[MCOH-EH] Post exposure Hepatitis C

[Lanzi, Maria]

We do baseline HCV Ab VL , ALT/SGPT and repeat HCV VL, ALT, SPGT  at 3 - 4 weeks, if source is not also HIV +.  If source is also HIV + we take it out to 6 months.
 Our lab is equipped to detect minor levels of virus for both HCV and HIV as our patient population is considered a high risk population.

Maria

Maria C. Lanzi, MS, MPH, ANP-BC, COHN-S, CTH
Nurse Practitioner/Program Coordinator
Employee Occupational Health
Corporal Michael J Crescenz Veterans Affairs Medical Center
3900Woodland Avenue
Philadelphia, PA 19104
Work:  215 823 5800 x 2592
Fax:  215 823 5968


From: MCOH-EH <mcoh-eh-bounces+maria.lanzi=va.gov at mylist.net> On Behalf Of Lawrence Budnick
Sent: Thursday, May 09, 2019 11:45 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [EXTERNAL] Re: [MCOH-EH] Post exposure Hepatitis C

We do baseline HCV Ab and chemistry, as well as testing for HIV Ag/Ab, and 3 week follow-up with HCV PCR and 6 week, 3 months and 6 months for HIV. Additional chem, cbc, u/a testing if they take PEP and HB testing and Tdap PRN. Please see the attached CDC 2016 algorithm for recommended HCV testing.

Lawrence D. Budnick, MD, MPH
Professor of Medicine
Director, Occupational Medicine Service
Rutgers University - New Jersey Medical School
65 Bergen Street, Suite GA-167, Newark, NJ 07107
tel 973.972.2900
fax 973.972.2904
lawrence.budnick at rutgers.edu<mailto:lawrence.budnick at rutgers.edu>

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Therese Bovee-McKelvey
Sent: Thursday, May 09, 2019 11:28 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Post exposure Hepatitis C

3 Wk

HCV RNA-PCR & ALT/SGPT

6 Wk

HCsAb

3 Mo

HCsAb

6 Mo

HCsAb & ALT/SGPT


If signs or symptoms referral to ID; would include additional tests per ID.


Therese Bovee McKelvey, MN, RN  Supervisor - Employee Health
425.899.2278 (P)  |  425.899.2277 (F)  | TMBoveeMcKelvey at evergreenhealth.com<mailto:TMBoveeMcKelvey at evergreenhealth.com>
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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of PRATER, DEANNA
Sent: Thursday, May 09, 2019 7:47 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Post exposure Hepatitis C

Warning: This email originated from outside of EvergreenHealth. Do not click links or open attachments unless you recognize the sender and are expecting the message. Report suspicious emails to Helpdesk at evergreenhealthcare.org<mailto:Helpdesk at evergreenhealthcare.org>

I'd like to hear how others are managing post-exposure with a source patient who shows REACTIVE HCV antibody and HCV RNA DETECT/QUANT 200,000+.  Do you typically perform a baseline panel on employee with a repeat in 6 weeks, 4 months, and 6 months.  Other than counseling the patient to practice safe sex and report any symptoms, is there anything else you would recommend?

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