ASHM Report Back
Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.
Sexual transmission of HCV: Who should we be testing and how often
Daniel Richardson talked about the increase in sexual transmission of HCV and who to test and when.
A very brief overview of when to screen:
* For heterosexual couples: linked HCV transmissions rare and screening for HCV not recommended
* For HIV positive MSM: HCV transmission associated with increased sexual partners, syphilis, condomless anal intercourse, group sex, chem sex and practices such as fisting. Screening is recommended annually
* For HIV neg MSM the risk factors for sexual acquisition of HCV are similar to HIV positive MSM
Screening is not recommended for HIV neg MSM without the above risk factors
Annual screening is recommended for HIV neg MSM with the above risk factors, and for those who are using PrEP