Key messages

- Consider screening patients from countries with a higher prevalence of hepatitis B virus (HBV) and hepatitis C virus ( HCV) than the UK, particularly those where the prevalence of HBV and HCV is considerably higher or if other risk factors apply
 - Screening of contacts of HBV and HCV infected patients should also be considered
 - Individuals identified as positive should be referred for specialist assessment
 
Anyone at risk of hepatitis B or hepatitis C infection should be offered a hepatitis test, this includes:
- Children born to mothers with HBV who are HBsAG positive and/or with HCV who are HCV RNA positive
 - Partners and individuals living in close contact with someone who is infected with HBV and/or HCV
 - Recipients of unscreened blood transfusion or blood products
 - People from countries where hepatitis B and/or hepatitis C is endemic
 - Anyone who has injected drugs, even if it was only once
 - People who may have had unsterile medical or dental procedures abroad
 - People involved in high risk sexual practices especially with a person who is HBV and/or HCV positive
 - Men who have sex with men
 - People who may have had ear piercing, body piercing, tattooing or acupuncture with unsterile equipment
 - Consider for any patient with abnormal liver function tests (LFT), especially elevated alanine aminotransferase (ALT)
 
Other useful information
SH:24 - Free Home STI STD Testing kit – test for chlamydia, gonorrhoea, syphilis and HIV.
Contact number for Hepatitis Network
028 961 55725 or 028 961 55569
- Hepatitis B
 - Hepatitis C
 - Hepatitis B&C - Information and guidance in the occupational setting
 - E-learning for health care professionals
 - Substance misuse- Management in general practice - A network to support members of the primary health care team who work with substance misuse in the UK.
 
