Management
Most experts recommend that HCV treatment be monitored by an infectious disease or GI specialist. Many HIV specialists in correctional settings have become local experts on the management of HCV, due to the high coinfection rate in their patients and because of their familiarity with the management of side effects (neutropenia, anemia) related to HCV therapy. One expert believes that "HIV caregivers who are willing to learn about hepatitis C treatment and stay current should be the ones responsible for the day-to-day care" of coinfected patients.45 Patients must be monitored carefully for adherence, side effects, and response to treatment. See Table 2 for suggestions for monitoring HCV treatment.

CONTINUE...
 

• HCV Epidemiology
• Inmates at Risk
• Targeted Screening
• Who Should Get Treated?
• Shifting Standards for Treatment of HCV
• Expect Delays
• Length of Treatment
• Expected Outcome
• Liver Biopsy
• HIV/HCV Coinfection
• HIV/HCV Response Therapy
• Cost of Treatment
• Management
• New Guidelines for Corrections
• Conclusion
• References
• Figures 1, 2 & 3
• Box 1 & 2
• Tables 1 & 2

HEPP News is published twelve times a year by the: HIV Education/Prison Project at the Brown University AIDS Program Box G-B426 Brown University Providence, Rhode Island 02912 401-863-2180 fax 401-863-1243 heppnews@brown.edu