Managing Chronic Hepatitis B – Advice for GPs (SHINE SA video)

SHINE SA, July 2017

Today, July 28th, is World Hepatitis Day.

There are no ‘healthy carriers’ of hepatitis B!

SA Health & SHINE SA are promoting a 6-minute video providing advice for general practitioners in diagnosing, managing and contact tracing patients with chronic hepatitis B (CHB), to assist in preventing serious liver disease.

It is now known that people who were previously considered to have ‘unresolved hepatitis B virus carrier state’ in fact have CHB. CHB requires lifelong recall and monitoring for disease progression, even when asymptomatic. It is estimated that South Australia has 14,400 people with CHB, 6,600 (46%) who are undiagnosed.  Current clinical guidelines recommend that patients with CHB should be monitored at least annually by their GP for disease progression and suitability for anti-viral treatment.

This video provides clinical advice from the Royal Adelaide Hospital, Viral Hepatitis Centre Co-Directors Dr Edmund Tse (Head of Hepatology) and Dr David Shaw (Head of Infectious Diseases), Margery Milner (Viral Hepatitis CPC) and Dr Sam Elliott, a GP and Hepatitis B s100 Community Prescriber.

Australian recommendations for the management of hepatitis C infection – app & website

Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine, July 2016

Chronic hepatitis C virus (HCV) infection is a major public health challenge for Australia, affecting approximately 230,000 people who are at risk of progressive liver fibrosis leading to cirrhosis, liver failure and hepatocellular carcinoma (HCC). The burden of liver disease due to HCV is projected to triple by 2030. The introduction of direct-acting antiviral (DAA) therapies for HCV that are highly effective and well tolerated is a major medical advance. All Australians living with HCV should now be considered for antiviral therapy.

The Australian recommendations for the management of hepatitis C virus infection: a consensus statement 2016 [PDF] was prepared by an expert panel representing the Gastroenterological Society of Australia (Australian Liver Association), the Australasian Society for Infectious Diseases, the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine, the Australasian Hepatology Association, Hepatitis Australia and the Royal Australian College of General Practitioners.

It provides guidance on epidemiology, models of care, diagnosis, pre-treatment assessment, monitoring and treatment. It provides guidance on epidemiology, models of care, diagnosis, pre-treatment assessment, monitoring and treatment.

  • HCV Consensus Statement website here
  • Download the app (suitable for all Android mobile devices) from Google Play. Apple iTunes version available soon.