[MCOH-EH] Healthcare workers being treated for Hepatitis C infection

[Galaid Edward I]

Xposting with OEM and MCOH.

I'm expecting to have my first HCW with HCV wanting to come back to work doing Exposure Prone Invasive Procedures after completing a course of one of the DAA drugs.

Here's one citation on Monitoring During and After HCV Treatment:  https://www.hepatitisc.uw.edu/go/treatment-infection/monitoring/core-concept/all

Has anyone seen a guidance for dealing with HCWs undergoing treatment?  Should it be any different than the general population?

The question is, at what point would a sustained virologic response (SVR) be considered stable-ish enough to consider the HCW ok to do EPIPs.

Say, the patient starts at 7.0x104 , then gets down to <1.0, and maybe on the way to undetectability.  But not there yet.  Do you make him/her finish the full regimen, then watch them to make sure their counts stay low?

Ed Galaid


Edward I. Galaid, MD, MPH, FACOEM
ABIM, ABPM (OM)
Medical Director, Roper St. Francis Physician Partners Occupational Medicine
Charleston, SC
Member, ACOEM Task Group,  Guidance for the Medical Evaluation of Law Enforcement Officers
(O) 843-402-5053






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