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TRANSMISSION (HCV); "Safer Sex Practice for Chronic HCV
Carriers: Is It Necessary?"
According to an abstract submitted by the authors to the First
Australasian Conference on Hepatitis C, held March 16-18, 1997, in
Sydney, Australia, "The efficiency of sexual transmission of
Hepatitis C virus (HCV) is an important issue for individuals with
HCV infection and the role of sexual transmission in the
epidemiology of HCV infection continues to be debated. In
particular, whether HCV-discordant couples in established
monogamous relationships should be advised to use condoms is
controversial. We have routinely offered testing of the current
heterosexual partner to Sydney donors identified anti-HCV positive
attending for follow-up since January 1994. As at September 1996,
the partners of 40 such donors had been tested. Only one of the 40
partners tested anti-HCV positive. This partner had an independent
established parenteral risk factor for HCV infection. The median
duration of the couples sexual relationships was five years (range
four months to 42 years). Thirty-eight couples reported rarely or
never using condoms in their sexual relationships; two couples
reported using condoms for the majority but not all of their sexual
relationships. Our findings support larger epidemiological studies
in blood donors, multiply transfused patients and recipients of
contaminated Rh anti-D immunoglobulin which suggest that
heterosexual transmission of HCV is extremely uncommon. We counsel
couples in established monogamous relationships that it is probably
unnecessary to modify their sexual practice, other than to consider
using condoms during menstruation, anal intercourse or when genital
ulceration is present."
Copyright Hepatitis Weekly
AUTHORS: A.R. Davis and A.M. Kowalik. Affiliations not provided.;
SOURCE: Hepatitis Weekly, 9/29/97, p16, 1/2p
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