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Year:: 2024
Contributor:: McGuigan, Peter (Author); Chan, Philip (Author); Anandarajah, Gowri (Author)
Subject:: HIV; preventive care; Hepatitis B; HBV; Hep B; HIV/HBV Coinfection; LGBTQ+; HBV booster administration; Hepatitis B titer; Hepatitis B Immunization
DOI: https://doi.org/10.26300/fys6-ak76

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Abstract:: Background: At-risk groups for HIV, specifically men who have sex with men and injection drug users, are at particularly high risk for HBV coinfection and accelerated liver-related disease. Open Door Health (ODH) is a unique primary care clinic serving urban LGBTQ+ patient populations, primarily serving HIV risk groups. This study serves to assess the effectiveness of ODH in implementing HBV preventive strategies in their HIV+ populations. Methods: A chart audit of 118 patients was conducted at ODH through Athena Collector, including documented lab results and patient visit notes, as well as Filemaker and REDCap for patient demographic data. Google Sheets was utilized for statistical analysis. Patients were included if they held an HIV+ status. Preliminary Results: Of the 118 patients included in the study, 70.3% received a Hepatitis B screening, and of those patients, 2.4% showed a positive reaction to the HBsAg test. Likewise, 74.6% received a Hepatitis B titer: 62.5% were considered immune with an antibody level greater than 10 mIU/mL of blood, 35.2% were considered susceptible, and 2.3% were of unknown or indeterminate status. Of the 63 non-immune patients, 30.2% were administered an HBV booster. Conclusions: According to the CDC, all patients living with HIV should be screened and immunized for HBV, with a booster administration for non-immune patients. ODH expresses a lower rate of coinfection compared to the national average while the HBV booster administration rate for non-immune patients meets the national HBV immunization average (30%). Next steps may include identifying the patients that make up the 29.7% and 25.4% of patients not screened for a HBsAg test or titer respectively, how to reach them, and current barriers.

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McGuigan, Peter, Chan, Philip, and Anandarajah, Gowri, "Hepatitis B Prevention for Patients Living with HIV: Assessing Rates of Immunization and Screening at Open Door Health" (2024). Gateways to Medicine, Health Care, and Research. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/fys6-ak76

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Gateways to Medicine, Health Care, and Research

The Gateways Program at the Warren Alpert Medical School of Brown University provides academically promising, motivated students new pathways to careers in the health sciences. This collection houses scholarly works produced by Master of Science in Medical Sciences (ScM) students …
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Hepatitis B Prevention for Patients Living with HIV: Assessing Rates of Immunization and Screening at Open Door Health