Interventions to improve hepatitis C virus care among people in prisons is lacking, according to a recent review. The systematic review examined evidence on the effectiveness of interventions to increase HCV testing, linkage to care, and treatment uptake among persons in prisons. Researchers found:
- 475 articles were identified, 29 were eligible for full text review, and 6 studies were included.
- Interventions to enhance HCV testing in prison settings included combination risk-based and birth-cohort screening strategies, on-site nurse-led opt-in screening clinics with pre-test counseling and educations, and systematic dried blood spot testing.
- All interventions increased HCV testing, but risk of study bias was high in all studies.
- Interventions to enhance linkage to care included facilitated referral for HCV assessment and scheduling of specialist appointments.
Kronfli N, Linthwaite B, Kouyoumdjian F, et al. Interventions to increase testing, linkage to care and treatment of hepatitis C virus (HCV) infection among people in prisons: A systematic review. Int J Drug Policy. 2018;57:95-103. doi:10.1016/j.drugpo.2018.04.003.
This Week's Must Reads
Must Reads in Hepatitis
Glecaprevir/Pibrentasvir Efficacy & Safety Assessed, J Hepatol; ePub 2018 Nov 23; D’Ambrosio, et al
HCV Infection Among Children & Young Persons, J Hepatol; ePub 2018 Nov 26; Modin, et al
HCV Patients with Limited Access to Antiviral Therapy, Dig Liver Dis; ePub 2018 Nov 29; Lens, et al
Progression in the Elimination of HCV Infection, PLoS One; ePub 2018 Dec 4; Juanbeltz, et al
Increased HCV Screening in Veteran Populations, Jt Comm J Qual Patient Saf; ePub 2018 Sep 25; Wray, et al