Screening, diagnosis, and management of hepatitis C in people who inject drugs
Chronic hepatitis C is a serious liver condition cause by the hepatitis C virus, a bloodborne pathogen. Approximately 80% of people who are exposed to hepatitis will develop chronic infection, which can progress over time to cirrhosis, liver failure, and hepatocellular carcinoma. People who inject drugs may be exposed to hepatitis C due to sharing needles or preparation equipment, as well as through sexual contact. Acute cases of hepatitis C have been increasing over the last decade in conjunction with the rise in opioid use, particularly in younger people. There have also been significant improvements in treatment options for hepatitis C during this period, with a rate of ≥95% for commonly used regimens.
Although there is no vaccine or medication to prevent acquisition of hepatitis C, it can be treated with oral medications. Screening for hepatitis C is accomplished with blood test to assess for antibodies to the hepatitis C virus; active infection can then be confirmed with RNA testing. The American Association for the Study of Liver Disease and Infectious Disease Society of America have realized joint guidelines to allow for treatment of most individuals with pan-genotypic regimens. Treatment can prevent and even reverse liver damage from hepatitis C infection and can help prevent transmission to others.
Target Audience
This course is designed for health care professionals including physicians, nurses, patients and caregivers, among others.
Learning Objectives
Upon completion of this activity, participants should be able to:
- Examine the syndemic of substance use disorders and hepatitis C
- Review recommendations for screening of hepatitis C
- Discuss simplified treatment algorithms for hepatitis C
- Integrate treatment of hepatitis C with management of substance use disorders
Disclaimer Statement:
The information presented at this activity represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine. Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses.
Course Director:
- Cara McAnaney, MD, AAHIVS - Assistant Professor of Family Medicine, Director of HIV Primary Care Track, Department of Family Medicine, University of Pittsburgh
Conflict of Interest Disclosure:
No planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.
In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician (CME)
The University of Pittsburgh designates this enduring material activity for a maximum of 0.75 AMA PRA Category 1 Credit[s]™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
DEA Medication Access and Training Expansion (MATE) Act
This training is designed to meet the training requirements for the Medication Access and Training Expansion (MATE) Act of 2023.
Pennsylvania Opioid/Pain Management Credit (physicians only)
This activity has been designated as and qualifies for Opioid/Pain Management Credit. It is the responsibility of the learner to maintain the educational presentation or conference agenda as evidence, if needed for audit purpose
Available Credit
- 0.75 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 0.75 Opioid Education
- 0.75 Attendance
- 0.75 Opioid Education
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