Hepatitis C virus infections in the Swiss HIV Cohort Study: a rapidly evolving epidemic.
Open accessAbstract
BACKGROUND: Hepatitis C virus (HCV) infection has a growing impact on morbidity and mortality in patients infected with human immunodeficiency virus (HIV). We assessed trends in HCV incidence in the different HIV transmission groups in the Swiss HIV Cohort Study (SHCS). METHODS: HCV infection incidence was assessed from 1998, when routine serial HCV screening was introduced in the SHCS, until 2011. All HCV-seronegative patients with at least 1 follow-up serology were included. Incidence rates (IRs) of HCV infections were compared between men who have sex with men (MSM), injection drug users (IDU), and heterosexuals (HET). RESULTS: HCV incidence was assessed in 3333 MSM, 123 IDU, and 3078 HET with a negative HCV serology at baseline. Over 23 707 person-years (py) for MSM, 733 py for IDU, and 20 752 py for HET, 101 (3%), 41 (33%), and 25 (1%) of patients seroconverted, respectively. The IR of HCV infections in MSM increased from 0.23 (95% credible interval [CrI], .08-.54) per 100 py in 1998 to 4.09 (95% CrI, 2.57-6.18) in 2011. The IR decreased in IDU and remained <1 per 100 py in HET. In MSM, history of inconsistent condom use (adjusted hazard ratio [HR], 2.09; 95% CI, 1.33-3.29) and past syphilis (adjusted HR, 2.11; 95% confidence interval [CI], 1.39-3.20) predicted HCV seroconversion. CONCLUSIONS: In the SHCS, HCV infection incidence decreased in IDU, remained stable in HET, and increased 18-fold in MSM in the last 13 years. These observations underscore the need for improved HCV surveillance and prevention among HIV-infected MSM.
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Sexual transmission of HCV can occur and is most common among MSM with HIV infection.
“Sexual transmission of HCV can occur and is most common among MSM with HIV infection (234–237).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [235]
The Discussion identifies high-risk sexual behavior as a route of HCV transmission and says most reported HCV transmissions among MSM occurred in HIV-infected patients. But it cautions that infections in HIV-negative MSM may be undercounted, and it does not establish that sexual transmission overall is most common in HIV-infected MSM. (LLM, conf=0.82)
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- Authors
- Wandeler, G., Gsponer, T., Bregenzer, A., Günthard, H. F., Clerc, O., Calmy, A., Stöckle, M., Bernasconi, E., Furrer, H., & Rauch, A.
- Affiliations
- University of Bern (CH)
- Kantonsspital St. Gallen (CH)
- University of Zurich (CH)
- Centre Hospitalier Universitaire Vaudois (CH)
- University Hospital of Geneva (CH)
- University Hospital of Basel (CH)
- Ospedale regionale di Lugano (CH)
- Corresponding author
- Wandeler, Gilles
- ORCID
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-08-14
- Volume
- 55
- Issue
- 10
- Pages
- 1408-1416
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- OpenAlex
- W2123785669
- Cited by
- 241
- References
- 40
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 7 · 2023: 4 · 2022: 7 · 2021: 12 · 2020: 18 · 2019: 18 · 2018: 13 · 2017: 20 · 2016: 37 · 2015: 37 · 2014: 38 · 2013: 24 · 2012: 2
- FWCI
- 20.42
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Clinical Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- SERVAL (Université de Lausanne) (publishedVersion, other-oa)
- Archive ouverte UNIGE (University of Geneva) (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
- reroDoc Digital Library (submittedVersion)
- IRIS (submittedVersion)
- BORIS (University Library Bern) (submittedVersion, other-oa)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich)
- Funders
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
- Topics
- Health Sciences › Medicine › Hepatology › Hepatitis C virus research
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- hepatitis C virus, HIV coinfection, men who have sex with men, people who inject drugs, heterosexual transmission, HCV seroconversion, condom use, syphilis, Swiss HIV Cohort Study
- MeSH terms
- Adult, Female, Hepatitis C, Humans, Male, Risk Factors, Switzerland, Cohort Studies, HIV Infections, Substance Abuse, Intravenous, Incidence, Chi-Square Distribution, Homosexuality, Male, Statistics, Nonparametric, Epidemics
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