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[从在黑暗中治疗到消除丙型肝炎]

[From treating in the dark towards eliminating hepatitis C].

作者信息

Christensen Peer Brehm, Søholm Jacob, Øvrehus Anne

出版信息

Ugeskr Laeger. 2021 Nov 15;183(46).

Abstract

Before the hepatitis C virus (HCV) was identified, patients with hepatitis C were treated with interferon. Alanine aminotranferase levels decreased in 25-50% of treated patients, but only 10-20% had been cured, i.e. became HCV-RNA-negative. Cure rates were improved to 40-60% by prolonging the duration of therapy and adding ribavirin, but it was not until the introduction of direct acting antivirals, that a cure for all patients was achieved. The time is now to eliminate hepatitis C, and in this review we argue, that it will require outreach and point-of-care testing and treating, but we expect Denmark to fulfil the WHO elimination goals before 2030.

摘要

在丙型肝炎病毒(HCV)被发现之前,丙型肝炎患者接受干扰素治疗。25%至50%的接受治疗患者的丙氨酸转氨酶水平下降,但只有10%至20%的患者被治愈,即HCV-RNA转为阴性。通过延长治疗时间和添加利巴韦林,治愈率提高到了40%至60%,但直到直接作用抗病毒药物的出现,才实现了对所有患者的治愈。现在是消除丙型肝炎的时候了,在本综述中我们认为,这将需要扩大服务范围以及即时检测和治疗,但我们预计丹麦将在2030年前实现世界卫生组织的消除目标。

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