Evidence map›Paper›PMID 27682067›Full record

ReviewClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

Hepatitis C Virus Postexposure Prophylaxis in the Healthcare Worker: Why Direct-Acting Antivirals Don't Change a Thing.

Susanna Naggie, David P Holland, Mark S Sulkowski, David L Thomas

Open access · bronzeAbstract readReview
In one paragraph

Review in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 29 citations in OpenAlex.

  1. Determinants ofBMJ open · 2026
    Article
  2. Review
  3. Review
  4. Article
  5. Testing and Clinical Management of Health Care Personnel Potentially Exposed to Hepatitis C Virus - CDC Guidance, United States, 2020.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2020
    Article
  6. Blood-borne viral infections in pediatric hemodialysis.Pediatric nephrology (Berlin, Germany) · 2019
    Article
  7. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Susanna NaggieDuke Clinical Research Institute.
David P HollandEmory University School of Medicine, Atlanta, Georgia.
Mark S SulkowskiJohns Hopkins School of Medicine, Baltimore, Maryland.
David L ThomasJohns Hopkins School of Medicine, Baltimore, Maryland.
Johns Hopkins University · USDuke University · USEmory University · US

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
HIV HCV Coinfection Antiviral Therapy and FibrosisR37DA013806 · NIDA · JOHNS HOPKINS UNIVERSITY · PI THOMAS, DAVID L · 2010 to 2019
$7.0M
Patient Oriented Research in Hepatitis C-infected Injection Drug UsersK24DA034621 · NIDA · JOHNS HOPKINS UNIVERSITY · PI SULKOWSKI, MARK SEBASTIAN · 2012 to 2022
$1.2M
Mathematical Modeling in Clinical Trials of Tuberculosis TherapeuticsK01AI083782 · NIAID · DUKE UNIVERSITY · PI HOLLAND, DAVID PRESTON · 2009 to 2013
$627k
Moving Towards More Individualized Therapies in HIV/HCV Co-infected PatientsK23AI096913 · NIAID · DUKE UNIVERSITY · PI NAGGIE, SUSANNA · 2011 to 2014
$355k
NIAID NIH HHS K01 AI083782NIAID NIH HHS K23 AI096913NIAID NIH HHS P30 AI094189NIDA NIH HHS K24 DA034621NIDA NIH HHS R37 DA013806
6 · The paper itself

Abstract

Currently, 380 000-400 000 occupational exposures to blood-borne pathogens occur annually in the United States. The management for occupational HIV or hepatitis B virus exposures includes postexposure prophylaxis (PEP) when necessary; however, PEP is not recommended for hepatitis C virus (HCV) exposures. Recent approval of HCV direct-acting antivirals (DAAs) has renewed discussions as to whether these therapies could be used to prevent infection after exposure. There are no published studies addressing this question, but the prescribing of DAAs for PEP has been reported. We will discuss the differences in transmission of the 3 most common blood-borne pathogens, the natural history of early HCV infection, and the scientific rationale for PEP. In particular, we will discuss how the low feasibility of conducting an adequately powered clinical trial of DAA use for PEP and the low cost-effectiveness of such an intervention is not supportive of targeting limited resources for such use.

Indexed as

Health PersonnelPost-Exposure ProphylaxisAcute DiseaseAntiviral AgentsChemopreventionChronic DiseaseCosts and Cost AnalysisHepacivirusHepatitis CHumansOccupational ExposureRisk AssessmentTreatment OutcomeAntiviral Agentscost-analysisdirect acting antiviralshepatitis C virusoccupational exposurepostexposure prophylaxis

Identifiers

PMID27682067
PMCPMC5159603
OpenAlexW2526612271

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.