through 1965 should get tested for hepatitis C. Click HERE for more details
  • The prevalence of HCV infection among dentists is similar to that of the general population (~1%-2%)*
  • CDC published an overview for dentistry in the December 2013 Journal of the American Dental Association. Click HERE for a link to the article.
*From CDC Guidelines for Infection Control in Dental Health-Care Settings - 2003
 
Related Articles

(1)Hepatitis C Virus: An overview for dental health care providers

(2) Locations and Reasons for Initial Testing for Hepatitis C Infection — Chronic Hepatitis Cohort Study, United States, 2006–2010

(3) Researchers at the University of Cincinnati have found that targeted screening for populations with a higher estimated prevalence for hepatitis C may be cost-effective

(4) Current Articles From MedlinePlus

FAQs Hepatitis C FAQs For Health Professionals

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Instructional Resources
Image Library

Click HERE and search for Image #8153 for hepatitis

Fact Sheets

Viral Hepatitis: A through E and Beyond

Hepatitis C: Expansion of Testing Recommendations

The Urgency of Hep C Screening for Baby Boomers

Online Training

Viral Hepatitis Serology Online Training: Hepatitis A-E from the CDC

22 Separate Video Training Sessions Developed by the National Training Center for Integrated Hepatitis HIV/STD Prevention Services knowhepatitis.org

Management of Cirrhosis-Related Complications

This is an interactive course for medical providers that includes a color coded master bibliography, embedded video and clinical calculators.

Background Information with Relevant Links
National Library of Medicine
Emergency Needlestick Information
CDC National Institute of Occupational Safety and Health

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Patient Resources
Hepatitis C Information For The Public

Information From The CDC

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