Abstract

Intravenous drug users (IVDUs) constitute the largest risk group among patients with chronic hepatitis C (1,2). Current guidelines include controversial recommendations regarding HCV therapy in IVDUs (3,4). Several studies involving IVDUs on methadone maintenance have reported positive treatment outcomes comparable to those seen in non-addicts (5,6). Data on the frequency of contraindications and on prognostic factors in IVDUs are limited, however. This information is vital for future guidelines and therapeutic approaches in opiate replacement programmes. Using data from the Swiss Hepatitis C Cohort Study, our aim was to compare drug addicts and non-drug addicts with respect to factors impacting treatment eligibility and prognosis.

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