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HCV Genotype Distribution Among People Who Inject Drug in Turkey: Findings from Multicenter and Cross-Sectional
Nesrin Dilbaz1, Murat Kuloğlu2, Ekrem Cuneyt Evren3
1Faculty of Medicine, Uskudar University, İstanbul, Turkey.
Substance Abuse : Research and Treatment
|March 3, 2023
Summary
Hepatitis C virus (HCV) genotype 3 is most common in Turkish people who inject drugs, but prevalence varies regionally. Tailored screening and treatment strategies are essential for HCV elimination in this population.
Area of Science:
- Hepatology
- Infectious Diseases
- Public Health
Background:
- Hepatitis C virus (HCV) is highly prevalent among people who inject drugs (PWID).
- Understanding HCV genotype distribution is critical for effective management strategies in PWID.
- This study focuses on mapping HCV genotype prevalence across different regions in Turkey.
Purpose of the Study:
- To determine the prevalence and distribution of Hepatitis C virus genotypes among people who inject drugs in Turkey.
- To provide data for developing targeted prevention and treatment strategies for HCV in the PWID population.
Main Methods:
- A prospective, multicenter, cross-sectional study involving 197 anti-HCV antibody-positive PWID.
- Data collected through interviews and blood samples for HCV RNA viral load and genotyping.
- Study conducted across 4 addiction treatment facilities in Turkey.
Main Results:
- Genotype 3 (44.1%) was the most prevalent, followed by genotype 1a (41.9%).
- Genotype 3 dominated in Central Anatolia, while genotypes 1a and 3 showed similar frequencies in the south and northwest.
- A detectable HCV-RNA viral load was found in 9.1% of the participants.
Conclusions:
- HCV genotype distribution in Turkish PWID varies geographically, with genotype 3 being predominant overall.
- Genotype-specific screening and treatment are necessary for HCV elimination in PWID.
- Identifying genotypes is crucial for personalized treatment and national prevention strategies.
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