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索磷布韦/来迪帕司韦治疗5至10岁合并症儿童慢性丙型肝炎的疗效和安全性——简要报告

Efficacy and Safety of the Treatment of Chronic Hepatitis C with Sofosbuvir/Ledipasvir in Children Aged 5 to 10 Years with Comorbidities-A Brief Report.

作者信息

Pokorska-Śpiewak Maria, Dobrzeniecka Anna, Ogrodnik Agnieszka

机构信息

Department of Children's Infectious Diseases, Medical University of Warsaw, 01-201 Warsaw, Poland.

Regional Hospital of Infectious Diseases in Warsaw, 01-201 Warsaw, Poland.

出版信息

Infect Dis Rep. 2022 Aug 3;14(4):574-578. doi: 10.3390/idr14040061.

DOI:10.3390/idr14040061
PMID:36005263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9407716/
Abstract

The efficacy and safety of 12 weeks of therapy with sofosbuvir/ledipasvir in three patients aged 5-10 years are presented. All three children suffered from comorbidities, including chronic kidney disease in two. All participants achieved a sustained virologic response 12 weeks after the end of treatment. No adverse effects were reported during or after the treatment, and the compliance was good. Decisions on starting treatment in children below 6 years of age should be made individually, taking compliance into consideration. The adjustment of formulation and dosing of medication during treatment is necessary in young children. Further research with larger groups of patients is needed to confirm our findings.

摘要

本文介绍了索磷布韦/维帕他韦对3名5至10岁患者进行12周治疗的疗效和安全性。所有3名儿童都患有合并症,其中两名患有慢性肾病。所有参与者在治疗结束12周后均实现了持续病毒学应答。治疗期间及之后均未报告不良反应,且依从性良好。对于6岁以下儿童开始治疗的决策应个体化,并考虑依从性。幼儿在治疗期间需要调整药物制剂和剂量。需要对更多患者群体进行进一步研究以证实我们的发现。

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1
Efficacy and Safety of the Treatment of Chronic Hepatitis C with Sofosbuvir/Ledipasvir in Children Aged 5 to 10 Years with Comorbidities-A Brief Report.索磷布韦/来迪帕司韦治疗5至10岁合并症儿童慢性丙型肝炎的疗效和安全性——简要报告
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本文引用的文献

1
The Influence of Treatment with Ledipasvir/Sofosbuvir on Growth Parameters in Children and Adolescents with Chronic Hepatitis C.聚乙二醇干扰素α-2a 联合利巴韦林治疗慢性丙型肝炎的疗效和安全性
Viruses. 2022 Feb 25;14(3):474. doi: 10.3390/v14030474.
2
Real-Life Experience with Ledipasvir/Sofosbuvir for the Treatment of Chronic Hepatitis C Virus Infection with Genotypes 1 and 4 in Children Aged 12 to 17 Years-Results of the POLAC Project.来迪派韦/索磷布韦治疗12至17岁儿童1型和4型慢性丙型肝炎病毒感染的真实生活经验——POLAC项目结果
J Clin Med. 2021 Sep 15;10(18):4176. doi: 10.3390/jcm10184176.
3
One-Year Outcomes after Ledipasvir/Sofosbuvir Treatment of Chronic Hepatitis C in Teenagers with and without Significant Liver Fibrosis-A Case Series Report.青少年慢性丙型肝炎患者接受 Ledipasvir/Sofosbuvir 治疗 1 年后的结果:有无显著肝纤维化的病例系列报告。
Viruses. 2021 Jul 31;13(8):1518. doi: 10.3390/v13081518.
4
Breakthroughs and challenges in the management of pediatric viral hepatitis.儿科病毒性肝炎管理的突破与挑战。
World J Gastroenterol. 2021 May 28;27(20):2474-2494. doi: 10.3748/wjg.v27.i20.2474.
5
Cascade of care for children and adolescents with chronic hepatitis C.儿童和青少年慢性丙型肝炎的治疗流程。
World J Gastroenterol. 2021 Mar 28;27(12):1117-1131. doi: 10.3748/wjg.v27.i12.1117.
6
Liver Fibrosis Evaluated With Transient Elastography in 35 Children With Chronic Hepatitis C Virus Infection.应用瞬时弹性成像技术评估 35 例慢性丙型肝炎病毒感染患儿的肝纤维化。
Pediatr Infect Dis J. 2021 Feb 1;40(2):103-108. doi: 10.1097/INF.0000000000002913.
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Efficacy of Sofosbuvir/Ledipasvir in Adolescents With Chronic Hepatitis C Genotypes 1, 3, and 4: A Real-world Study.索磷布韦/维帕他韦治疗慢性丙型肝炎青少年患者 1、3、4 型的疗效:真实世界研究。
J Pediatr Gastroenterol Nutr. 2021 Jan 1;72(1):95-100. doi: 10.1097/MPG.0000000000002900.
8
Systematic review with meta-analysis: the efficacy and safety of direct-acting antivirals in children and adolescents with chronic hepatitis C virus infection.系统评价与荟萃分析:直接作用抗病毒药物治疗慢性丙型肝炎病毒感染儿童和青少年的疗效和安全性。
Aliment Pharmacol Ther. 2020 Oct;52(7):1125-1133. doi: 10.1111/apt.16037. Epub 2020 Aug 18.
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J Pediatr. 2020 Apr;219:106-110. doi: 10.1016/j.jpeds.2019.12.034. Epub 2020 Jan 31.
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Liver Int. 2020 Feb;40(2):319-323. doi: 10.1111/liv.14308. Epub 2019 Dec 5.