Screening and Counseling Practices Reported byObstetrician–Gynecologists for Patients With Hepatitis CVirus Infection

[摘要] Background:Obstetrician—gynecologists are important providers of primary health care to women, and thehepatitis C virus (HCV) infection screening practices and recommendations provided by obstetrician—gynecologistsfor HCV-infected patients are unknown.Methods:We surveyed American College of Obstetricians and Gynecologists (ACOG) Fellows, including 413Fellows who were participating in the Collaborative Ambulatory Research Network (CARN) and 650 randomlysampled Fellows, about HCV screening and counseling practices.Results:In total, 74% of CARN members and 44% of non-CARN members responded. Demographics andpractice structure were similar between the two groups. More than 80% of providers routinely collected druguse and blood transfusion histories from their patients. Of the respondents, 49% always screened for HCVinfection when patients had a history of injection drug use, and 35% screened all patientswho had received a bloodtransfusion before 1992. For HCV-infected patients, 47% of the physicians always advised against breastfeeding,70% recommended condom use with a long-term steady partner, and 64% advised against alcohol consumption.Respondents who considered themselves to be primary care providers were no more likely to screen or provideappropriate counseling messages than were other providers.Conclusions:Most obstetrician—gynecologists are routinely collecting information that can be used to assess HCVinfection risk, but HCV screening practices and counseling that are provided for those with HCV infection are notalways consistent with current Centers for Disease Control and Prevention and ACOG recommendations.

[学科分类] 妇产科学