Blood Borne Viruses and Sexual Health
Please complete the referral with the general referral criteria and the following additional criteria for:
Hepatitis B
Must have a positive HBsAg test and be over 18 years of age.
Hepatitis B sAg, HcAb, HBVcIgM and HBVSAb Titre are the initial screening tests to determine Hepatitis B status.
If Hepatitis B sAg is positive
- Ultrasound of abdomen
- Hepatitis B, HBeAg, HBeAb, HBV DNA Viral Load)
- Full Blood Count
- Urea and Electrolytes
- Liver Function test
- Cholesterol and Triglycerides
- Coagulation Studies (including INR)
- Iron Studies
- Alpha Fetoprotein / Alpha 1 Antitrypsin
- Hepatitis A IgG
- Hepatitis C antibody
- Hepatitis D antibody
- HIV Antibody screen
- Copper
- Ceruloplasmin
- Thyroid Function Tests
- Anti-Nuclear Antibody Screen
- Smooth muscle antibody
Hepatitis B referral pathway (PDF 934 kB)
Hepatitis C
Hepatitis C (HCV) antibody is the initial screening test. A positive test is a marker of exposure to the virus and not active infection. DO NOT refer at this point. Request ‘HCV-RNA PCR and GENOTYPE and viral load if positive’ on pathology request form.
If HCV-RNA PCR is positive refer with
- Ultrasound of abdomen
- Full Blood Count
- Urea and Electrolytes
- Blood Glucose (HbA1c)
- Liver Function Test
- Cholesterol and Triglycerides
- Thyroid Function Test
- Iron Studies
- Coagulation profile (including INR)
- Alpha Fetoprotein
- Hepatitis A IgG
- Hepatitis B (HBcAb, HBcIgM, HBsAb Titre, HBeAg, HBeAb, HBV DNA viral load)
- HIV antibody screen
- Alpha-1 Antitrypsin
- Anti-Nuclear Antibodies, AMA and Anti-LKM
- Ceruloplasmin and Copper Studies
- Anti-smooth muscle antibody
Hepatitis C referral pathway (PDF 1026 kB)
HIV
- HIV Antibody test result and Western blot
- Contact BBV and SHS staff for clarification
- Refer to BBV and SHS
- CD4 count
- HIV Viral load
- Full Blood Count
- Urea and Electrolytes
- Liver Function Tests
- Hepatitis and Sexually Transmitted Infection (STI) testing (see Sexual Health below)
Sexual Health
Referral to BBV and SHS for:
- Routine Sexually Transmitted Infections (STI) screening & treatment
- Post positive diagnosis follow-up
Recommended STI screening investigations include:
- First Void PCR urine- Chlamydia and Gonorrhoea N
- PCR rectal / Throat swab - Chlamydia and Gonorrhoea N (Gay MSM)
- Throat and rectal swabs MCS (Gay MSM)
- Discharge urethral/vaginal MCS (all)
- Bloods: HIV Ab, Syphilis serology - RPR TPPA, HBVSAg, HBV cAb, HBVsAb Titre,HCV Ab, HAV,IGG
