Soriano Vicente, Young Benjamin, Terrault Norah
Infectious Diseases Unit, La Paz University Hospital, Madrid, Spain.
Internacional Association of Providers of AIDS Care, Washington, DC, USA.
AIDS Rev. 2016 Apr-Jun;18(2):81-8.
The International Conference on Viral Hepatitis 2016 brought exciting news on the treatment of viral hepatitis. The conference was mainly focused on the most recent estimates of burden for HBV and HCV; the current gaps and prospects for regional and global HCV eradication; the use of HCV treatment as prevention; and the management of difficult-to-cure hepatitis C patients, including individuals who fail on direct-acting antivirals, people who inject drugs, and those with decompensated cirrhosis or renal insufficiency. Special patient populations, such as children, pregnant women, HIV-coinfected and persons with acute hepatitis C, were addressed separately. Data from both clinical trials and real-world experience were discussed. Further debates focused on hepatic conditions that may alter the management and outcome of viral hepatitis, such as fatty liver disease, liver transplantation, and hepatocellular carcinoma.
2016年国际病毒性肝炎会议带来了有关病毒性肝炎治疗的振奋人心的消息。该会议主要聚焦于乙肝和丙肝负担的最新评估;区域和全球消除丙肝的当前差距与前景;将丙肝治疗用作预防措施;以及难以治愈的丙肝患者的管理,包括直接作用抗病毒药物治疗失败的个体、注射吸毒者、失代偿期肝硬化患者或肾功能不全者。特殊患者群体,如儿童、孕妇、合并感染艾滋病毒者以及急性丙肝患者,也分别进行了探讨。会议讨论了来自临床试验和真实世界经验的数据。进一步的辩论聚焦于可能改变病毒性肝炎管理和预后的肝脏疾病,如脂肪肝疾病、肝移植和肝细胞癌。