Viral Hepatitis Questionnaire
Viral Hepatitis Questionnaire
1-Age:...... years
2-Gender: Female b) Male
3-How long have you been in practice?:………. Years
4-Which of the following is not a transmission way of Hepatitis B virus (HBV)? (You may check more than one choice).
Blood and body fluids / ( )Organ transplantation / ( )
Contaminated food or water / ( )
Sexual intercourse / ( )
Household contacts / ( )
Sharing injection needles for intravenous drug use / ( )
Acupuncture, tattooing and injuries from contaminated sharp instruments / ( )
Faeces / ( )
Perinatal transmission / ( )
Insects / ( )
5-Which of the followings is not a transmission way of Hepatitis C virus (HCV)? (You may check more than one choice).
Transfusion of blood or blood products / ( )Organ transplantation / ( )
Contaminated food / ( )
Sexual intercourse / ( )
Household contacts / ( )
Intravenous drug use / ( )
Faeces / ( )
Perinatal transmission / ( )
Hemodialysis / ( )
Insects / ( )
6-What would you suggest to do to protect an infant, born from a HBsAg positive mother? (You may check more than one choice).
a)Hepatitis B vaccine should be injected to the infant during its delivery in addition to the immunoglobulin therapy
b)Baby should be taken out by caesarean section
c)Only immunoglobulin should be given at birth
d)Only Hepatitis B vaccine should be given at birth
e)I do not actually know what to do
7-What would you suggest to do to protect an infant, born from an anti-HCV and HCV RNA positive mother? (You may check more than one choice).
a)There is not any preventive measures to be taken during the birth and the baby should be followed with respect to HCV infection
b)Immunoglobulin should be applied to the baby at birth
c)The birth should be carried out by caesarean section
d)HCV does not transmitted from mother to baby
e)I do not actually know what to do
8-Which sources from do you update your current information on HBV? (You may check more than one choice).
a)Journals
b)Attending to congress
c)Books
d)On-line sites
e)Other (…………………………………………)
9-Which sources from do you update your current information on HCV? (You may check more than one choice).
a)Journals
b)Attending to congress
c)Books
d)On-line sites
e)Other (…………………………………………)
10-Is it possible to diagnose HBV at your primary healthcare center (PHCC)?
a)Yes
b)No (explain:………………………………………………………………)
11-What is the approximate number of individuals with acute or chronic HBV for whom youdiagnosed or followed up? ………………………………….
12-Approximately how many individuals with acute or chronic HBV have you seen in the past 12 months?……………………………………….
13-Is it possible to diagnose HCV at your PHCCs?
a)Yes
b)No (explain:………………………………………………………………)
14-What is the approximate number of individuals with acute or chronic HCV for whom youdiagnosed or followed up? ………………………………….
15-Approximately how many individuals with acute or chronic HCV have you seen in the past 12 months?……………………………………….
Case-I: A 35 years-old woman with chronic hepatitis B admitted to a primary health care center. Her serum alanine aminotransferase (ALT) level was normal.
16-At this point what is your next step?
a)Follow in clinic: level of ALT
b)Follow in clinic: refer if symptoms develop
c)Refer to a specialist
d)I don’t know
e)Other (…………………………………………)
17-Which additional tests would you order? (You may check more than one choice).
a)HBV-DNA by PCR
b)HBV genotyping
c)Liver biopsy
d)I don’t know
e)Other (…………………………………………)
18-If you order therapy, which regimen would you recommend?
a)Lamivudine
b)Interferon (IFN)- + Lamivudine
c)Interferon (IFN)-
d)I don’t know
e)Other (…………………………………………)
Case-II: A 40 years-old man has been positive for HBsAg positive for three years and two consecutive ALT results were 125 IU/L and 120 IU/L, respectively.
19-At this point what is your next step?
a)Follow in clinic: level of ALT
b)Follow in clinic: refer if symptoms develop
c)Refer to a specialist
d)I don’t know
e)Other (…………………………………………)
20-Which additional tests would you order? (You may check more than one choice).
a)HBV-DNA by PCR
b)HBV genotyping
c)Liver biopsy
d)I don’t know
e)Other (…………………………………………)
21-If you order therapy, which regimen would you recommend?
a)Lamivudine
b)Interferon (IFN)- + Lamivudine
c)Interferon (IFN)-
d)I don’t know
e)Other (…………………………………………)
Case-III: A healthy/asymptomatic 55 years-old man admitted to a primary health care center. His alanine aminotransferase (ALT) level was elevated (150 IU/L) during check-up for life insurance; anti-HCV in ELISA was positive at subsequent work-up. He had a history of intravenous device that he used in 1963.
22-At this point what is your next step?
a)Repeat the measurement of anti-HCV
b)Follow in clinic: refer if symptoms develop
c)Refer to a specialist
d)I don’t know
e)Other (…………………………………………)
23-Which additional tests would you order? (You may check more than one choice).
a)anti-HCV ELISA
b)anti-HCV RIBA
c)HCV-RNA by PCR
d)HCV genotyping
e)Other (…………………………………………)
24-If you order therapy, which regimen would you recommend?
a)IFN- for 6 months
b)IFN- for 12 months
c)Ribavirin alone
d)IFN- and Ribavirin
e)I don’t know
Case-IV: A healthy/asymtomatic 32 years-old woman admitted to a primary health care center. Her anti-HCV in ELISA was found to be positive at blood donation and ALT level was normal at subsequent work-up. She had no risk factors.
25-At this point what is your next step?
a)Repeat the measurement of anti-HCV
b)Follow in clinic: refer if symptoms develop
c)Refer to a specialist
d)I don’t know
e)Other (…………………………………………)
26-Which additional tests would you order? (You may check more than one choice).
a)anti-HCV ELISA
b)anti-HCV RIBA
c)HCV-RNA by PCR
d)HCV genotyping
e)Other (…………………………………………)
27-If you order therapy, which regimen would you recommend?
a)IFN- for 6 months
b)IFN- for 12 months
c)Ribavirin alone
d)IFN- and Ribavirin
e)I don’t know
1