Tanaka Atsushi
Nihon Rinsho. 2015 Feb;73(2):221-7.
Recently, the management of chronic hepatitis C virus (HCV) has been greatly advanced with introduction of direct acting antivirals (DAAs) in clinical setting. The Japan Society of Hepatology (JSH) first released the clinical practice guideline for the management of HCV infection in 2012, and revised in 2013 along with the introduction of a second-generation DAA, simeprevir (SMV). In September 2014, the first IFN-free DAAs, daclatasvir (DCV) and asunaprevir (ASV), were launched and the antiviral therapy for IFN intolerant/ineligible patients became to be possible. Thence the society has now revised the clinical practice guidelines at this time, and added a new treatment flow-chart for the antiviral therapy in patients with cirrhosis. In this article I summarized the revised guidelines and would like to introduce the treatment recommendations.
近年来,随着直接抗病毒药物(DAAs)应用于临床,慢性丙型肝炎病毒(HCV)的治疗取得了巨大进展。日本肝脏学会(JSH)于2012年首次发布了HCV感染管理的临床实践指南,并于2013年随着第二代DAA药物simeprevir(SMV)的引入进行了修订。2014年9月,首个不含干扰素的DAAs药物daclatasvir(DCV)和asunaprevir(ASV)上市,使得对干扰素不耐受/不适用的患者进行抗病毒治疗成为可能。因此,该学会此时修订了临床实践指南,并增加了针对肝硬化患者抗病毒治疗的新流程图。在本文中,我总结了修订后的指南,并介绍治疗建议。