Hepatitis C in France: A National Survey in the Departments of Internal Medicine and Infectious Diseases

Infection with Hepatitis C virus is a significant public health problem that has important clinical and financial consequences. Understanding of the epidemiology of HCV is needed to help defined future therapeutic and preventìve strategies. So far, the importance and characteristics of the epidemics...

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Veröffentlicht in:European journal of epidemiology 1998-09, Vol.14 (6), p.545-548
Hauptverfasser: Raguin, Gilles, Rosenthal, Eric, Cacoub, Patrice, Veyssier, Pierre, Piette, Jean-Charles, Micoud, Max, GERMIVIC (Joint Study Group on Hepatitis C Virus of the French National Society of Internal Medicine and the French Society of Infectious Diseases)
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container_end_page 548
container_issue 6
container_start_page 545
container_title European journal of epidemiology
container_volume 14
creator Raguin, Gilles
Rosenthal, Eric
Cacoub, Patrice
Veyssier, Pierre
Piette, Jean-Charles
Micoud, Max
GERMIVIC (Joint Study Group on Hepatitis C Virus of the French National Society of Internal Medicine and the French Society of Infectious Diseases)
description Infection with Hepatitis C virus is a significant public health problem that has important clinical and financial consequences. Understanding of the epidemiology of HCV is needed to help defined future therapeutic and preventìve strategies. So far, the importance and characteristics of the epidemics have been best appreciated in specialist units dealing with liver disease. The purpose of our study was to survey the number and characteristics of hepatitis C antibody positive patients in Departments of Internal Medicine and Infectious Diseases. we conducted a multicentre national prospective analysis of all positive HCV-antibody patients, either inpatient or outpatient, reported over a period of one month across France. Two thousand and two cases were identified. Epidemiological clinical and therapeutic characteristics are described. Risk factors were identified in 86%. For 10% of the patients, hepatitis C seropositivity was discovered during the period of survey. At the time of first diagnosis, 47% of patients presented with no clinical or biological abnormality. Coinfection with HIV was frequent (59%). Only 20.3% of the patients had received or were receiving a treatment with interferon. Within the limits of the methodology used, this study shows that Hepatitis C infection is a substantial clinical problem in French Departments of Internal Medicine and Infectious Diseases. Our findings may help the public health authorities in better appreciating the impact of hepatitis C and making policy decisions.
doi_str_mv 10.1023/A:1007430812081
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Understanding of the epidemiology of HCV is needed to help defined future therapeutic and preventìve strategies. So far, the importance and characteristics of the epidemics have been best appreciated in specialist units dealing with liver disease. The purpose of our study was to survey the number and characteristics of hepatitis C antibody positive patients in Departments of Internal Medicine and Infectious Diseases. we conducted a multicentre national prospective analysis of all positive HCV-antibody patients, either inpatient or outpatient, reported over a period of one month across France. Two thousand and two cases were identified. Epidemiological clinical and therapeutic characteristics are described. Risk factors were identified in 86%. For 10% of the patients, hepatitis C seropositivity was discovered during the period of survey. At the time of first diagnosis, 47% of patients presented with no clinical or biological abnormality. Coinfection with HIV was frequent (59%). Only 20.3% of the patients had received or were receiving a treatment with interferon. Within the limits of the methodology used, this study shows that Hepatitis C infection is a substantial clinical problem in French Departments of Internal Medicine and Infectious Diseases. 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subjects Biological and medical sciences
Coinfection
Epidemiology
Hepacivirus
Hepatitis
Hepatitis C
Hepatitis C virus
HIV
Human viral diseases
Infections
Infectious diseases
Internal medicine
Liver
Medical sciences
Predisposing factors
Public health
Risk factors
Viral diseases
Viral hepatitis
title Hepatitis C in France: A National Survey in the Departments of Internal Medicine and Infectious Diseases
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