next steps toward eradication of hepatitis c in the era of direct acting antivirals

نویسندگان

khashayar hesamizadeh middle east liver disease (meld) center, tehran, ir iran; baqiyatallah research center for gastroenterology and liver diseases (brcgl), baqiyatallah university of medical sciences, tehran, ir iran

heidar sharafi middle east liver disease (meld) center, tehran, ir iran; baqiyatallah research center for gastroenterology and liver diseases (brcgl), baqiyatallah university of medical sciences, tehran, ir iran

mohammad saeid rezaee-zavareh middle east liver disease (meld) center, tehran, ir iran; students’ research committee, baqiyatallah university of medical sciences, tehran, ir iran

bita behnava middle east liver disease (meld) center, tehran, ir iran; baqiyatallah research center for gastroenterology and liver diseases (brcgl), baqiyatallah university of medical sciences, tehran, ir iran

چکیده

evidence acquisition an electronic search of available literature published was conducted in all peer-reviewed journal indexed in pubmed, scopus and google scholar. the literature search was done among articles related treatment of hepatitis c with daas in different patient groups with mass screening of the patients and cost benefit of new treatments as main key words. results there are major steps that should be taken to eradicate hcv, including (1) the development of screening strategies, particularly for groups such as intravenous drug users and recipients of blood or blood products before the introduction of hcv screening in donors; (2) the development of strategies to overcome issues with the high cost of recently introduced treatments; (3) special attention to special patient groups, such as hiv/hcv co-infection, hemophilia, thalassemia, hemodialysis, and liver-transplant patients; and (4) development of preventive strategies, such as the development of an efficient hcv vaccine, special attention to harm reduction in high-risk groups, and promotion of mass awareness of hcv. context after the introduction of safe and highly effective hepatitis c virus (hcv) treatments, eradication of hcv in the next 20 years is the ultimate goal. since 2011, the advent of first generation direct acting antivirals (daas) were started and followed by the introduction of a new wave of daas in 2013 which exhibit outstanding efficacy. it is obvious that the eradication of hepatitis c is not restricted to development of daas. conclusions the eradication of hcv will require significant governmental financial investment for screening, prevention, and treatment of infected patients. although, we have a long way to eradication of hcv, the next steps could be including proper planning to patient finding, availability of new treatments to all patients and development of hcv prevention strategies such as vaccines.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Next Steps Toward Eradication of Hepatitis C in the Era of Direct Acting Antivirals

CONTEXT After the introduction of safe and highly effective hepatitis C virus (HCV) treatments, eradication of HCV in the next 20 years is the ultimate goal. Since 2011, the advent of first generation direct acting antivirals (DAAs) were started and followed by the introduction of a new wave of DAAs in 2013 which exhibit outstanding efficacy. It is obvious that the eradication of hepatitis C is...

متن کامل

Hepatitis C virus pharmacogenomics in Latin American populations: implications in the era of direct-acting antivirals

In recent years, great progress has been made in the field of new therapeutic options for hepatitis C virus (HCV) infection. The new direct-acting antiviral agents (DAAs) represent a great hope for millions of chronically infected individuals because their use may lead to excellent cure rates with fewer side effects. In Latin America, the high prevalence of HCV genotype 1 infection and the sign...

متن کامل

Managing HIV/hepatitis C co-infection in the era of direct acting antivirals

Morbidity and mortality from co-morbid hepatitis C (HCV) infection in HIV co-infected patients are increasing; hence, the management of hepatitis co-infection in HIV is now one of the most important clinical challenges. Therefore, the development of direct acting antivirals (DAAs) for treatment of HCV has been eagerly awaited to hopefully improve HCV treatment outcome in co-infected individuals...

متن کامل

Interferon-based combination treatment for chronic hepatitis C in the era of direct acting antivirals

The development of protease inhibitors (PIs) such as telaprevir and boceprevir constitutes a milestone in chronic hepatitis C antiviral treatment since it has achieved sustained virological response (SVR) rates of up to 75% in naïve and 29-88% in treatment-experienced patients with genotype 1 infection. Both require combination treatment with pegylated interferon (PEG-IFN) plus ribavirin (RBV) ...

متن کامل

Hepatitis C infected patients need vitamin D3 supplementation in the era of direct acting antivirals treatment

It has been reported that the serum level of vitamin D3 (VitD3) could affect the natural course of chronic hepatitis C (CH-C) and the response to treatment with pegylated interferon (Peg-IFN) and ribavirin. Although several mechanisms for the favorable effects of VitD3 supplementation were reported, the total effect of VitD3 supplementation remains unclear. Previously, we reported that suppleme...

متن کامل

Impact of hepatitis C virus genotype-4 eradication following direct acting antivirals on liver stiffness measurement

BACKGROUND Liver fibrosis is the most important prognostic factor in chronic hepatitis C virus (HCV) patients, and Egypt shows the highest worldwide HCV prevalence with genotype-4 pre-dominance. The aim of this study was to investigate the degree of liver stiffness measurement (LSM) improvement after successful HCV eradication. PATIENTS AND METHODS The study included 84 chronic HCV Egyptian p...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
hepatitis monthly

جلد ۱۶، شماره ۴، صفحات ۰-۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023