دورية أكاديمية

Transmission of hepatitis C virus in HIV-positive and PrEP-using MSM in England.

التفاصيل البيبلوغرافية
العنوان: Transmission of hepatitis C virus in HIV-positive and PrEP-using MSM in England.
المؤلفون: Bradshaw D; Department of HIV and Sexual Health, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK., Vasylyeva TI; Department of Zoology, University of Oxford, Oxford, UK., Davis C; MRC-University of Glasgow Centre for Virus Research, Glasgow, UK., Pybus OG; Department of Zoology, University of Oxford, Oxford, UK., Thézé J; Department of Zoology, University of Oxford, Oxford, UK., Thomson EC; MRC-University of Glasgow Centre for Virus Research, Glasgow, UK., Martinello M; Kirby Institute, University of New South Wales, Sydney, Australia., Matthews GV; Kirby Institute, University of New South Wales, Sydney, Australia., Burholt R; Brighton and Sussex University Hospitals NHS Trust, Brighton, UK., Gilleece Y; Brighton and Sussex University Hospitals NHS Trust, Brighton, UK., Cooke GS; Imperial College London, London, UK., Page EE; Leeds Teaching Hospitals NHS Trust, Leeds, UK., Waters L; Mortimer Market Centre, London, UK., Nelson M; Department of HIV and Sexual Health, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
المصدر: Journal of viral hepatitis [J Viral Hepat] 2020 Jul; Vol. 27 (7), pp. 721-730. Date of Electronic Publication: 2020 Mar 12.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 9435672 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2893 (Electronic) Linking ISSN: 13520504 NLM ISO Abbreviation: J Viral Hepat Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford ; Boston : Blackwell Scientific Publications, 1994-
مواضيع طبية MeSH: HIV Infections* , Pre-Exposure Prophylaxis* , Sexual and Gender Minorities*, Hepatitis C/*transmission, England ; HIV Seropositivity ; Hepacivirus ; Homosexuality, Male ; Humans ; Male ; Phylogeny ; Risk-Taking
مستخلص: We sought to characterize risk factors and patterns of HCV transmission amongst men who have sex with men (MSM). MSM with recently acquired HCV (AHCV) were prospectively recruited ('clinic cohort') between January and September 2017. Clinical data and risk behaviours were identified and blood obtained for HCV whole genome sequencing. Phylogenetic analyses were performed, using sequences from this cohort and two other AHCV cohorts, to identify transmission clusters. Sixteen (40.0%) men in the clinic cohort were HIV-negative MSM. HIV-negative MSM were younger than HIV-positive MSM; most (81.3%) had taken HIV PrEP in the preceding year. Eighteen men (45.0%) reported injection drug use; most (34, 85.0%) reported noninjection drug use in the last year. Most in both groups reported condomless anal sex, fisting and sex in a group environment. Few (7, 17.5%) men thought partners may have had HCV. There were 52 sequences in the HCV genotype 1a phylogeny, 18 from the clinic cohort and 34 from other AHCV cohorts; 47 (90.4%) clustered with ≥1 other sequence. There were 7 clusters of 2-27 sequences; 6 clusters contained HIV-negative and HIV-positive MSM and 1 cluster only HIV-positive MSM. Four of these clusters were part of larger clusters first described in 2007. PrEP-using MSM are at risk of HCV, sharing similar risk factors to HIV-positive MSM. Phylogenetics highlights that PrEP-using and HIV-positive MSM are involved in the same HCV transmission networks. Few men demonstrated HCV awareness and risk reduction strategies should be expanded.
(© 2020 John Wiley & Sons Ltd.)
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معلومات مُعتمدة: EME/14/02/17 United Kingdom DH_ Department of Health; MC_UU_12014/1 United Kingdom MRC_ Medical Research Council; RP-2016-07-012 United Kingdom DH_ Department of Health
فهرسة مساهمة: Keywords: HIV; hepatitis C; men who have sex with men; pre-exposure prophylaxis
تواريخ الأحداث: Date Created: 20200303 Date Completed: 20210811 Latest Revision: 20210811
رمز التحديث: 20231215
DOI: 10.1111/jvh.13286
PMID: 32115809
قاعدة البيانات: MEDLINE