Patients in a high secure hospital are a high-risk population for exposure to blood-borne viruses (BBV) because of previous lifestyles.
Objective:
This service improvement study intends to improve patients care by the Infection Prevention and Control Team (IPCT) coordinating the BBV screening and vaccination programme within the hospital.
Methods:
A retrospective review of patients’ notes in 2007 and 2016 was used.
Results:
The results show an increase in screening offered and screening undertaken from 2007 to 2016. It also identifies an increase in hepatitis B vaccination programmes completed.
Discussion:
The expansion of the IPC and Physical Healthcare Team appear to be associated with the increase of screening and vaccination rates.
British Medical Association. (2014) Recognising the importance of physical health in mental health and intellectual disability. London: British Medical Association.
2.
CareyMPCareyKBKalichmanSC (1997). HIV testing among individuals with a severe mental illness: review, suggestions for research, and clinical implications. Clinical Psychology Review17, 271–291
3.
CournosFMcKinnonKSullivanG. (2005) Schizophrenia and comorbid human immunodeficiency virus or hepatitis C virus. Journal of Clinical Psychiatry66: 27–33.
4.
Health Protection Agency. (2011) HIV in the United Kingdom. London: Health Protection Agency.
5.
Martinez-SanvisensDMateu-CodinaGDiaz-DigonLMorro-FernandezLMartinez-FernandezAMunoz-ChampelAVallecilloGTorrensM. (2009) Personality disorders in a dual diagnosis unit. European Neuropsychopharmacology19: 652–653.
6.
HughesEBassiSGilbodySBlandMMartinF. (2016) Prevalence of HIV, hepatitis B, and hepatitis C in people with severe mental illness: a systematic review and meta-analysis. Lancet3: 40–49.
7.
LagiosKDeaneFP. (2007) Severe mental illness is a new risk marker for blood-borne viruses and sexually transmitted infections. Australian and New Zealand Journal of Public Health31: 562–566.
8.
MeadeCSSikkemaKJ. (2005) HIV risk behavior among adults with severe mental illness: a systematic review. Clinical Psychology Review25: 433–457.
9.
NHS Improvement. (2018) Plan, Do, Study, Act (PDSA) cycles and the model for improvement. London: NHS.
10.
National Institute for Health and Clinical Excellence (NICE). (2012) Hepatitis B and C: ways to promote and offer testing to people at increased risk of infection. London: NICE.
11.
National Institute for Health and Clinical Excellence (NICE). (2014) HIV testing: increasing uptake among people who may have undiagnosed HIV. London: NICE.
12.
PerrettSCraineNLyonsM. (2013) Developing blood borne virus services across prisons in Wales, UK. International Journal of Prisoner Health9: 31–39.
13.
Public Health England. (2010) United Kingdom national HIV surveillance data tables. London, PHE, 2014
14.
RosenbergSDGoldbergRWDixonLBWolfordGLSladeEPHimelhochSGallucciGPottsWTapscottSWelshCJ. (2010) Assessing the STIRR model of best practices for blood-borne infections of clients with severe mental illness. Psychiatric Services61: 885–891.
15.
WalkerM. (2013) Overcoming the Global Burden of Hepatitis C. Whakatane: The Hepatitis Foundation of New Zealand.
