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Update on Pediatric Hepatitis C Infection

Overview
Specialty Gastroenterology
Date 2025 Feb 28
PMID 40019674
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Abstract

Purposeof Review: Hepatitis C virus (HCV) infections continue to steadily increase in the United States and remain a major public health challenge. This review aims to provide a comprehensive overview of HCV infection in children, focusing on recent advancements in screening, diagnosis, and treatment.

Recent Findings: Effective screening strategies, including universal screening of pregnant women and nucleic acid testing for all perinatally exposed infants at 2 to 6 months of age, have been implemented to identify infected individuals early. Direct-acting antiviral agents have revolutionized treatment, offering high cure rates for children of all ages. Despite significant progress, challenges remain in achieving HCV elimination. These include the need for improved access to testing and treatment, as well as ongoing efforts to develop a preventive vaccine. Continued research and implementation of effective strategies are essential to reduce the burden of HCV infection.

References
1.
Greenaway E, Haines A, Ling S, Krahn M . Treatment of Chronic Hepatitis C in Young Children Reduces Adverse Outcomes and Is Cost-Effective Compared with Deferring Treatment to Adulthood. J Pediatr. 2020; 230:38-45.e2. DOI: 10.1016/j.jpeds.2020.08.088. View

2.
Murray K, Balistreri W, Bansal S, Whitworth S, Evans H, Gonzalez-Peralta R . Safety and Efficacy of Ledipasvir-Sofosbuvir With or Without Ribavirin for Chronic Hepatitis C in Children Ages 6-11. Hepatology. 2018; 68(6):2158-2166. DOI: 10.1002/hep.30123. View

3.
Casiraghi M, De Paschale M, Romano L, Biffi R, Assi A, Binelli G . Long-term outcome (35 years) of hepatitis C after acquisition of infection through mini transfusions of blood given at birth. Hepatology. 2004; 39(1):90-6. DOI: 10.1002/hep.20030. View

4.
Squires Jr R, Shneider B, Bucuvalas J, Alonso E, Sokol R, Narkewicz M . Acute liver failure in children: the first 348 patients in the pediatric acute liver failure study group. J Pediatr. 2006; 148(5):652-658. PMC: 2662127. DOI: 10.1016/j.jpeds.2005.12.051. View

5.
Klevens R, Hu D, Jiles R, Holmberg S . Evolving epidemiology of hepatitis C virus in the United States. Clin Infect Dis. 2012; 55 Suppl 1:S3-9. PMC: 5774980. DOI: 10.1093/cid/cis393. View