Risk-based hepatitis C virus (HCV) screening in pregnancy is less reliable than universal screening, a recent study found. The retrospective secondary data analysis used electronic medical records (EMR) of pregnant women presenting for antenatal care from January 1 to December 31, 2016. Among women tested for HCV, additional information was gathered on their HCV status, whether they were diagnosed during their pregnancy, and whether they previously had a diagnosed HCV infection. Associations between HCV testing and risk factors were then calculated. Medical records from 1,426 pregnancies were reviewed. Researchers found:
- On average, women had 6.6 prenatal visits.
- Of the 1,426 pregnancies, 7.0% were tested for HCV and 5% had risk factors for HCV.
- However, among women with known HCV risk factors, nearly two-thirds were not screened for HCV.
- 10% of HCV-positive pregnancies occurred in women with no reported risk factor.
Boudova S, Mark K, El-Kamary SS. Risk-based hepatitis C screening in pregnancy is less reliable than universal screening: A retrospective chart review. [Published online ahead of print February 17, 2018]. Open Forum Infect Dis. doi:10.1093/ofid/ofy043.
This Week's Must Reads
Screening for Syphilis Infection in Pregnant Women, JAMA; 2018 Sep 4; US Preventive Services Task Force
Treatment Intensification Guidelines for T2D , Ann Intern Med; ePub 2018 Sep 4; Roglic, et al
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Prevalence of Diabetes Among US Adults, BMJ; ePub 2018 Aug 27; Xu, Liu, et al
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Treatment Uptake for HCV in VA Healthcare System, Clin Infect Dis; ePub 2018 Aug 22; Butt, et al
Prevalence of HCV Among Baby Boomers in US, J Infect Public Health; ePub 2018 Aug 28; Moore, et al
Universal Screening for Chronic HCV Infection, Clin Gastroenterol Hepatol; ePub 2018 Sep 7; Eckman, et al
Health-Related QOL in HIV/HCV Coinfected Patients, J Viral Hepat; ePub 2018 Aug 23; Saeed, et al
HCV Testing of PWID in High-Prevalence Settings, J Viral Hepat; ePub 2018 Jul 26; Scott, et al