Counseling to avoid transmission of hepatitis C virus

Individuals with HCV infection should be counseled to:

Avoid sharing toothbrushes and dental or shaving equipment
Cover any bleeding wound to prevent others from coming into contact with their blood
Not donate blood
Discuss their HCV status prior to donation of body organs, other tissues, or semen

In general, individuals with HCV infection should be counseled that the risk of sexual transmission is low and that HCV infection itself is not a reason for barrier protection.
However, individuals with HCV infection who have HIV co-infection, multiple sexual partners, or sexually transmitted infections should be encouraged to use barrier precautions to prevent sexual transmission.

Individuals with HCV infection who use illicit drugs should be counseled to:

Get treated for substance use disorder

Those who inject drugs should be counseled to:

Avoid reusing or sharing syringes, needles, water, cotton, and other drug preparation equipment
Use new sterile syringes and filters and disinfected cookers
Clean the injection site with a new alcohol swab
Dispose safely of syringes and needles after one use in a safe, puncture-proof container

Household surfaces or items visibly contaminated with blood from an individual with HCV infection should be cleaned using diluted household bleach (1 part bleach in 9 parts water). Gloves should be worn when cleaning blood spills.

HCV: hepatitis C virus.

Adapted from: AASLD-IDSA. HCV testing and linkage to care. Recommendations for testing, managing, and treating hepatitis C. Available at: http://www.hcvguidelines.org/full-report/hcv-testing-and-linkage-care (Accessed July 8, 2016).

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Counseling to avoid transmission of hepatitis C virus