Progression to hepatitis C virus micro-elimination in people living with HIV in Spain.

Abstract

People living with human immunodeficiency virus (PLWH) constitute a population among whom elimination of hepatitis C virus (HCV) is a priority [1]. In April 2015, Spaindwhich provides universal and free access to healthcaredelaborated on a recommendation for the prioritization of HCV treatment based mainly on the liver fibrosis stage. This recommendation was updated in September 2017, considering treatment uptake for every patient with a detectable HCV viral load. This change in statement facilitates micro-elimination in high-priority populations such as PLWH. Because of the high proportion of coinfected patients identified, the routinely programmed clinical visits, and the proactive screening strategies implemented in this setting, HCV elimination in this subgroup of patients is feasible.