Hepatitis C polymerase chain reaction testing by GPs

Background Approximately 75% of patients exposed to the hepatitis C virus will become chronically infected. Polymerase chain reaction (PCR) testing more than 6 months after exposure is necessary to identify this group. This pilot study assessed the practical application of PCR testing in the general practice context. Methods General practitioners of patients newly notified as positive for hepatitis C antibody between 1 August 2007 and 1 August 2012 were invited to participate. They completed a self-administered survey, recording details on the use of hepatitis C PCR testing in their patients. Results The survey found that 16 patients (46%) did not undergo any PCR testing for hepatitis C. Of those who underwent PCR testing, 11(58%) were positive on PCR testing but only six (55%) of those with a positive PCR test were retested 6 months later. Discussion Appropriate use of PCR is necessary to identify patients with chronic hepatitis C and offer appropriate referral and treatment.