Policies and practices for the clinical management of HIV/HCV coinfected children in Europe: an epidemiological survey.


England, K; Thorne, C; Pembrey, L; Newell, ML; (2009) Policies and practices for the clinical management of HIV/HCV coinfected children in Europe: an epidemiological survey. European journal of pediatrics, 168 (8). pp. 915-7. ISSN 0340-6199 DOI: https://doi.org/10.1007/s00431-008-0855-2

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Abstract

The antenatal prevalence of HIV/HCV coinfection ranges from 12% to 28% with mother-to-child transmission rates ranging from 3.6% to 9.5%. There are no guidelines detailing the most appropriate clinical management and treatment of coinfected children. We used a semi-structured questionnaire to investigate current European practices for the management and follow-up of HIV/HCV coinfected children among clinical centres contributing to the European Collaborative Study or the European Paediatric HCV Network. Clinicians from 16 out of 24 clinical centres responded and were caring for a total of 44 HIV/HCV coinfected children. We found that, although there was a high level of concordance regarding testing for HIV and/or HCV infection, monitoring practices in these European centres varied widely. Few clinicians stated they would administer HIV and HCV treatment concurrently. Limited experience in the clinical management of this group and the lack of an evidence base to guide policy may be a barrier to achieving optimal care and treatment.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Medical Statistics
PubMed ID: 18941777
Web of Science ID: 266922200004
URI: http://researchonline.lshtm.ac.uk/id/eprint/2295

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