Hepatitis C: in Piedmont several ser.d who have started screening in outpatient clinics

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Hepatitis C: in Piedmont several ser.d who have started screening in outpatient clinics

Point of care at local addiction services effective model for taking charge of the substance consumer

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Novara – “As regards the screening policies in the region, I would say that we are well advanced. I am referring to the population with substance use disorder. There are several Ser.D. of Piedmont who have started screening for hepatitis C in their clinics. For example, in my ASL we already left on 9 May, thus complying with the mandate deriving from the implementing Decree of 14 May 2021 ex post the Milleproroghe Decree and also with the regional guidelines on screening for hepatitis C “. This was stated by Dr. Liborio Martino Cammarata, Director of the Department of Addiction Pathology in North-East Piedmont, who spoke on the occasion of the ECM training course on the management of drug addicts with hepatitis C, organized by the provider Letscom E3 with the unconditional contribution of AbbVie. The course, entitled ‘HEPATITIS C IN THE PATIENT WITH DUS – New intervention models and local experiences in the Piedmont Region’, is part of ‘HAND – Hepatitis in Addiction Network Delivery’, the networking project at national level sponsored by four scientific societies (SIMIT, FeDerSerD, SIPaD and SITD) which since 2019 has involved the Addiction Services and HCV treatment centers belonging to various Italian cities.

During his speech, Dr. Cammarata underlined that “it is possible to reach a Point of Care policy at the local Addiction Services. We have known for some time that this is an effective model for taking charge of the substance consumer, precisely because the actions they need take place on a preordained and sequential path that helps to remove the referral barriers, facilitating within the Ser .D. the diagnosis and access to treatment of special populations and contributing to the elimination of the hepatitis C virus “.

“In the three phases – Cammarata also pointed out – the most problematic is phase 2, it is the most critical, as it provides for a specialist evaluation that should be followed by the infectious disease specialist and the hepatologist with a quantified use of fibroscan, for example example, to complete the assessment and facilitate the initiation of treatment. Therefore, it goes without saying that if this specialist evaluation is considered ‘conditio sine qua non’ to start the treatment, it will be necessary to think about how these specialists can be present within the Ser.D. and, at the same time, it will also be necessary to see additional and certain expense items for technological tools and laboratory tests “.
The course was also attended by Professor Mario Pirisi, Full Professor, Department of Translational Medicine of the University of Eastern Piedmont, who emphasized how to shorten the Test & Treat path of the complex patient. “Test & Treat – he informed – means that we shorten the time necessary to make some investigations, such as staging, before starting the treatment. Today, this path can be done in a very simplified way, because we have extremely effective drugs available that can be equally active in different conditions, even in advanced disease. We can therefore decide to cut staging investigations in certain situations. In fact, in tertiary reference centers such as the University Hospital of Novara, it is possible to carry out the clinical classification, the staging assessment and start the treatment in the same session “.

Finally, Professor Pirisi emphasized the difficulties that arise in collaborating with various healthcare companies. “It is easy to say – he explained – that collaborating with the regional and national health system is a combination that we cannot define as just everyday. But already the same presence, mine and Dr. Cammarata, in the same interview shows that it can be done, that in reality we can also talk to each other between realities such as a university hospital and an ASL, which are destined to do different things. In my opinion, everything works based on how much people are willing and willing to collaborate. With Liborio we have been working on this topic for some time. I am therefore very optimistic that at least in our area we will be able to do all the things in good time ”, he concluded.

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