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Postgrad Med J 80:180-182 doi:10.1136/pgmj.2003.005017
  • Audit

Providing treatment for hepatitis C in an Australian district centre

Table 1

Interferon and ribavirin shared care schedule

Week
0 1 2 3 4 5 6 7 8 10 12 16 20 24 28 32 36 40 44 48
ALT, alanine aminotransferase; GP, review by general practitioner; Sp, review by specialist/liver clinic; TSH, thyroid stimulating hormone.
*Sp treatment to cease under eligibility criteria if PCR is still positive at week 24.
†Pregnancy test each month during treatment and for six months after treatment is stopped.
‡Observations: blood pressure, pulse rate, temperature, weight, side effects.
NB: In case of common side effects within first three months, liaise with liver clinic/specialist/specialist nurse.
NB: Review weeks by specialist may be altered to accommodate for changes in client conditions.
Interferon and ribavirin prescription Sp Sp Sp Sp Sp
Liver function tests (including ALT) Sp GP Sp Sp Sp Sp Sp Sp Sp Sp Sp Sp Sp Sp
Full blood count Sp GP GP GP Sp Sp Sp Sp Sp Sp Sp Sp Sp Sp Sp Sp
Thyroid function test
(TSH and thyroxine) Sp Sp Sp Sp Sp
PCR Sp Sp* Sp
Lipids Sp Sp Sp Sp Sp
Urea and electrolytes (including glucose and urate) Sp GP Sp Sp Sp Sp Sp Sp Sp Sp Sp Sp Sp Sp
Pregnancy test† Sp/Gp Sp/GP Sp Sp/GP Sp Sp/GP Sp/GP Sp Sp/GP Sp/GP Sp
Gp GP
Observations‡ Sp GP GP GP Sp Sp Sp Sp Sp Sp Sp Sp Sp Sp Sp Sp

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