Hepatitis C primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Primary Prevention

Hepatitis C, unlike hepatitis A and B does not yet have a vaccine. Primary prevention of HCV relies mostly on measures that decrease exposure to the virus. Recommendations are based on the routes of transmission, and populations at risk.

Recommendations for healthcare workers

  • Proper hand hygiene and use of gloves when indicated
  • Safe handling and disposal of sharps and contaminated waste
  • Training of health personnel
  • Testing of donated blood
  • Improved access to safe blood

Recommendations for IV drug users

  • IV drug users should be offered the rapid hepatitis B vaccine regimen
  • Implement sterile needle and syringe programmes
  • Offer peer interventions to IV drug users
  • Offer opioid substitution therapy to treat opioid dependence to decrease risky behavior

Recommendations for sexual transmission of HCV

  • Promotion of correct and consistent condom use
  • Routine screening of sex workers in high-prevalence settings
  • Elimination of discrimination and gender violence

References

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