Activity 3-Giving Results-Participants Copy
Case 1
John is a 24 year old patient in your practice. He injects heroin 3 or 4 times per day, on most days. He was tested for BBVs using DBS as part of your work up whilst referring him to the local drug service. Currently he is homeless and spends nights on the floors of various friends. There are some nights where he sleeps rough. He has a partner who lives with her parents. He occasionally sells sex to fund his drug use.
Result
HCV antibody positive
HCV PCR positive
HIV antibody test negative
Hep B core antibody positive
Hep B surface antigen negative
•What do his results show?
•What will you say to John about his test results? What else would you want to know from him? Does he require any further tests?
•What do you feel are the main issues for John in relation to blood born virus infections at the moment?
•What other help could you offer him? Who else might you involve?
•What prevention advice would you give John at this stage?
Activity 3-Giving Results
Case 2
Sam is a 45 year old man who had abnormal LFTs on routine testing. An initial liver screen was carried out to investigate this which included screening for hepatitis B and C infection. He is married with two children. He was consented for the BBV tests but did not have a risk history taken before testing.
Result
HCV antibody positive
HCV PCR (or antigen) positive
Hep B core antibody negative
Hep B surface antigen negative
•How would you discuss these results with Sam?
•What further information do you need from Sam at this stage and why?
•Does he require any further tests?
•Sam asks about treatment that is available to him – what are the main points that you would cover with him at this stage?
•Sam asks what this means for his wife and family – what issues do you need to discuss with him? How could you support him with these issues?
Activity 3-Giving Results
Case 3
Precious is a 21 year old female who was born in Zimbabwe and moved to Scotland with her family.
Precious was tested for BBVs when she came to the practice saying her partner had been diagnosed with ‘hepatitis’
When she comes back for the result she tells you that she has had a positive pregnancy test.
Results
Hep B surface antigen positive
Hep C antibody negative
•What would you say to Precious about her test results?
- Does she require any further tests?
•Precious asks about the risks to her baby – what will you say to her about this?
•Would you refer Precious to a specialist and, if so, who?
A helpful resource around giving results can be accessed on utube on the link below:-