Hepatitis C virus infection in haemodialysis and kidney transplant patients

Seema Baid-Agrawal1, Manuel Pascual, Darius Moradpour

  • 1Department of Nephrology and Medical Intensive Care, Campus Virchow-Klinikum, Charite Universitatsmedizin Berlin, Berlin, Germany. seema.baid-agrawal@charite.de

Insights

Chronic hepatitis C virus (HCV) infection impacts survival in dialysis and kidney transplant patients. Treating HCV before transplantation is recommended, as antiviral therapy is risky post-transplant.

Area of Science:

  • Nephrology
  • Hepatology
  • Virology

Background:

  • Chronic hepatitis C virus (HCV) infection is a global health issue.
  • HCV prevalence is elevated in haemodialysis and kidney transplant recipients.
  • HCV negatively impacts survival and graft outcomes in these patient populations.

Purpose of the Study:

  • To review the impact of HCV on haemodialysis and kidney transplant patients.
  • To discuss current and evolving antiviral treatment strategies.
  • To highlight the need for further clinical trials.

Main Methods:

  • Literature review of HCV in renal disease patients.
  • Analysis of survival and graft outcomes.
  • Evaluation of antiviral therapy efficacy and safety.

Main Results:

  • HCV infection adversely affects survival in haemodialysis patients.
  • HCV negatively impacts patient and graft survival post-kidney transplantation.
  • Kidney transplantation improves survival compared to dialysis, even with HCV.
  • Interferon-based antiviral therapy poses risks post-transplantation.

Conclusions:

  • HCV infection should not preclude kidney transplantation.
  • Antiviral treatment before transplantation is the preferred strategy.
  • Further multi-center trials are essential to optimize HCV treatment in these patients.

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