Blood-Borne Virus Testing
Clinicians across the Humber region are being encouraged to consider testing potentially at-risk patients for three blood-borne diseases prevalent in our area.
Hospitals in Hull, Scunthorpe and Grimsby screen every adult for hepatitis C, hepatitis B and HIV if they attend its Emergency Departments and require blood tests as part of clinical investigations.
Now, Primary Care practices are being asked to consider Blood Borne Virus (BBV) as a potential diagnosis for patients in the “at risk” groups and then test appropriately.
Why you should consider these conditions in your patients
Hull has one of the highest rates of hepatitis C identified through Emergency Department (ED) testing in the country, with most patients likely to have caught it through intravenous drug use years, if not decades, before. Hepatitis B and C are also common in people born overseas. Early detection makes a huge difference to achieving a good outcome.
The hospital ED BBV testing programme has identified 89 patients with hepatitis C, hepatitis B and HIV in just six months. Of those, 36 have been diagnosed with hepatitis C, 48 have hepatitis B and five have HIV. All have been referred to specialist HIV or viral hepatitis clinical teams for counselling, treatment and ongoing support.
What will happen if you undertake testing in your practice?
Laboratories will perform confirmatory tests on reactive samples.
A confirmed positive result – the patient should be informed and referred on to the respective specialist teams for treatment
In the case of HBV and HCV, a finding of a past infection. Patients with past HBV are immune but may reactivate the virus under immunosuppression; those with past HCV do not reactivate but are not immune to reinfection
An unconfirmed (false-positive) result – please send a repeat sample two weeks after the first to rule out recent seroconversion
New diagnoses of HIV will be telephoned to the surgery. Useful patient information for HIV and Hepatitis C can be found online at
BMJ Best Practice.