Aim: To investigate hepatitis C virus (HCV) testing recommendations from the United States and other high-income countries.

Methods: A comprehensive search for current HCV testing recommendations from the top quartile of United Nations Human Development Index (HDI) countries (very high HDI) was performed using Google and reviewed from May 1 - October 30, 2014 and re-reviewed April 1 - October 2, 2017.

Results: Of the 51 countries identified, 16 had HCV testing recommendations from a government body or recommendations issued collaboratively between a government and a medical organization. Of these 16 countries, 15 had HCV testing recommendations that were primarily risk-based and highlight behaviors, exposures, and conditions that are associated with HCV transmission in that region. In addition to risk-based testing, the HCV Guidance Panel (United States) incorporates recommendations for a one-time test for individuals born during 1945-1965 (the birth cohort) without prior ascertainment of risk into their guidance. In addition to the United States, six other countries either have an age-based testing recommendation or recommend one-time testing for all adults independent of risk factors typical of the region.

Conclusion: This review affirmed the similarities of the HCV Guidance Panel's guidance with those of recommendations from very high HDI countries.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206144PMC
http://dx.doi.org/10.4254/wjh.v10.i10.743DOI Listing

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