PMID- 12839631
OWN - NLM
STAT- MEDLINE
DCOM- 20030814
LR  - 20220408
IS  - 1064-7449 (Print)
IS  - 1098-0997 (Electronic)
IS  - 1064-7449 (Linking)
VI  - 11
IP  - 1
DP  - 2003
TI  - Screening and counseling practices reported by obstetrician-gynecologists for 
      patients with hepatitis C virus infection.
PG  - 39-44
AB  - BACKGROUND: Obstetrician-gynecologists are important providers of primary health 
      care to women, and the hepatitis C virus (HCV) infection screening practices and 
      recommendations provided by obstetrician-gynecologists for HCV-infected patients 
      are unknown. METHODS: We surveyed American College of Obstetricians and 
      Gynecologists (ACOG) Fellows, including 413 Fellows who were participating in the 
      Collaborative Ambulatory Research Network (CARN) and 650 randomly sampled 
      Fellows, about HCV screening and counseling practices. RESULTS: In total, 74% of 
      CARN members and 44% of non-CARN members responded. Demographics and practice 
      structure were similar between the two groups. More than 80% of providers 
      routinely collected drug use and blood transfusion histories from their patients. 
      Of the respondents, 49% always screened for HCV infection when patients had a 
      history of injection drug use, and 35% screened all patients who had received a 
      blood transfusion before 1992. For HCV-infected patients, 47% of the physicians 
      always advised against breastfeeding, 70% recommended condom use with a long-term 
      steady partner, and 64% advised against alcohol consumption. Respondents who 
      considered themselves to be primary care providers were no more likely to screen 
      or provide appropriate counseling messages than were other providers. 
      CONCLUSIONS: Most obstetrician-gynecologists are routinely collecting information 
      that can be used to assess HCV infection risk, but HCV screening practices and 
      counseling that are provided for those with HCV infection are not always 
      consistent with current Centers for Disease Control and Prevention and ACOG 
      recommendations.
FAU - Boaz, Kathy
AU  - Boaz K
AD  - National Center for Infectious Diseases, Centers for Disease Control and 
      Prevention, Atlanta, GA, USA.
FAU - Fiore, Anthony E
AU  - Fiore AE
FAU - Schrag, Stephanie J
AU  - Schrag SJ
FAU - Gonik, Bernard
AU  - Gonik B
FAU - Schulkin, Jay
AU  - Schulkin J
LA  - eng
GR  - MC-00105/PHS HHS/United States
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - Egypt
TA  - Infect Dis Obstet Gynecol
JT  - Infectious diseases in obstetrics and gynecology
JID - 9318481
SB  - IM
MH  - Adult
MH  - *Attitude of Health Personnel
MH  - Chi-Square Distribution
MH  - Counseling/*standards/trends
MH  - Female
MH  - Gynecology/standards/trends
MH  - Health Care Surveys
MH  - Hepatitis C/*diagnosis/drug therapy/epidemiology
MH  - Humans
MH  - Male
MH  - Mass Screening/*standards/trends
MH  - Middle Aged
MH  - Obstetrics/standards/trends
MH  - Practice Patterns, Physicians'
MH  - Pregnancy
MH  - Pregnancy Complications, Infectious/drug therapy/*prevention & control
MH  - Pregnancy Outcome
MH  - Prenatal Care/methods
MH  - Probability
MH  - Risk Assessment
MH  - Surveys and Questionnaires
MH  - Total Quality Management
PMC - PMC1852263
EDAT- 2003/07/04 05:00
MHDA- 2003/08/15 05:00
PMCR- 2003/01/01
CRDT- 2003/07/04 05:00
PHST- 2003/07/04 05:00 [pubmed]
PHST- 2003/08/15 05:00 [medline]
PHST- 2003/07/04 05:00 [entrez]
PHST- 2003/01/01 00:00 [pmc-release]
AID - S106474490300005X [pii]
AID - 10.1155/S106474490300005X [doi]
PST - ppublish
SO  - Infect Dis Obstet Gynecol. 2003;11(1):39-44. doi: 10.1155/S106474490300005X.