HCV Treatment Guidelines - UTAH

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According to the Infection Control RN at Utah State Prision:

"Utah State Prison (USP) does not routinely test for hepatitis on entry into the prison system, we test with symptoms, information of recent exposure, elevated LFTs (liver function tests), and when a person has indicated recent activity such as tattooing that has placed him at risk because he has shared gear etc. and found the other person to be reactive etc.

When a person enters USP with previously diagnosed hepatitis we offer immunization with the Hepatitis A/B twinrix series, and LFTs may be drawn.
We document history of hepatitis on a spread sheet and track this, we make sure the diagnosis is placed in the inmates medical chart.
On new cases or cases asking for further education the inmate is educated by me on a one on one basis and handouts are given and reviewed, we talk about exposure, symptoms, modes of transmission and exposing others, treatment with Interferon etc., and go over the USP protocol for treatment. Also all new cases start an immunization series with [Hepatitis A & B] twinrix."
USP protocol requires that an inmate:
  • Be positive at least 1 year
  • Show elevated LFTs 1 1/2 to 2 times normal values and staying elevated at least 12 months
  • Must be drug free for a full year, including off alcohol
  • Must not show involvement in exposure activities, including tattooing. Must remain in the USP system if chosen for Interferon clinic for at least 1 year from the time treatment may be ordered
"Cases are reviewed on an individual basis following the protocol standards we have outlined."

Information is accurate as of December 1, 2009
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