Perrett Stephanie E, Craine Noel, Lyons Marion
Health Protection Team, Public Health Wales, Cardiff, UK.
Int J Prison Health. 2013;9(1):31-9. doi: 10.1108/17449201311310788.
This paper aims to describe the strategies being put in place to develop blood borne virus (BBV) services across prisons in Wales, UK, in response to the recommendations for prisons within the Welsh Government's Blood Borne Viral Hepatitis Action Plan for Wales.
DESIGN/METHODOLOGY/APPROACH: A task and finish group was established to ensure multidisciplinary engagement between healthcare and custody staff. A service improvement package was developed focusing on awareness raising and/or development of clinical services for prisoners, prison officers and prison healthcare staff.
Prison healthcare staff have undergone training in BBVs and are being supported to deliver clinical services to prisoners. Training has been delivered in pre/post test discussion and dried blood spot testing; care pathways have been established between prison and community specialists for treatment referrals. An e-learning module is being rolled out to raise awareness amongst custody staff and encourage occupational hepatitis B vaccination. Literature on "liver health" has been produced to be given to every prisoner across Wales.
It is envisaged that BBV services will become a routine part of prison care in Wales. Data on activity are being collected for evaluation and it is hoped that tackling BBVs in prisons will help reduce rates of infection both within prisons and in the wider community.
ORIGINALITY/VALUE: This paper describes new initiatives that have been established to tackle BBVs across Welsh prisons and will be relevant to any prison healthcare staff looking to develop similar services.
本文旨在描述为响应威尔士政府《威尔士血源性病毒性肝炎行动计划》中针对监狱的建议，在英国威尔士各监狱开展血源性病毒（BBV）服务所采取的策略。
设计/方法/途径：成立了一个任务完成小组，以确保医疗保健人员和监管人员之间的多学科参与。制定了一项服务改进方案，重点是提高囚犯、狱警和监狱医疗保健人员的认识和/或发展临床服务。
监狱医疗保健人员已接受了关于血源性病毒的培训，并得到支持为囚犯提供临床服务。已开展了关于检测前/检测后讨论和干血斑检测的培训；已在监狱和社区专家之间建立了治疗转诊的护理途径。正在推出一个电子学习模块，以提高监管人员的认识并鼓励职业性乙型肝炎疫苗接种。已编写了关于“肝脏健康”的宣传资料，分发给威尔士的每一名囚犯。
预计血源性病毒服务将成为威尔士监狱护理的常规组成部分。正在收集活动数据以进行评估，希望在监狱中应对血源性病毒将有助于降低监狱内和更广泛社区的感染率。
原创性/价值：本文描述了为应对威尔士各监狱的血源性病毒而设立的新举措，将对任何希望开展类似服务的监狱医疗保健人员具有参考价值。
