ACOG Preventive med guidelines and Hep B

From: Patti Tessler, Family Nurse Practitioner (tessler@frontiernet.net)
Thu Oct 26 12:52:31 2000


Does anyone have a reference that explicitly states that ACOG Primary and Preventive Care: Periodic Assessment guidelines include hepatitis B screening (perhaps under the heading of sexually transmitted diseases)? Hep C screening is recommended explicitly for high risk clients, but Hep B screening is not mentioned.

Also, have you had the experience that Hep B screening for clients with a possible risk (e.g. history of multiple sex partners or history of needle drug use) is not covered by private insurance? My office manager advises that clients are not getting coverage for this test unless they have a very specific risk (e.g. recent needlestick or recent diagnosis of sex partner with Hep B).

Thanks in advance for sharing your experiences and insights.

--
Patti Tessler, BSN, MSN, RN, CS
Family Nurse Practitioner




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