John Libbey Eurotext

Hépato-Gastro & Oncologie Digestive


Management of hepatitis C in psychiatric settings: Review of the literature and review of experience over 4 years in a Psychiatric Hospital Volume 28, issue 10, Décembre 2021


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1 Centre Hospitalier de Perpignan, Equipe Mobile Hépatites, 20 avenue du Languedoc, 66046 Perpignan
2 Centre Hospitalier de Thuir, Laboratoire de Biologie, Avenue du Roussillon, 66300 Thuir
* Correspondance

Hepatitis C is a more common infection in the psychiatric population and psychiatric comorbidities are more common in patients with chronic viral hepatitis C. No prospective studies on hepatitis C management in a psychiatric setting in France had not been yet published. Current data on the prevalence and management of hepatitis C in psychiatric settings are scarce. In our experience, the number of serologies performed among entrants along 4 years increased with coverage of screening from 24% to 100%. In 2020, a C viral load was achieved in all patients with positive C serology. All patients with a positive viral load were assessed for fibrosis with transient elastometry and treated with direct antiviral agents. A cooperation between organized caregivers (hepatology mobile team and medical biology laboratory) has increased the rate of screening and management of HCV in psychiatric hospitals. Hospitalization and/or psychiatric follow-up is a risk factor for hepatitis C and should lead to hepatitis screening. Larger prospective studies are needed.