Cabezas Joaquín, Crespo Javier, Selmo Josefina, Luis Calleja José
Servicio de Aparato Digestivo, Hospital Universitario Marqués de Valdecilla, Santander, España.
Enferm Infecc Microbiol Clin. 2013 Jul;31 Suppl 3:7-13. doi: 10.1016/S0213-005X(13)70118-6.
Chronic hepatitis due to the hepatitis C virus (HCV) infection affects nearly 180 million people worldwide. This infection is curable. Until 1 year ago, the only treatment for genotype 1 HCV was the combination of pegylated interferon and ribavirin, which was only moderately effective (40-50%). The introduction of new antiviral agents, such as telaprevir, represents a change of paradigm and has revolutionized the treatment of this infection. This drug has increased the likelihood of viral response (to 80%) and has allowed treatment length to be shortened in more than 50% of patients. New stopping rules have been developed to avoid the development of resistances. Finally, special attention should be paid to potentially serious adverse effects, particularly anemia and cutaneous alterations.
丙型肝炎病毒(HCV)感染所致的慢性肝炎影响着全球近1.8亿人。这种感染是可以治愈的。直到1年前,1型HCV的唯一治疗方法是聚乙二醇化干扰素和利巴韦林联合使用,其疗效仅为中等(40%-50%)。新型抗病毒药物如特拉匹韦的引入代表了一种治疗模式的转变,彻底改变了这种感染的治疗方式。这种药物提高了病毒应答的可能性(达到80%),并使超过50%的患者治疗疗程得以缩短。已制定新的停药规则以避免耐药性的产生。最后,应特别关注潜在的严重不良反应,尤其是贫血和皮肤改变。