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Updated Pathway to Micro-elimination of Hepatitis C Virus in the Hemodialysis Population

Arun Rajasekaran1, Ricardo A Franco2, Edgar T Overton2

  • 1Department of Medicine, Division of Nephrology, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Kidney International Reports
|July 26, 2021
PubMed

Chronic hepatitis C virus (HCV) infection continues to be transmitted to hemodialysis (HD) patients within HD facilities globally. The goal of the World Health Organization to micro-eliminate HCV infection from the HD population by the year 2030 is not on target to be achieved. Obstacles to eliminate HCV in HD settings remain daunting due to a complex system created by a confluence of guidelines, legislation, regulation, and economics. HCV prevalence remains high and seroconversion continues among the HD patient population globally as a result of the HD procedure. Preventive strategies that effectively prevent HCV transmission, treatment-as-prevention, and rapid referral to treatment balanced with kidney transplant candidacy should be added to the current universal precautions approach. A safer system must be designed before HCV transmission can be halted and eliminated from the HD population.

Keywords:
HCVdiagnosishemodialysishepatitis C viruskidney transplantationmicro-eliminationtransmissiontreatment

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