2026-04-18T04:10:54Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/74472025-10-24T10:17:27Zcom_2072_378070com_2072_378040col_2072_378092

A novel model of care for simplified testing of HBV in African communities during the COVID-19 pandemic in Spain Picchio, Camila Andrea Nomah, Daniel K. Araujo, Silvia G. Fernández, Emma Rodríguez Frias, Francisco Rando Segura, Ariadna Buti Ferret, Maria Institut Català de la Salut [Picchio CA, Araujo SG, Fernández E] Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain. [Nomah DK] Department of Health, Center for Epidemiological Studies on Sexually Transmitted Infections and HIV/AIDS in Catalonia (CEEISCAT), Generalitat of Catalonia, Badalona, Spain. [Rando-Segura A] Unitat de Patologia Hepàtica, Servei de Bioquímica i Microbiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Buti M] CIBER Hepatic and Digestive Diseases (CIBERehd), Instituto Carlos III, Madrid, Spain. Unitat del Fetge, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Rodríguez-Frías F] Unitat de Patologia Hepàtica, Servei de Bioquímica i Microbiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. CIBER Hepatic and Digestive Diseases (CIBERehd), Instituto Carlos III, Madrid, Spain Vall d'Hebron Barcelona Hospital Campus Emigració i immigració Hepatitis B - Diagnòstic Química clínica HEALTH CARE::Health Services Administration::Patient Care Management::Point-of-Care Systems::Point-of-Care Testing DISEASES::Virus Diseases::DNA Virus Infections::Hepadnaviridae Infections::Hepatitis B::Hepatitis B, Chronic Other subheadings::Other subheadings::/diagnosis NAMED GROUPS::Persons::Emigrants and Immigrants ATENCIÓN DE SALUD::administración de los servicios de salud::gestión de la atención al paciente::sistemas de atención en la cabecera del paciente::análisis de diagnóstico inmediato ENFERMEDADES::virosis::infecciones por virus ADN::infecciones por Hepadnaviridae::hepatitis B::hepatitis B crónica Otros calificadores::Otros calificadores::/diagnóstico DENOMINACIONES DE GRUPOS::personas::emigrantes e inmigrantes Epidemiology; Health services; Viral hepatitis Epidemiologia; Serveis de salut; Hepatitis viral Epidemiología; Servicios de salud; Hepatitis viral Chronic hepatitis B virus (HBV) infection is a major public health threat for migrant populations in Spain and efforts to scale up testing are needed to reach the WHO elimination targets. The Hepatitis B Virus Community Screening and Vaccination in Africans (HBV-COMSAVA) study aims to use point-of-care testing and simplified diagnostic tools to identify, link to care, or vaccinate African migrants in Barcelona during the COVID-19 pandemic. From 21/11/20 to 03/07/2021, 314 study participants were offered HBV screening in a community clinic. Rapid tests for HBsAg screening were used and blood samples were collected with plasma separation cards. Patients received results and were offered: linkage to specialist care; post-test counselling; or HBV vaccination in situ. Sociodemographic and clinical history were collected and descriptive statistics were utilized. 274 patients were included and 210 (76.6%) returned to receive results. The HBsAg prevalence was 9.9% and 33.2% of people had evidence of past resolved infection. Overall, 133 required vaccination, followed by post-test counselling (n = 114), and linkage to a specialist (n = 27). Despite the COVID-19 pandemic, by employing a community-based model of care utilizing novel simplified diagnostic tools, HBV-COMSAVA demonstrated that it was possible to diagnose, link to care, and vaccinate African migrants in community-based settings. This study was carried out by ISGlobal with competitive funding through the Gilead Sciences global HBV-CARE program (IN-ES-988–5799). 2022-05-02T13:05:09Z 2022-05-02T13:05:09Z 2021-08-25 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Picchio CA, Nomah DK, Araujo SG, Rando-Segura A, Fernández E, Buti M, et al. A novel model of care for simplified testing of HBV in African communities during the COVID-19 pandemic in Spain. Sci Rep. 2021 Aug 25;11:17063. 2045-2322 https://hdl.handle.net/11351/7447 10.1038/s41598-021-96350-3 34433852 000688551400042 http://hdl.handle.net/11351/7447 eng Scientific Reports;11 https://doi.org/10.1038/s41598-021-96350-3 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess application/pdf Nature Research Scientia