Department of Medicine, Austin Clinical School, The University of Melbourne, Melbourne, Victoria, Australia.
Department of Gastroenterology and Hepatology, Austin Health, Melbourne, Victoria, Australia.
Department of Geospatial Sciences and Mathematics, Royal Melbourne Institute of Technology, Melbourne, Victoria, Australia.
Department of Emergency Medicine, Austin Health, Melbourne, Victoria, Australia.
To explore the feasibility of an ED chronic hepatitis B (CHB) screening programme.
Adult patients born in intermediate-high CHB prevalent regions completed a pre-screening questionnaire and were offered CHB testing. ED staff were surveyed to gauge potential barriers to the programme.
Eighty patients demonstrated limited knowledge of hepatitis B virus transmission and perceived many barriers to screening. Among 65 tested for CHB, no new cases were detected but 36 (55.4%, 95% CI 42.6-67.5) were susceptible to infection. Staff supported the programme but reported potential barriers.
Targeted ED CHB screening is feasible but effectiveness and cost-effectiveness need further exploration.