Summary: HCV in Key Populations: Men Who Have Sex With Men
Testing
Recommendations for Testing and Prevention of HCV Infection in Men Who Have Sex With Men (MSM)
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RECOMMENDED
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RATING 
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Annual HCV testing is recommended for sexually active HIV-infected adolescent and adult MSM. Depending on the presence of high-risk sexual or drug use practices, more frequent testing may be warranted.
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IIa, C
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HCV testing at HIV pre-exposure prophylaxis (PrEP) initiation and at least annually thereafter (while on PrEP) is recommended in HIV-uninfected MSM. Depending on sexual or drug use risk practices, more frequent testing may be warranted.
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IIa, C
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All MSM should be counseled about the risk of sexual HCV transmission with high-risk sexual and drug use practices, and educated about measures to prevent HCV infection or transmission.
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IIa, C
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Treatment
Recommendation on Treatment of HCV in Men Who Have Sex With Men (MSM)
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RECOMMENDED
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RATING
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Antiviral treatment for HCV-infected MSM should be coupled with ongoing counseling about the risk of HCV reinfection, and education about methods to reduce HCV reinfection risk after cure.
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I, B
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Testing for HCV Reinfection
Recommendation on Prevention of HCV Reinfection in Men Who Have Sex With Men (MSM)
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RECOMMENDED
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RATING
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At least annual (and risk-based, if indicated) HCV testing with HCV RNA is recommended for sexually active MSM after successful treatment or spontaneous clearance of HCV infection.
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IIa, C
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