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Incidence and Progression to Cirrhosis of New HCV infections in Persons Living with HIV.

Puoti, M; Lorenzini, P; Cozzi-Lepri, A; Gori, A; Mastroianni, C; Rizzardini, G; Mazzarello, G; ... Icona Foundation Study Group, .; + view all (2017) Incidence and Progression to Cirrhosis of New HCV infections in Persons Living with HIV. Clinical Microbiology and Infection , 23 (4) 267.e1-267.e4. 10.1016/j.cmi.2016.12.003. Green open access

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Abstract

OBJECTIVE: To estimate the incidence of HCV seroconversion and the risk of severe fibrosis/cirrhosis in HCV seroconverters among persons with HIV. METHODS: We analyzed data on 4,059 persons with HIV enrolled in a cohort study in Italy. RESULTS: Incidence rate of seroconversion was 0.6/100 person-years overall, and drug users and men-who-have-sex-with-men were at highest risk. The cumulative risk of progression to severe fibrosis/cirrhosis was 30% by 10 years after seroconversion. CONCLUSIONS: New HCV infections have a rapidly progressive course in this population. Persons with HIV and HCV superinfection should be prioritized for treatment with anti-HCV direct-acting antivirals.

Type: Article
Title: Incidence and Progression to Cirrhosis of New HCV infections in Persons Living with HIV.
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.cmi.2016.12.003
Publisher version: http://dx.doi.org/10.1016/j.cmi.2016.12.003
Language: English
Additional information: © 2016. This manuscript version is published under a Creative Commons Attribution Non-commercial Non-derivative 4.0 International licence (CC BY-NC-ND 4.0). This licence allows you to share, copy, distribute and transmit the work for personal and non-commercial use providing author and publisher attribution is clearly stated. Further details about CC BY licences are available at http://creativecommons.org/licenses/by/4.0. Access may be initially restricted by the publisher.
Keywords: HIV, cirrhosis, cohort study, hepatitis C virus, incidence
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health > Infection and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/1533199
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