Factors Associated with Spontaneous Clearance of Recently Acquired Hepatitis C Virus among HIV-Positive Men in Brazil

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFERRUFINO, Rosario Quiroga
dc.contributor.authorRODRIGUES, Camila
dc.contributor.authorFIGUEIREDO, Gerusa Maria
dc.contributor.authorGLEISON, Daniel
dc.contributor.authorYAPURA, Silvia
dc.contributor.authorMATOS, Maria Laura Mariano de
dc.contributor.authorWITKIN, Steven S. S.
dc.contributor.authorMENDES-CORREA, Maria Cassia
dc.date.accessioned2023-04-14T18:00:47Z
dc.date.available2023-04-14T18:00:47Z
dc.date.issued2023
dc.description.abstractIntroduction: The objective of the present study was to describe the clinical and epidemiological aspects of recently acquired hepatitis C virus (HCV) infection and the frequency of its spontaneous clearance in a people living with the human immunodeficiency virus (PLWH) cohort. Methods: We reviewed the medical records from all PLWH at the human immunodeficiency virus (HIV) outpatient reference clinic affiliated with the University of Sao Paulo, Brazil, and identified, by immunoassays and RNA-PCR individuals who acquired HCV infection between January 2015 and December 2017. The factors associated with subsequent spontaneous clearance of the infection in this group were identified and analyzed. Results: Among 3143 PLWH individuals, 362 (11.5%) were coinfected with HCV. Forty-eight (13.2%) of these subjects first became HCV-positive between January 2015 and December 2017. Spontaneous HCV clearance was documented in 23 individuals (47.9%). The majority of this latter group were male (83.3%), and the median age was 31 years (23-39). The main risk group for HCV acquisition was men who had sex with men (MSM) (89.5%). In a multivariate analysis, only an elevated CD4+ T lymphocyte count at the time of seroconversion was found to be associated with subsequent HCV clearance (p = 0.025). Conclusions: In HIV-infected individuals in Sao Paulo, Brazil, most cases of recent HCV transmission were by sexual exposure. In PLWH, particularly in MSM, the individual's CD4+ T lymphocyte count is a determinant of whether an acquired HCV infection will be prolonged or will spontaneously clear.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.identifier.citationVIRUSES-BASEL, v.15, n.2, article ID 314, 10p, 2023
dc.identifier.doi10.3390/v15020314
dc.identifier.eissn1999-4915
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/53052
dc.language.isoeng
dc.publisherMDPIeng
dc.relation.ispartofViruses-Basel
dc.rightsopenAccesseng
dc.rights.holderCopyright MDPIeng
dc.subjectHIVeng
dc.subjectcoinfectioneng
dc.subjectrecently acquired hepatitis C infectioneng
dc.subjectspontaneous clearanceeng
dc.subjectimmunityeng
dc.subjectacute HCVeng
dc.subject.otherinjecting drug-userseng
dc.subject.othersexual transmissioneng
dc.subject.otherinfectioneng
dc.subject.otherhcveng
dc.subject.otherreinfectioneng
dc.subject.otherresponseseng
dc.subject.othercoupleseng
dc.subject.othercohorteng
dc.subject.otheril28beng
dc.subject.otherhosteng
dc.subject.wosVirologyeng
dc.titleFactors Associated with Spontaneous Clearance of Recently Acquired Hepatitis C Virus among HIV-Positive Men in Brazileng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.citation.scopus2
hcfmusp.contributor.author-fmusphcROSARIO QUIROGA FERRUFINO
hcfmusp.contributor.author-fmusphcCAMILA RODRIGUES
hcfmusp.contributor.author-fmusphcGERUSA MARIA FIGUEIREDO
hcfmusp.contributor.author-fmusphcDANIEL GLEISON CARVALHO
hcfmusp.contributor.author-fmusphcSILVIA MONICA YAPURA JALDIN
hcfmusp.contributor.author-fmusphcMARIA LAURA MARIANO DE MATOS
hcfmusp.contributor.author-fmusphcSTEVEN SOL WITKIN
hcfmusp.contributor.author-fmusphcMARIA CASSIA JACINTHO MENDES CORREA
hcfmusp.description.articlenumber314
hcfmusp.description.issue2
hcfmusp.description.volume15
hcfmusp.origemWOS
hcfmusp.origem.pubmed36851529
hcfmusp.origem.scopus2-s2.0-85148971184
hcfmusp.origem.wosWOS:000942004700001
hcfmusp.publisher.cityBASELeng
hcfmusp.publisher.countrySWITZERLANDeng
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