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Published on: July 24, 2016
Hepatitis C Virus Exposure and Infection in the Perinatal Period
Mine Varol1, Ndeye Licka Dieye1,2, Michael Zang3
1Department of Pediatrics, Division of Pediatric Infectious Diseases, International Enteric Vaccine Research Program (IEVRP), University at Buffalo, State University of New York, Buffalo, NY, USA.
Insights
Hepatitis C virus (HCV) infection disproportionately affects underserved communities. Early screening and treatment for mothers and infants are crucial to prevent chronic hepatitis C and its complications.
Area of Science:
- Hepatology
- Infectious Diseases
- Public Health
Background:
- Hepatitis C virus (HCV) infection is a major global cause of liver disease.
- Untreated hepatitis C can lead to severe complications like cirrhosis and liver cancer.
- HCV poses a significant risk to infants born to infected mothers.
Purpose of the Study:
- To review the epidemiology of hepatitis C in perinatally exposed children.
- To examine clinical features, diagnosis, and treatment strategies.
- To assess prevention methods for hepatitis C in this vulnerable population.
Main Methods:
- Searched public databases (MEDLINE, PubMed) for relevant articles.
- Included data from major health organizations (CDC, FDA, WHO, NIH).
- Focused on literature published between 2006 and 2021.
Main Results:
- HCV prevalence is rising in US women of childbearing age, linked to drug use and socioeconomic factors.
- Vertical transmission risk is 6%, with 75% of infected infants developing chronic hepatitis C.
- Delayed diagnosis and follow-up increase risks for complications in exposed infants.
Conclusions:
- Hepatitis C disproportionately impacts underserved communities.
- Early screening of mothers and infants is vital for timely diagnosis and treatment.
- Policy changes are needed to address healthcare inequities in maternal and infant HCV care.
Background:
Hepatitis C virus infection is a leading cause of blood-borne hepatitis disease worldwide. Hepatitis C is a silent liver disease that, without treatment, leads to late-onset complications, including chronic hepatitis, liver cirrhosis, and hepatocellular carcinoma, in 10-40% of patients.
Objective:
This study aimed to review the epidemiology, clinical features, diagnosis, treatment, and prevention of hepatitis C among perinatally exposed children.
Methods:
Public databases, including MEDLINE and PubMed, and websites from the Centers for Disease Control and Prevention, the Food and Drug Administration, the World Health Organization, and the National Institutes of Health were searched for relevant articles published between 2006 and 2021.
Results:
The prevalence of hepatitis C has increased among women of childbearing age in the United States and is associated with risk factors, such as intravenous drug use, health inequities, and low socioeconomic background. Infants born to hepatitis C virus-infected mothers have a 6% risk of vertical transmission, and among those infected, 75% will develop chronic hepatitis C and late complications. However, hepatitis C-exposed infants are frequently lost to follow-up, and those infected have delayed diagnosis and treatment and are at high risk for late-onset complications. Direct- acting antivirals and the establishment of effective treatment guidelines cure hepatitis C virus infections.
Conclusion:
Hepatitis C predominantly affects underserved communities. Early screening of mothers and infants is critical for the diagnosis, treatment, and prevention of chronic infections and lateonset complications. New policies are needed to address hepatitis C health care inequities affecting mothers and infants in the United States.
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