3529NHS Greater Glasgow and Clyde, Glasgow, UK.
3525Glasgow Caledonian University, Glasgow, UK.
Int J STD AIDS. 2021 Apr;32(5):476-478. doi: 10.1177/0956462420976217. Epub 2021 Feb 3.
An National Health Service sexual health adviser led service to facilitate management of new cases of hepatitis B from all settings across a large Scottish health board was initiated in 2012. Sexual health advisers contacted testing clinicians to support referral into appropriate services and facilitate identification, testing and vaccination of sexual partners, family and household contacts. A retrospective audit of contact tracing outcomes was conducted between September 2012 and December 2019. From a total of 1344 people diagnosed with hepatitis B, 2248 household and sexual contacts were identified. A documented outcome was established for 1741 (78%) of contacts, equalling 1.3 per index case. 257 (11%) of traced contacts were hepatitis B surface antigen positive, 162 (7%) had natural immunity and 1222 (54%) were vaccinated, either before or after contact tracing. This suggests a multi-agency approach to contact tracing for hepatitis B can achieve good outcomes. Further work is required to reduce the disproportionate burden of hepatitis B among ethnic minority subpopulations in Scotland.
2012 年，英国国民保健署（NHS）性健康顾问主导了一项服务，以方便管理苏格兰一个大型卫生委员会所有环境中新出现的乙肝病例。性健康顾问联系检测临床医生，支持将其转介到适当的服务机构，并促进识别、检测和接种性伴侣、家庭和密切接触者的乙肝疫苗。对 2012 年 9 月至 2019 年 12 月期间的接触者追踪结果进行了回顾性审计。在总共 1344 名被诊断患有乙肝的患者中，确定了 2248 名家庭和性接触者。为 1741 名（78%）接触者建立了记录在案的结果，相当于每例指数病例 1.3 名。257 名（11%）追踪到的接触者乙肝表面抗原呈阳性，162 名（7%）具有自然免疫力，1222 名（54%）接种了疫苗，无论是在接触者追踪之前还是之后。这表明多机构合作进行乙肝接触者追踪可以取得良好的效果。还需要进一步努力，减少苏格兰少数族裔亚群体中乙肝的不成比例负担。
