HCV reinfection after HCV therapy among HIV/HCV‐coinfected individuals in Europe Article Swipe
Sarah Amele
,
Anastasia Karachalia Sandri
,
Alison Rodger
,
Linos Vandekerckhove
,
Thomas Benfield
,
Ana Milinkovic
,
Claudine Duvivier
,
Hans‐Jürgen Stellbrink
,
Helen Sambatakou
,
Nikoloz Chkhartishvili
,
Luís Caldeira
,
Monserrat Laguno
,
Peré Domingo
,
Gilles Wandeler
,
Martin Gisinger
,
Elena Kuzovatova
,
Gordana Dragović
,
Brygida Knysz
,
Raimonda Matulionytė
,
Jürgen K. Rockstroh
,
Jens Lundgren
,
Amanda Mocroft
,
Lars Peters
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1111/hiv.13212
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1111/hiv.13212
Objectives Although direct‐acting antivirals (DAAs) can clear HCV in nearly all HIV/HCV‐coinfected individuals, high rates of reinfection may hamper efforts to eliminate HCV in this population. We investigated reinfection after sustained virological response (SVR) in HIV/HCV‐coinfected individuals in Europe. Methods Factors associated with odds of reinfection by 2 years after SVR in EuroSIDA participants with one or more HCV‐RNA test and 2 years follow‐up were assessed using logistic regression. Results Overall, 1022 individuals were included. The median age was 50 (interquartile range: 43–54 years), and most were male (78%), injection drug users (52%), and received interferon (IFN)‐free DAAs (62%). By 24 months, 75 [7.3%, 95% confidence interval (CI): 5.7–8.9%] individuals were reinfected. Among individuals treated prior to 2014, 16.1% were reinfected compared with 4.2% and 8.3%, respectively, among those treated during or after 2014 with IFN‐free and IFN‐based therapy. After adjustment, individuals who had started treatment during or after 2014 with IFN‐free or IFN‐based therapy had significantly lower odds of reinfection (adjusted odds ratio = 0.21, 95% CI: 0.11–0.38; 0.43, 95% CI: 0.22–0.83) compared with those who had received therapy before 2014. There were no significant differences in odds of reinfection according to age, gender, European region, HIV transmission risk group or liver fibrosis. Conclusions Among HIV/HCV‐coinfected individuals in Europe, 7.3% were reinfected with HCV within 24 months of achieving SVR, with evidence suggesting that this is decreasing over time and with use of newer HCV regimens. Harm reduction to reduce reinfection and surveillance to detect early reinfection with an offer of treatment are essential to eliminate HCV.
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Metadata
- Type
- article
- Language
- en
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- https://doi.org/10.1111/hiv.13212
- OA Status
- green
- Cited By
- 6
- References
- 18
- Related Works
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- https://openalex.org/W4200269613
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4200269613Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/hiv.13212Digital Object Identifier
- Title
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HCV reinfection after HCV therapy among HIV/HCV‐coinfected individuals in EuropeWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-12-09Full publication date if available
- Authors
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Sarah Amele, Anastasia Karachalia Sandri, Alison Rodger, Linos Vandekerckhove, Thomas Benfield, Ana Milinkovic, Claudine Duvivier, Hans‐Jürgen Stellbrink, Helen Sambatakou, Nikoloz Chkhartishvili, Luís Caldeira, Monserrat Laguno, Peré Domingo, Gilles Wandeler, Martin Gisinger, Elena Kuzovatova, Gordana Dragović, Brygida Knysz, Raimonda Matulionytė, Jürgen K. Rockstroh, Jens Lundgren, Amanda Mocroft, Lars PetersList of authors in order
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https://doi.org/10.1111/hiv.13212Publisher landing page
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
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https://hdl.handle.net/11380/1280395Direct OA link when available
- Concepts
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Medicine, Virology, Human immunodeficiency virus (HIV), Hepatitis C, Hepatitis C virus, Immunology, VirusTop concepts (fields/topics) attached by OpenAlex
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6Total citation count in OpenAlex
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2025: 1, 2024: 2, 2022: 3Per-year citation counts (last 5 years)
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18Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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