REtrieval And cure of Chronic Hepatitis C (REACH): Results of micro‐elimination in the Utrecht province

• DOI: 10.1111/liv.13959
• Publication Date: 2018-09-11T16:42:47Z
• Authors: Patricia A. M. Kr...; Joop E. Arends; Karel J. van Erpecum; Steven F. T. Thijsen; Bart J. M. Vlaminckx; Annemarie J. L. W...; Anne M. J. Wensing; Marjolein P. H. D...; Marieke Dimmendaal; Paul H. G. M. Sta...; Philip W. Friederich; Marc A. M. T. Ver...; Greet J. Boland; Andy I. M. Hoepelman
• Keywords: Hepatitis C

The Netherlands is one of the six European countries considered on track to eliminate hepatitis C virus by 2030. To achieve this goal, continuous efforts have be put into designing efficient case-finding strategies, including retrieval previously diagnosed virus-infected who are lost follow-up.To trace and treat all follow-up patients in Utrecht region create an strategy that can used future (national) initiatives.Positive diagnostic tests (anti-hepatitis IgG or virus-RNA) from laboratory four hospitals central for primary care diagnostics province 2001 2015 were linked clinical records. Untreated with available contact information deemed eligible invited reevaluation (virology) blood tests, fibroscan measurement possible direct-acting antiviral therapy.After screening diagnostics, 1913 chronic identified which 14.1% (n = 269) back care. Overall, 17.4% was traced highest yield (28.3%) those lived province. Through renewed patient assessments, 42 infections re-identified (76% a history intravenous drug use, 24% Metavir F3-F4). Until now, 59% has either scheduled initiated therapy.The through past feasible should pursued further control reduction infection. Retrieval most successful when performed regionally.To completely (HCV) infection prevent complications, undiagnosed also but (LFU) HCV brought (back) therapy. LFU regionally.