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Hepatitis C virus infection and prisoners: Epidemiology, outcome and treatment

Identifieur interne : 000050 ( Pmc/Curation ); précédent : 000049; suivant : 000051

Hepatitis C virus infection and prisoners: Epidemiology, outcome and treatment

Auteurs : Rosa Zampino ; Nicola Coppola ; Caterina Sagnelli ; Giovanni Di Caprio ; Evangelista Sagnelli

Source :

RBID : PMC:4577639

Abstract

The studies on hepatitis C virus (HCV) infection in prison populations are few and mostly cross-sectional. We analyzed prevalently the articles appearing on PubMed in the last ten years. HCV infection is frequent in prisoners, prevalences ranging from 3.1% to 38% according to the HCV endemicity in the geographical location of the prison and in the countries of origin of the foreign prisoners and to the prevalence of intravenous drug use, which is the most important risk factor for HCV infection, followed by an older age of prisoners and previous prison terms. HCV replication in anti-HCV-positive cases varies from 45% to 90% in different studies, and the most common HCV genotypes are generally 1 and 3. The response to antiviral treatment is similar in prisoners to that of the general population. Unfortunately, treatment is administered less frequently to prisoners because of the difficulties in management and follow-up. The new directly acting antivirals offer a good therapy option for inmates because of their good efficacy, short duration of treatment and low incidence of side effects. The efforts of the prison authorities and medical staff should be focused on reducing the spread of HCV infection in prisons by extending the possibility of follow-up and treatment to more prisoners with chronic hepatitis C.


Url:
DOI: 10.4254/wjh.v7.i21.2323
PubMed: 26413221
PubMed Central: 4577639

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PMC:4577639

Le document en format XML

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<title level="j">World Journal of Hepatology</title>
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<p>The studies on hepatitis C virus (HCV) infection in prison populations are few and mostly cross-sectional. We analyzed prevalently the articles appearing on PubMed in the last ten years. HCV infection is frequent in prisoners, prevalences ranging from 3.1% to 38% according to the HCV endemicity in the geographical location of the prison and in the countries of origin of the foreign prisoners and to the prevalence of intravenous drug use, which is the most important risk factor for HCV infection, followed by an older age of prisoners and previous prison terms. HCV replication in anti-HCV-positive cases varies from 45% to 90% in different studies, and the most common HCV genotypes are generally 1 and 3. The response to antiviral treatment is similar in prisoners to that of the general population. Unfortunately, treatment is administered less frequently to prisoners because of the difficulties in management and follow-up. The new directly acting antivirals offer a good therapy option for inmates because of their good efficacy, short duration of treatment and low incidence of side effects. The efforts of the prison authorities and medical staff should be focused on reducing the spread of HCV infection in prisons by extending the possibility of follow-up and treatment to more prisoners with chronic hepatitis C.</p>
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<journal-id journal-id-type="nlm-ta">World J Hepatol</journal-id>
<journal-id journal-id-type="publisher-id">WJH</journal-id>
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<journal-title>World Journal of Hepatology</journal-title>
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<issn pub-type="ppub">1948-5182</issn>
<issn pub-type="epub">1948-5182</issn>
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<publisher-name>Baishideng Publishing Group Inc</publisher-name>
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<article-id pub-id-type="pmid">26413221</article-id>
<article-id pub-id-type="pmc">4577639</article-id>
<article-id pub-id-type="other">jWJH.v7.i21.pg2323</article-id>
<article-id pub-id-type="doi">10.4254/wjh.v7.i21.2323</article-id>
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<subject>Review</subject>
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<article-title>Hepatitis C virus infection and prisoners: Epidemiology, outcome and treatment</article-title>
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<surname>Zampino</surname>
<given-names>Rosa</given-names>
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<aff>Rosa Zampino, Department of Medical, Surgical, Neurological, Metabolic and Geriatric Sciences, Internal Medicine, Second University Naples, 80135 Naples, Italy</aff>
<aff>Nicola Coppola, Giovanni Di Caprio, Department of Mental Health and Public Medicine, Section of Infectious Diseases, Second University Naples, 80135 Naples, Italy</aff>
<aff>Caterina Sagnelli, Department of Clinical and Experimental Medicine and Surgery “F. Magrassi e A. Lanzara”, Second University Naples, 80135 Naples, Italy</aff>
<aff>Evangelista Sagnelli, Department of Mental Health and Public Medicine, Second University Naples, 80135 Naples, Italy</aff>
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<author-notes>
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<p>Author contributions: Zampino R had conceived and drafted the article, and approved the final version; Sagnelli C and Di Caprio G reviewed the literature, contributed to drafting the article and approved the final version; Coppola N and Sagnelli E critically reviewed the manuscript and approved the final version of this article.</p>
<p>Correspondence to: Rosa Zampino, MD, PhD, Department of Medical, Surgical, Neurological, Metabolic and Geriatric Sciences, Internal Medicine, Second University Naples, Via Pansini 5, Edificio 3, 80135 Naples, Italy.
<email>rosa.zampino@unina2.it</email>
</p>
<p>Telephone: +39-81-5666708 Fax: +39-81-5666707</p>
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<pub-date pub-type="ppub">
<day>28</day>
<month>9</month>
<year>2015</year>
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<month>9</month>
<year>2015</year>
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<volume>7</volume>
<issue>21</issue>
<fpage>2323</fpage>
<lpage>2330</lpage>
<history>
<date date-type="received">
<day>23</day>
<month>4</month>
<year>2015</year>
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<date date-type="rev-recd">
<day>5</day>
<month>8</month>
<year>2015</year>
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<date date-type="accepted">
<day>7</day>
<month>9</month>
<year>2015</year>
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<permissions>
<copyright-statement>©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.</copyright-statement>
<copyright-year>2015</copyright-year>
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<abstract>
<p>The studies on hepatitis C virus (HCV) infection in prison populations are few and mostly cross-sectional. We analyzed prevalently the articles appearing on PubMed in the last ten years. HCV infection is frequent in prisoners, prevalences ranging from 3.1% to 38% according to the HCV endemicity in the geographical location of the prison and in the countries of origin of the foreign prisoners and to the prevalence of intravenous drug use, which is the most important risk factor for HCV infection, followed by an older age of prisoners and previous prison terms. HCV replication in anti-HCV-positive cases varies from 45% to 90% in different studies, and the most common HCV genotypes are generally 1 and 3. The response to antiviral treatment is similar in prisoners to that of the general population. Unfortunately, treatment is administered less frequently to prisoners because of the difficulties in management and follow-up. The new directly acting antivirals offer a good therapy option for inmates because of their good efficacy, short duration of treatment and low incidence of side effects. The efforts of the prison authorities and medical staff should be focused on reducing the spread of HCV infection in prisons by extending the possibility of follow-up and treatment to more prisoners with chronic hepatitis C.</p>
</abstract>
<kwd-group>
<kwd>Prisoners</kwd>
<kwd>Management</kwd>
<kwd>Treatment</kwd>
<kwd>Care</kwd>
<kwd>Chronic hepatitis C</kwd>
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