Management of chronic hepatitis B and C virus infections

Voranush Chongsrisawat1, Yong Poovorawan

  • 1Viral Hepatitis Research Unit, Department of Pediatrics, Chulalongkorn University & Hospital, Bangkok, Thailand.

Insights

Treating chronic Hepatitis B virus (HBV) and Hepatitis C virus (HCV) in children aims to reduce liver inflammation and long-term risks. Current treatments show promise, but long-term effects in pediatric patients require further evaluation.

Area of Science:

  • Hepatology
  • Virology
  • Pediatric Infectious Diseases

Background:

  • Hepatitis B virus (HBV) and Hepatitis C virus (HCV) infections pose significant global health challenges, particularly in children, increasing risks of chronic infection and severe outcomes.
  • Chronic HBV and HCV infections in children can lead to hepatic inflammation, hepatocellular carcinoma, and reduced survival rates.
  • Effective treatment strategies are crucial for managing pediatric viral hepatitis, aiming to mitigate disease progression and improve patient prognosis.

Purpose of the Study:

  • To review the current understanding of treating chronic HBV and HCV infections in children.
  • To evaluate the efficacy and long-term benefits of antiviral therapies in pediatric populations.
  • To identify gaps in knowledge regarding the long-term clinical and virological effects of treatments in children.

Main Methods:

  • Literature review of studies on antiviral treatments for chronic HBV and HCV in pediatric patients.
  • Analysis of data on the effectiveness of Interferon (IFN) in children with chronic HBV infection.
  • Examination of available information on lamivudine and combination therapies (IFN and ribavirin) for pediatric viral hepatitis.

Main Results:

  • Interferon (IFN) therapy can accelerate the natural course of chronic HBV infection in children with high disease activity and low viral replication.
  • Limited data exists on the long-term benefits of lamivudine for children with chronic HBV infection.
  • The efficacy of combination therapy with IFN and ribavirin for chronic HCV infection in children is still under investigation.

Conclusions:

  • Antiviral therapies offer potential benefits in managing chronic HBV and HCV in children by reducing inflammation and associated risks.
  • Further research is essential to fully understand the long-term clinical and virological outcomes of various drug regimens in pediatric patients with chronic viral hepatitis.
  • Long-term monitoring and evaluation of treatment effects are critical for optimizing pediatric viral hepatitis management.

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