6 essential steps in treating hepatitis C

Almost all patients with chronic hepatitis C will be cured with a short course of oral, direct-acting antiviral treatment.

However, this outcome can only be achieved if all people with chronic hepatitis C are diagnosed, assessed, treated and followed up appropriately, says Sydney gastroenterologist and researcher, Associate Professor Simone Strasser.

Here is a handy checklist for GPs for managing the process:

1. Test for hepatitis C virus genotype and viral load, FBC, urea, electrolytes and creatinine, blood glucose, liver function, and hepatitis B. Also test for HIV and immunity to hepatitis A.
2. Exclude cirrhosis – refer patients with cirrhosis, renal failure, hepatitis B positive, and HIV co-infection (unless experienced in the management of hepatitis C/HIV co-infection).
3. Select appropriate regimen