Department of Pediatric Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic Children's Hospital, 8950 Euclid Avenue, R3, Cleveland, OH 44195, USA.
Cleveland Clinic Children's Hospital, 8950 Euclid Avenue, R3, Cleveland, OH 44195, USA.
Pediatr Clin North Am. 2021 Dec;68(6):1321-1331. doi: 10.1016/j.pcl.2021.07.008.
Hepatitis C in children is on the rise due to perinatal transmission from infected mothers, and high-risk practices in adolescents and young adults. Prevalence remains underestimated because children at high risk are often not screened. Treatment has evolved over the past decade with the advent of new drugs, and global elimination is now possible. Direct-acting antiviral combinations are safe and effective, with sustained viral suppression rate >90%, and Food and Drug Administration-approved for children ≥3 years old. Although challenging, efficient screening and treatment of chronic hepatitis C virus early is cost-effective and reduces burden of disease and its complications.
由于感染母亲的围产期传播,以及青少年和年轻成年人的高危行为,儿童丙型肝炎的发病率正在上升。由于高危儿童通常未被筛查,因此患病率仍被低估。过去十年,随着新药物的出现,治疗方法也不断发展,现在全球已经可以消除丙型肝炎。直接作用抗病毒药物联合治疗安全有效,持续病毒抑制率>90%,已获得美国食品和药物管理局批准用于≥3 岁的儿童。尽管具有挑战性,但早期有效筛查和治疗慢性丙型肝炎病毒具有成本效益,可以减轻疾病负担及其并发症。