Declining HCV seroprevalence in pregnant women with HIV

被引：6

作者：

Floridia, M. ^{[1
]}

Tamburrini, E. ^{[2
]}

Anzidei, G. ^{[3
]}

Tibaldi, C. ^{[4
,5
]}

Muggiasca, M. L. ^{[6
,7
]}

Guaraldi, G. ^{[8
]}

Fiscon, M. ^{[9
]}

Vimercati, A. ^{[10
,11
]}

Martinelli, P. ^{[12
]}

Donisi, A. ^{[13
]}

Dalzero, S. ^{[14
]}

Ravizza, M. ^{[14
]}

机构：

[1] Ist Super Sanita, Dept Therapeut Res & Med Evaluat, I-00161 Rome, Italy

[2] Catholic Univ, Dept Infect Dis, Rome, Italy

[3] INMI Lazzaro Spallanzani, Rome, Italy

[4] Univ Turin, Dept Obstet & Gynecol, Turin, Italy

[5] AO OIRM S Anna, Turin, Italy

[6] Univ Milan, Dept Obstet & Gynecol, Milan, Italy

[7] L Sacco Hosp Vialba, Milan, Italy

[8] Univ Modena & Reggio Emilia, Dept Med Special, Infect Dis Clin, Modena, Italy

[9] Univ Padua, Dept Pediat, Padua, Italy

[10] Univ Bari, Dept Obstet & Gynecol, Bari, Italy

[11] Policlin Hosp, Bari, Italy

[12] Univ Naples Federico 2, Dept Obstet & Gynaecol, Naples, Italy

[13] Azienda Osped Piacenza, Infect Dis Unit, Piacenza, Italy

[14] S Paolo Hosp, Dept Obstet & Gynecol, Milan, Italy

来源：

EPIDEMIOLOGY AND INFECTION | 2010年 / 138卷 / 09期

关键词：

Africa; HIV; HCV; pregnancy; women; HEPATITIS-C VIRUS; HUMAN-IMMUNODEFICIENCY-VIRUS; VERTICAL TRANSMISSION; INFECTED PATIENTS; NATURAL-HISTORY; COINFECTION; PREVALENCE; EUROPE; METAANALYSIS; COHORT;

D O I：

10.1017/S0950268810000129

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

We assessed recent trends in hepatitis C virus (HCV) prevalence in pregnant women with HIV using data from a large national study. Based on 1240 pregnancies, we observed a 3.4-fold decline in HCV seroprevalence in pregnant women with HIV between 2001 (29.3%) and 2008(8.6%). This decline was the net result of two components: a progressively declining HCV seroprevalence in non-African women (from 35.7% in 2001 to 16.7% in 2008), sustained by a parallel reduction in history of injecting drug use (IDU) in this population, and a significantly growing presence (from 21.2% in 2001 to 48.6% in 2008) of women of African origin, at very low risk of being HCV-infected [average HCV prevalence 1%, adjusted odds ratio (aOR) for HCV 0.09, 95% CI 0.03-0.29]. Previous IDU was the stronger determinant of HCV co-infection in pregnant women with HIV (aOR 30.9, 95% CI 18.8-51.1). The observed trend is expected to translate into a reduced number of cases of vertical HCV transmission.

引用

页码：1317 / 1321

页数：5

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