Hépato-Gastro & Oncologie Digestive
MENUManagement 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
- Key words: hepatitis C, screening, psychiatric hospital
- DOI : 10.1684/hpg.2021.2266
- Page(s) : 1237-43
- Published in: 2021
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.