US CDC current guidelines may miss up to a quarter of HCV infections

In a new study, researchers from Johns Hopkins Hospital in the United States evaluated blood samples from nearly 5,000 patients in the hospital's emergency room, suggesting that the US currently targets the hepatitis C virus (HCV). The guidelines may miss up to a quarter of HCV infections and require an update to the existing HCV screening strategy. The results of the relevant study will be published in the May 1st, 2016 issue of Clinical Infectious Diseases, entitled "Evaluation of the Centers for Disease Control and Prevention Recommendations for Hepatitis C Virus Testing in an Urban Emergency Department."

Currently, the Centers for Disease Control and Prevention (CDC) recommends an HCV test for all adults born between 1945 and 1965 or for those with high risk factors such as drug injection, HIV infection, or use of clotting factors. . But according to the new study, up to a quarter of infections may still not be diagnosed, and researchers say that a general test of all American adults seeking medical assistance in an indoor emergency room may identify more people. These viruses are infected and then managed and treated. Better screening methods also reduce the risk of transmission of HCV infection to others.

CDC current guidelines may miss HCV infection cases

In November 2015, Johns Hopkins Hospital expanded its HCV testing to all eligible adults aged 18 years and older in their emergency room, who took blood as part of routine clinical care. And it is not known whether its blood is positive for HCV antibodies. The Johns Hopkins Bayview Medical Center took this test strategy in February 2016. In this new study, the researchers found that nearly 14% of nearly 5,000 patients tested positive for HCV, and one-third did not realize they were infected with the virus.

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