Year 2021 / Volume 113 / Number 7
Original
Hepatitis C in homeless people: reaching a hard-to-reach population

529-532

DOI: 10.17235/reed.2021.7737/2020

Rebeca Alfranca, Mercè Salvans, Carmen López, Cristina Giralt, Marissa Ramírez, Fran Calvo,

Abstract
Objective: the aim of this study was to analyze the process of detection and treatment of hepatitis C in individuals experiencing homelessness (IEH). Methods: an analytical cross-sectional study was performed in a Primary Care center. The center screened and registered patients with a positive hepatitis C antibody test and referred them to the Digestive Service. Results: finally, 8.3 % presented with a positive HCV antibody test, of which six were patients who had already received treatment. Of those who had not received treatment, one patient was successfully treated; 30.8 % of the total could not be located or did not wish to participate. Conclusion: community coordination and the use of rapid tests would improve detection.
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References
Tyndall M, Currie S, Spittal P, et al. Intensive injection cocaine use as the primary risk factor in the Vancouver HIV-1 epidemic. AIDS 2003;17:887–93.
2. Fazel S, Geddes JR, Kushel M. The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations. Lancet 2014;384:1529–40.
3. Buti M, Calleja JL, García-Samaniego J, et al. Eliminación de la hepatitis C en España: adaptación de un modelo matemático de salud pública partiendo del plan estratégico para el abordaje de la hepatitis. Med Clin 2017;148:277–82.
4. WHO. Europe’s hepatitis challenge. Bull World Heal Organ 2018 [consultado 2020 Ag 31];96:802–3. Available from: https://www.who.int/bulletin/volumes/96/12/18-021218.pdf
5. Secretaría General de Sanidad y Consumo. Ministerio de Sanidad C y BS. Plan estratégico para el abordaje de la Hepatitis-C en el sistema nacional de salud 2018 [consultado 2020 Ag 31]. Available from: https://www.mscbs.gob.es/ciudadanos/enfLesiones/enfTransmisibles/hepatitisC/PlanEstrategicoHEPATITISC/home.htm
6. Smith-Palmer J, Cerri K, Valentine W. Achieving sustained virologic response in hepatitis C: a systematic review of the clinical, economic and quality of life benefits. BMC Infect Dis 2015;1:1–19.
7. Lambert JS, Murtagh R, Menezes D, et al. “HepCheck Dublin”: an intensified hepatitis C screening programme in a homeless population demonstrates the need for alternative models of care. BMC Infect Dis 2019;1:1–19.
8. Calvo F, Giralt C, Turró O. Tuberculosis, Virus de la Inmunodeficiencia Humana y Virus de la Hepatitis-C en población sin-hogar. Index de Enfermería 2017;25:248–52.
9. Fokuo JK, Masson CL, Anderson A, et al. Recommendations for implementing Hepatitis C virus care in homeless shelters: the stakeholder perspective. Hepatol Commun 2020;4:646–56.
10. Fuster D, Gelberg L. Community screening, identification, and referral to primary care, for Hepatitis C, B, and HIV among homeless persons in Los Angeles. J Community Health 2019;44:1044–54.
11. Ho SB, Bräu N, Cheung R, et al. Integrated care increases treatment and improves outcomes of patients with chronic Hepatitis C virus infection and psychiatric illness or substance abuse. Clin Gastroenterol Hepatol 2015;13:2005-2014.
12. Wade AJ, Veronese V, Hellard ME, et al. A systematic review of community based hepatitis C treatment. BMC Infect Dis 2016;16:202.
13. Barocas JA, Beiser M, León C, et al. Experience and outcomes of Hepatitis C treatment in a cohort of homeless and marginally Housed Adults. JAMA Internal Medicine 2017;177:880–882.
14. McDermott CL, Lockhart CM, Devine B. Outpatient directly observed therapy for hepatitis C among people who use drugs: a systematic review and meta-analysis. J Virus Erad 2018;4:118–22.
15. Sulkowski M, Luetkemeyer AF, Wyles DL, et al. Impact of a digital medicine programme on hepatitis C treatment adherence and efficacy in adults at high risk for non-adherence. Aliment Pharmacol Ther 2020;51:1384–96.
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Alfranca R, Salvans M, López C, Giralt C, Ramírez M, Calvo F, et all. Hepatitis C in homeless people: reaching a hard-to-reach population. 7737/2020


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Publication history

Received: 17/12/2020

Accepted: 07/01/2021

Online First: 26/01/2021

Published: 07/07/2021

Article revision time: 17 days

Article Online First time: 40 days

Article editing time: 202 days


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