St Stephen's Centre, Chelsea & Westminster Hospital, 369 Fulham Road, London SW10 9NH, United Kingdom.
J Infect. 2010 May;60(5):351-3. doi: 10.1016/j.jinf.2010.01.013. Epub 2010 Feb 12.
Sexual transmission of hepatitis C (HCV) between HIV positive men who have sex with men (MSM) is increasingly being reported. There is limited and conflicting data as to whether HIV negative MSM are at increased risk of infection. Local directorate guidelines recommended HCV testing only in MSM having a sexual transmitted infection (STI) screen who disclosed risk factors. In 2007 we introduced unselected screening into routine practice within our sexual health clinics. This report reviews the results of this change in our practice. Over 6 months, 3365 MSM attended for STI screening. Of 2309 MSM who agreed to be screened for HCV (69%) the prevalence of HCV was 0.65% (95% CI 0.36-1.1). This is similar to the prevalence of HCV in the general population within England. We conclude that unselected screening of MSM for HCV within our sexual health services is not currently justified.
男男性行为者（MSM）中艾滋病毒阳性者之间的丙型肝炎（HCV）的性传播越来越多地被报道。关于艾滋病毒阴性 MSM 是否有更高的感染风险，目前的数据有限且存在冲突。地方主管部门的指南建议仅对进行性传播感染（STI）筛查且披露风险因素的 MSM 进行 HCV 检测。2007 年，我们在性健康诊所中将无选择的筛查纳入常规实践。本报告回顾了我们实践中的这一变化的结果。在 6 个月内，有 3365 名 MSM 接受了 STI 筛查。在 2309 名同意筛查 HCV（69%）的 MSM 中，HCV 的流行率为 0.65%（95%CI 0.36-1.1）。这与英格兰普通人群中 HCV 的流行率相似。我们得出的结论是，在我们的性健康服务中对 MSM 进行无选择的 HCV 筛查目前是不合理的。
