Intrafamilial transmission of hepatitis C virus infection

Eliseo Minola1, Vincenzo Baldo, Tatjana Baldovin

  • 1Department of Infectious Diseases, Bergamo Hospital, Bergamo, Italy.

Insights

Intrafamilial Hepatitis C Virus (HCV) transmission is debated. Sexual partners of intravenous drug users face the highest HCV risk, but drug use itself is a key independent factor for infection.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Public Health

Background:

  • The transmission dynamics of Hepatitis C Virus (HCV) within families remain incompletely understood.
  • Controversy exists regarding the significance of intrafamilial HCV spread.

Purpose of the Study:

  • To investigate the role and risk factors of intrafamilial Hepatitis C Virus (HCV) transmission.
  • To identify specific populations at higher risk for HCV infection within family units.

Main Methods:

  • A study involving 2856 Hepatitis C Virus (HCV)-infected index patients and their family members.
  • Interviews with index cases to determine risk factors, alongside serological and molecular testing (HBsAg, anti-HBc, HIV, HCV-RNA, genotyping).

Main Results:

  • HCV infection was detected in 2.1% of family members and 13.8% of sexual partners.
  • Offspring infection risk was higher if the index case was female.
  • Sexual partners of index cases with a history of intravenous drug use (IVD) showed significantly higher HCV risk compared to those with transfusion history.

Conclusions:

  • Sexual partners of intravenous drug (IVD) users are at the highest risk for Hepatitis C Virus (HCV) infection among family contacts.
  • While sexual transmission is a concern, intravenous drug use by sexual partners is an independent risk factor, suggesting complex transmission pathways.
Abstract

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