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Published on: July 16, 2012
Human immunodeficiency virus and hepatitis C virus co-infection
1Mayo Clinic College of Medicine, Rochester, Minnesota, USA. vlahakis.stacey@mayo.edu
Insights
Hepatitis C virus (HCV) co-infection is common and serious in HIV-infected individuals, leading to increased liver disease and mortality. Physicians must prioritize addressing HCV in patients with HIV.
Area of Science:
- Hepatology
- Virology
- Infectious Diseases
Background:
- Hepatitis C virus (HCV) is a primary cause of liver disease and cancer globally.
- HCV shares transmission routes with HIV, leading to high co-infection rates, especially in intravenous drug users.
- Advances in HIV treatment have improved survival, making HCV co-infection a leading cause of morbidity and mortality.
Purpose of the Study:
- To highlight the significant clinical impact of HCV co-infection in HIV-infected individuals.
- To emphasize the growing burden of HCV-related liver disease in the context of improved HIV management.
- To underscore the necessity for physicians to manage HCV in patients with HIV.
Main Methods:
- Literature review and clinical data synthesis on HIV/HCV co-infection.
- Analysis of epidemiological trends and clinical outcomes.
- Review of treatment implications for co-infected patients.
Main Results:
- Approximately 30% of HIV-infected individuals are co-infected with HCV, rising to 90% in intravenous drug users.
- HCV co-infection is now a major cause of illness and death in HIV patients, surpassing opportunistic infections.
- HIV accelerates HCV liver disease progression and viremia, while HCV can impede HIV therapy.
Conclusions:
- HIV/HCV co-infection is a prevalent and critical health issue requiring urgent medical attention.
- Effective management of HCV is essential for improving long-term outcomes in the growing population of HIV-survivors.
- Physicians globally must integrate HCV screening and treatment into the care of HIV-infected patients.
Abstract:
Hepatitis C virus (HCV) infection is a major cause of liver disease and hepatocellular carcinoma worldwide, as well as the leading cause of liver transplantations in the United States. As a result of similar modes of transmission, approximately 30% of HIV-infected individuals are co-infected with HCV. Among intravenous drug users, almost 90% of people infected with HIV are also infected with HCV. Because of treatment with highly active anti-retroviral therapy, HIV-infected individuals have improved survival and are no longer suffering from opportunistic infections and malignancy as in years past. As a result, co-infection with HCV has now become a frequent cause of morbidity and mortality in HIV-infected individuals. Furthermore, liver disease secondary to HCV infection is now the leading cause of hospital deaths in HIV-infected people in the US. HIV infection accelerates the course of HCV-related liver disease and viremia. It is less clear whether HCV infection affects the clinical course of HIV; however, HCV-related liver disease can limit many individuals from receiving anti-HIV therapy. HIV/ HCV co-infection is common, and serious. Physicians caring for HIV-infected patients worldwide must now address hepatitis C virus co-infection.
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