학술논문

HCV treatment rates and sustained viral response among people who inject drugs in seven UK sites: real world results and modelling of treatment impact
Document Type
article
Source
Journal of Viral Hepatitis. 22(4)
Subject
Medical Microbiology
Biomedical and Clinical Sciences
Prevention
Digestive Diseases
HIV/AIDS
Substance Misuse
Emerging Infectious Diseases
Chronic Liver Disease and Cirrhosis
Drug Abuse (NIDA only)
Hepatitis - C
Hepatitis
Liver Disease
Infectious Diseases
Infection
Good Health and Well Being
Antiviral Agents
Hepacivirus
Hepatitis C
Humans
Models
Statistical
Substance Abuse
Intravenous
Treatment Outcome
United Kingdom
Viral Load
antiviral treatment
direct acting antivirals
hepatitis C virus
injecting drug users
people who inject drugs
prevention
sustained viral response
Microbiology
Clinical Sciences
Gastroenterology & Hepatology
Clinical sciences
Medical microbiology
Language
Abstract
Hepatitis C virus (HCV) antiviral treatment for people who inject drugs (PWID) could prevent onwards transmission and reduce chronic prevalence. We assessed current PWID treatment rates in seven UK settings and projected the potential impact of current and scaled-up treatment on HCV chronic prevalence. Data on number of PWID treated and sustained viral response rates (SVR) were collected from seven UK settings: Bristol (37-48% HCV chronic prevalence among PWID), East London (37-48%), Manchester (48-56%), Nottingham (37-44%), Plymouth (30-37%), Dundee (20-27%) and North Wales (27-33%). A model of HCV transmission among PWID projected the 10-year impact of (i) current treatment rates and SVR (ii) scale-up with interferon-free direct acting antivirals (IFN-free DAAs) with 90% SVR. Treatment rates varied from