Factors Associated with Spontaneous Clearance of Recently Acquired Hepatitis C Virus among HIV-Positive Men in Brazil
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | FERRUFINO, Rosario Quiroga | |
dc.contributor.author | RODRIGUES, Camila | |
dc.contributor.author | FIGUEIREDO, Gerusa Maria | |
dc.contributor.author | GLEISON, Daniel | |
dc.contributor.author | YAPURA, Silvia | |
dc.contributor.author | MATOS, Maria Laura Mariano de | |
dc.contributor.author | WITKIN, Steven S. S. | |
dc.contributor.author | MENDES-CORREA, Maria Cassia | |
dc.date.accessioned | 2023-04-14T18:00:47Z | |
dc.date.available | 2023-04-14T18:00:47Z | |
dc.date.issued | 2023 | |
dc.description.abstract | Introduction: 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.index | MEDLINE | |
dc.description.index | PubMed | |
dc.description.index | WoS | |
dc.description.index | Scopus | |
dc.identifier.citation | VIRUSES-BASEL, v.15, n.2, article ID 314, 10p, 2023 | |
dc.identifier.doi | 10.3390/v15020314 | |
dc.identifier.eissn | 1999-4915 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/53052 | |
dc.language.iso | eng | |
dc.publisher | MDPI | eng |
dc.relation.ispartof | Viruses-Basel | |
dc.rights | openAccess | eng |
dc.rights.holder | Copyright MDPI | eng |
dc.subject | HIV | eng |
dc.subject | coinfection | eng |
dc.subject | recently acquired hepatitis C infection | eng |
dc.subject | spontaneous clearance | eng |
dc.subject | immunity | eng |
dc.subject | acute HCV | eng |
dc.subject.other | injecting drug-users | eng |
dc.subject.other | sexual transmission | eng |
dc.subject.other | infection | eng |
dc.subject.other | hcv | eng |
dc.subject.other | reinfection | eng |
dc.subject.other | responses | eng |
dc.subject.other | couples | eng |
dc.subject.other | cohort | eng |
dc.subject.other | il28b | eng |
dc.subject.other | host | eng |
dc.subject.wos | Virology | eng |
dc.title | Factors Associated with Spontaneous Clearance of Recently Acquired Hepatitis C Virus among HIV-Positive Men in Brazil | eng |
dc.type | article | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
dspace.entity.type | Publication | |
hcfmusp.citation.scopus | 2 | |
hcfmusp.contributor.author-fmusphc | ROSARIO QUIROGA FERRUFINO | |
hcfmusp.contributor.author-fmusphc | CAMILA RODRIGUES | |
hcfmusp.contributor.author-fmusphc | GERUSA MARIA FIGUEIREDO | |
hcfmusp.contributor.author-fmusphc | DANIEL GLEISON CARVALHO | |
hcfmusp.contributor.author-fmusphc | SILVIA MONICA YAPURA JALDIN | |
hcfmusp.contributor.author-fmusphc | MARIA LAURA MARIANO DE MATOS | |
hcfmusp.contributor.author-fmusphc | STEVEN SOL WITKIN | |
hcfmusp.contributor.author-fmusphc | MARIA CASSIA JACINTHO MENDES CORREA | |
hcfmusp.description.articlenumber | 314 | |
hcfmusp.description.issue | 2 | |
hcfmusp.description.volume | 15 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.pubmed | 36851529 | |
hcfmusp.origem.scopus | 2-s2.0-85148971184 | |
hcfmusp.origem.wos | WOS:000942004700001 | |
hcfmusp.publisher.city | BASEL | eng |
hcfmusp.publisher.country | SWITZERLAND | eng |
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hcfmusp.scopus.lastupdate | 2024-05-10 | |
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