Cited by 241Hepatitis C virus researchHIV, Drug Use, Sexual RiskHIV/AIDS Research and Interventions

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Hepatitis C virus infections in the Swiss HIV Cohort Study: a rapidly evolving epidemic.

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Wandeler, Gilles, Gsponer, Thomas, Bregenzer, Andrea, Günthard, Huldrych F., Clerc, Olivier, Calmy, Alexandra, Stöckle, Marcel, Bernasconi, Enos, Furrer, Hansjakob, Rauch, Andri·2012·Clinical Infectious Diseases

DOI 10.1093/cid/cis694

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Abstract

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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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: Wandeler, Gilles
Gsponer, Thomas
Bregenzer, Andrea
Günthard, Huldrych F.
Calmy, Alexandra
Bernasconi, Enos
Furrer, Hansjakob
Rauch, Andri
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
DOI: 10.1093/cid/cis694
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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Hepatitis C virus infections in the Swiss HIV Cohort Study: a rapidly evolving epidemic.

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