Corson Melissa, Moch Ashley, Saab Sammy
Dr Corson is a medical resident in the Department of Medicine at the University of California at Los Angeles in Los Angeles, California. Ms Moch is a research assistant in the Department of Surgery at the University of California at Los Angeles. Dr Saab is a professor in the Departments of Medicine and Surgery at the University of California at Los Angeles.
Gastroenterol Hepatol (N Y). 2018 May;14(5):280-285.
An important interplay exists between hepatitis C virus (HCV) infection and chronic kidney disease (CKD). HCV infection is associated with an increased risk of morbidity and mortality in patients coinfected with CKD, and patients with CKD have an increased risk of HCV infection. Direct-acting antiviral (DAA) agents have changed the landscape of treatment with excellent sustained virologic response rates and fewer side effects than previously seen. An increasing number of studies demonstrate that DAA agents are efficacious and safe both in patients on dialysis and in patients who have undergone kidney transplantation. This article reviews the current literature on approved DAA agents for the treatment of HCV infection in patients on dialysis and in kidney transplant recipients.
丙型肝炎病毒(HCV)感染与慢性肾脏病(CKD)之间存在重要的相互作用。HCV感染会增加CKD合并感染患者的发病和死亡风险,而CKD患者感染HCV的风险也会增加。直接抗病毒(DAA)药物改变了治疗格局,其持续病毒学应答率优异,且副作用比以往更少。越来越多的研究表明,DAA药物在透析患者和肾移植患者中均有效且安全。本文综述了目前关于已获批用于治疗透析患者和肾移植受者HCV感染的DAA药物的文献。