Aa
we already knew doctors and liver specialists are very ignorant, but not as much as this report!
Doctors Unaware HBV Is Spread Primarily Through Heterosexual Activity Among Adults
A study by Emory University researchers found that health care providers lack awareness that hepatitis B is primarily transmitted among adults through heterosexual activity in the U.S., according to a report in the October issue of the journal of Digestive Diseases Sciences.
The study sampled 1,000 physicians, including internists, primary care providers, and gastroenterologists to determine this group’s knowledge about hepatitis B, and their capability to effectively assess patients’ risk for hepatitis B and immunize and screen them.
Researchers created a survey featuring four fictional case histories that described patients at high risk for contracting HBV, followed by questions regarding knowledge, attitudes, and beliefs of HBV screening and vaccination.
Researchers found practitioners often did not ask about such risk factors as heterosexual activity, and therefore did not promote immunizations as recommended by CDC for certain high-risk groups.
On average, providers endorsed 71% of the CDC’s HBV vaccination guidelines. Those who did not effectively screen patients were younger and were not aware that adult HBV is contracted primarily through heterosexual sex.
“Future efforts to improve adherence should target trainees, emphasize the importance of obtaining sexual histories in high-risk patients, and inform that HBV is predominantly a heterosexually transmitted infection,” researchers wrote.
A study by Emory University researchers found that health care providers lack awareness that hepatitis B is primarily transmitted among adults through heterosexual activity in the U.S., according to a report in the October issue of the journal of Digestive Diseases Sciences.
The study sampled 1,000 physicians, including internists, primary care providers, and gastroenterologists to determine this group’s knowledge about hepatitis B, and their capability to effectively assess patients’ risk for hepatitis B and immunize and screen them.
Researchers created a survey featuring four fictional case histories that described patients at high risk for contracting HBV, followed by questions regarding knowledge, attitudes, and beliefs of HBV screening and vaccination.
Researchers found practitioners often did not ask about such risk factors as heterosexual activity, and therefore did not promote immunizations as recommended by CDC for certain high-risk groups.
On average, providers endorsed 71% of the CDC’s HBV vaccination guidelines. Those who did not effectively screen patients were younger and were not aware that adult HBV is contracted primarily through heterosexual sex.
“Future efforts to improve adherence should target trainees, emphasize the importance of obtaining sexual histories in high-risk patients, and inform that HBV is predominantly a heterosexually transmitted infection,” researchers wrote.
looks like this children was a lucky one :)
in case of her, she was the one that add to be a combo, but I only want to mention that even now Lamivudine is considered first line of treatment and nobody explain the risks and this is dangerous, becuse a lot of people don't read this forum or other forum like this and they don't know that the ahve also some other choice with less risk.
in case of her, she was the one that add to be a combo, but I only want to mention that even now Lamivudine is considered first line of treatment and nobody explain the risks and this is dangerous, becuse a lot of people don't read this forum or other forum like this and they don't know that the ahve also some other choice with less risk.
the combo with interferon is always good because it prevents any resistance even on the extremely weak lamivudine
children have different immune system or different virus quasispieces and they clear mcuh more often than adults but i would have never risked a lam mono, it is russian roulette on mono
maybe because of that also some doctors still prescribe Lamivudine like first line of therapy.
I just spoke with somebody that doctor prescribe Lamivudine treatment for her and also for the children (2 years old).
She took lamivudine for 1.5 year (0.5 year combo with interferon) and drop from couple of milions to 1000 copy and the children (lamivudine mono) clera the infection and seroconvert to HbsAb. - In this case the NUC was suported by the patients and I don't see a reason why lamivudine and not Entecavir for example (or tenofovir)
I just spoke with somebody that doctor prescribe Lamivudine treatment for her and also for the children (2 years old).
She took lamivudine for 1.5 year (0.5 year combo with interferon) and drop from couple of milions to 1000 copy and the children (lamivudine mono) clera the infection and seroconvert to HbsAb. - In this case the NUC was suported by the patients and I don't see a reason why lamivudine and not Entecavir for example (or tenofovir)
Have an Answer?
You are reading content posted in the Hepatitis B Community
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
