Hepatitis Forums

Hepatitis C Main Forums => Hepatitis C and HIV Coinfection => Topic started by: Seymour Akshun on November 16, 2015, 11:07:21 pm

Title: Sexual transmission of hep C among HIV+ gay men
Post by: Seymour Akshun on November 16, 2015, 11:07:21 pm
http://www.ncbi.nlm.nih.gov/pubmed/26152661 Interesting discussion of the possible mechanism of sexual transmission of hep C and some concerns regarding the use of PrEP. 

This article suggests that HIV is more infectious than HCV through sex, unless the HIV infection is prevented by PrEP. It recommends that all MSM prescribed PrEP be warned that HCV is an additional infection (to the traditional STI) that can be acquired if condoms are not used. Good advice although I think this is a bit misleading as it possible to transmit hep C on the outside of a condom too.

The author also suggests "..as has now been done with HIV infection, we need to study the approach of treatment as prevention to cure HCV infection as soon as possible to decrease risk of transmission. To get the most from these highly effective therapies, we must also work to prevent reinfection by both engaging patients in care and addressing the sexual behaviors associated with further transmission or reacquisition".