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Hepatitis B and C infection and liver disease trends among human immunodeficiency virus-infected individuals Buskin SE; Barash EA; Scott JD; Aboulafia DM; Wood RWWorld J Gastroenterol 2011[Apr]; 17 (14): 1807-16AIM: To examine trends in and correlates of liver disease and viral hepatitis in an human immunodeficiency virus (HIV)-infected cohort. METHODS: The multi-site adult/adolescent spectrum of HIV-related diseases (ASD) followed 29 490 HIV-infected individuals receiving medical care in 11 U.S. metropolitan areas for an average of 2.4 years, and a total of 69 487 person-years, between 1998 and 2004. ASD collected data on the presentation, treatment, and outcomes of HIV, including liver disease, hepatitis screening, and hepatitis diagnoses. RESULTS: Incident liver disease, chronic hepatitis B virus (HBV), and hepatitis C virus (HCV) were diagnosed in 0.9, 1.8, and 4.7 per 100 person-years. HBV and HCV screening increased from fewer than 20% to over 60% during this period of observation (P < 0.001). Deaths occurred in 57% of those diagnosed with liver disease relative to 15% overall (P < 0.001). Overall 10% of deaths occurred among individuals with a diagnosis of liver disease. Despite care guidelines promoting screening and vaccination for HBV and screening for HCV, screening and vaccination were not universally conducted or, if conducted, not documented. CONCLUSION: Due to high rates of incident liver disease, viral hepatitis screening, vaccination, and treatment among HIV-infected individuals should be a priority.|Adolescent[MESH]|Adult[MESH]|Chronic Disease[MESH]|Cohort Studies[MESH]|Comorbidity[MESH]|Female[MESH]|HIV Infections/epidemiology/mortality/*virology[MESH]|HIV/*pathogenicity[MESH]|Hepatitis B/epidemiology/mortality/*virology[MESH]|Hepatitis C/epidemiology/mortality/*virology[MESH]|Humans[MESH]|Liver Diseases/epidemiology/mortality/*virology[MESH]|Male[MESH]|Mass Screening[MESH]|Middle Aged[MESH]|Young Adult[MESH] |
