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. 2020 Apr 3;69(2):1–17. doi: 10.15585/mmwr.rr6902a1
  • Universal hepatitis C screening:

    • Hepatitis C screening at least once in a lifetime for all adults aged ≥18 years, except in settings where the prevalence of HCV infection (HCV RNA-positivity) is <0.1%

    • Hepatitis C screening for all pregnant women during each pregnancy, except in settings where the prevalence of HCV infection (HCV RNA-positivity) is <0.1%

  • One-time hepatitis C testing regardless of age or setting prevalence among persons with recognized risk factors or exposures:

    • Persons with HIV

    • Persons who ever injected drugs and shared needles, syringes, or other drug preparation equipment, including those who injected once or a few times many years ago

    • Persons with selected medical conditions, including persons who ever received maintenance hemodialysis and persons with persistently abnormal ALT levels

    • Prior recipients of transfusions or organ transplants, including persons who received clotting factor concentrates produced before 1987, persons who received a transfusion of blood or blood components before July 1992, persons who received an organ transplant before July 1992, and persons who were notified that they received blood from a donor who later tested positive for HCV infection

    • Health care, emergency medical, and public safety personnel after needle sticks, sharps, or mucosal exposures to HCV-positive blood

    • Children born to mothers with HCV infection

  • Routine periodic testing for persons with ongoing risk factors, while risk factors persist:

    • Persons who currently inject drugs and share needles, syringes, or other drug preparation equipment

    • Persons with selected medical conditions, including persons who ever received maintenance hemodialysis

  • Any person who requests hepatitis C testing should receive it, regardless of disclosure of risk, because many persons might be reluctant to disclose stigmatizing risks