Fisher, Dale A; Huffam, Sarah

Management of chronic hepatitis B virus infection in remote-dwelling Aboriginals and Torres Strait Islanders: an update for primary healthcare providers.

Author(s)

Fisher, Dale A

Huffam, Sarah

Publication Date

2003-01-20

Abstract

Chronic HBV infection is common in remote Aboriginal and Torres Strait Islander communities, where resources are scarce and patients may have several concurrent illnesses. The management of chronic HBV infection has changed over recent years, with greater application of serological and radiological investigations and new, more acceptable treatments for chronic liver disease, cirrhosis and hepatocellular carcinoma. Optimal follow-up procedures for patients with chronic HBV infection are still being debated, but may not be applicable to Aboriginal and Torres Strait Islander communities where factors such as endemicity, remoteness, frequent comorbidities, shorter life expectancy and cultural differences in health priorities must be taken into consideration. We have defined an algorithm to assist primary care providers caring for patients with chronic HBV infection in Aboriginal and Torres Strait Islander communities. Patients are divided into one of three categories for follow-up and referral based on clinical features, and results of liver enzyme and serological tests.

Affiliation

Royal Darwin Hospital, PO Box 41326, Casuarina, NT 0811, Australia. dale.fisher@nt.gov.au.

Citation

Med J Aust . 2003 Jan 20;178(2):82-5. doi: 10.5694/j.1326-5377.2003.tb05070.x.

ISSN

0025-729X

Pubmed ID

https://pubmed.ncbi.nlm.nih.gov/12526729/?otool=iaurydwlib

Link

https://hdl.handle.net/10137/6800

MESH subject

Adenine

Adolescent

Adult

Algorithms

Antiviral Agents

Australia

Carcinoma, Hepatocellular

Child

Child, Preschool

Clinical Protocols

Endemic Diseases

Female

Hepatitis B, Chronic

Humans

Infant

Infant, Newborn

Interferon-alpha

Lamivudine

Liver Neoplasms

Liver Transplantation

Male

Mass Screening

Middle Aged

Primary Health Care

Oceanic Ancestry Group

Organophosphonates

Rural Health Services

Title

Management of chronic hepatitis B virus infection in remote-dwelling Aboriginals and Torres Strait Islanders: an update for primary healthcare providers.

Type of document

Journal Article

Entity Type

Publication

Author(s)	Fisher, Dale A Huffam, Sarah
Publication Date	2003-01-20
Abstract	Chronic HBV infection is common in remote Aboriginal and Torres Strait Islander communities, where resources are scarce and patients may have several concurrent illnesses. The management of chronic HBV infection has changed over recent years, with greater application of serological and radiological investigations and new, more acceptable treatments for chronic liver disease, cirrhosis and hepatocellular carcinoma. Optimal follow-up procedures for patients with chronic HBV infection are still being debated, but may not be applicable to Aboriginal and Torres Strait Islander communities where factors such as endemicity, remoteness, frequent comorbidities, shorter life expectancy and cultural differences in health priorities must be taken into consideration. We have defined an algorithm to assist primary care providers caring for patients with chronic HBV infection in Aboriginal and Torres Strait Islander communities. Patients are divided into one of three categories for follow-up and referral based on clinical features, and results of liver enzyme and serological tests.
Affiliation	Royal Darwin Hospital, PO Box 41326, Casuarina, NT 0811, Australia. dale.fisher@nt.gov.au.
Citation	Med J Aust . 2003 Jan 20;178(2):82-5. doi: 10.5694/j.1326-5377.2003.tb05070.x.
ISSN	0025-729X
Pubmed ID	https://pubmed.ncbi.nlm.nih.gov/12526729/?otool=iaurydwlib
Link	https://hdl.handle.net/10137/6800
MESH subject	Adenine Adolescent Adult Algorithms Antiviral Agents Australia Carcinoma, Hepatocellular Child Child, Preschool Clinical Protocols Endemic Diseases Female Hepatitis B, Chronic Humans Infant Infant, Newborn Interferon-alpha Lamivudine Liver Neoplasms Liver Transplantation Male Mass Screening Middle Aged Primary Health Care Oceanic Ancestry Group Organophosphonates Rural Health Services
Title	Management of chronic hepatitis B virus infection in remote-dwelling Aboriginals and Torres Strait Islanders: an update for primary healthcare providers.
Type of document	Journal Article
Entity Type	Publication

Management of chronic hepatitis B virus infection in remote-dwelling Aboriginals and Torres Strait Islanders: an update for primary healthcare providers.

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