Publications by authors named "Carla Gorton"

Article Synopsis
  • A study evaluated a hepatitis C care model in Cairns, Australia, which integrated financial incentives to enhance patient engagement in testing and treatment for those with a history of injecting drugs.
  • Between March 2020 and May 2021, clients received AUD 20 for participating in various stages of hepatitis C care, leading to significant improvements in treatment initiation, completion, and sustained virological response compared to standard care practices.
  • Results showed that financial incentives led to a higher percentage of participants beginning (86% vs. 75%), completing (75% vs. 40%), and achieving sustained viral response (68% vs. 17%) in comparison to the previous 11 months without incentives.
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This study evaluated HCV treatment initiation among people who inject drugs (PWID) following an intervention of campaign days involving peer connection, point-of-care HCV RNA testing, and linkage to nursing support. ETHOS Engage is an observational cohort study of PWID attending 25 drug treatment clinics and needle and syringe programs in Australia (May 2018-September 2019). Point-of-care results were provided to the nurse, facilitating confirmatory testing and treatment.

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Article Synopsis
  • This study examined hospitalisation rates for skin and soft tissue infections (SSTIs) among people who inject drugs (PWID) in Australia, finding that 40% were admitted for drug-related issues, with 20% specifically for SSTIs.* -
  • The research highlighted that women and homeless individuals had higher chances of being hospitalised for SSTIs compared to those with non-bacterial harms, and both groups had an increased hospitalisation risk after being released from prison.* -
  • The conclusions emphasize the need for community-based interventions targeting at-risk groups, such as women and the homeless, to help prevent SSTIs and related hospital admissions among PWID.*
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Background: Evaluating progress towards hepatitis C virus (HCV) elimination is critical. This study estimated prevalence of current HCV infection and HCV treatment uptake among people who inject drugs (PWID) in Australia.

Methods: The Enhancing Treatment of Hepatitis C in Opioid Substitution Settings Engage is an observational study of PWID attending drug treatment clinics and needle and syringe programs (NSPs).

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Gaps in hepatitis C virus (HCV) testing, diagnosis, liver disease assessment and treatment uptake among people who inject drugs (PWID) persist. We aimed to describe the cascade of HCV care among PWID in Australia, prior to and following unrestricted access to direct-acting antiviral (DAA) treatment. Participants enrolled in an observational cohort study between 2014 and 2018 provided fingerstick whole-blood samples for dried blood spot, Xpert HCV Viral Load and venepuncture samples.

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Background: Uptake of hepatitis C virus (HCV) testing remains inadequate globally. Simplified point-of-care tests should enhance HCV diagnosis and elimination. We aimed to assess the acceptability of finger-stick and venepuncture HCV RNA testing among people who inject drugs (PWID).

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Micro-elimination of hepatitis C virus (HCV) infection through rapid uptake of government-funded direct-acting antiviral therapy within an Australian prison setting is demonstrated. During a 22-month period, 119 patients initiated treatment for chronic HCV infection, with HCV in-prison viremic prevalence declining from 12% to 1%.

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Background: Point-of-care hepatitis C virus (HCV) RNA testing offers an advantage over antibody testing (which only indicates previous exposure), enabling diagnosis of active infection in a single visit. In this study, we evaluated the performance of the Xpert HCV Viral Load assay with venepuncture and finger-stick capillary whole-blood samples.

Methods: Plasma and finger-stick capillary whole-blood samples were collected from participants in an observational cohort enrolled at five sites in Australia (three drug and alcohol clinics, one homelessness service, and one needle and syringe programme).

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Background:   Emergency contraception (EC) has been available as a Schedule 3 (over-the-counter, OTC) medication through Australian pharmacies since 2004. This study aimed to describe OTC EC dispensing services in pharmacies in the Cairns and Hinterland Health Service District and to explore the knowledge and attitudes of pharmacy staff. The study findings will assist in developing resources to support pharmacy staff in their OTC EC provision role.

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