Consensus conference on chronic viral hepatitis and HIV infection: updated Spanish recommendations

V Soriano1, J M Miró, J García-Samaniego

  • 1Service of Infectious Diseases, Hospital Carlos III, Madrid, Spain. vsoriano@dragonet.es

Insights

Updated guidelines address the management of chronic hepatitis B (HBV) and hepatitis C (HCV) in patients with human immunodeficiency virus (HIV). New treatments necessitate revised recommendations for coinfected individuals, focusing on HBV and HCV management strategies.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Virology

Background:

  • Chronic hepatitis B (HBV) and C (HCV) are significant causes of illness and death in people with human immunodeficiency virus (HIV).
  • Advancements in antiviral therapies for HBV and HCV necessitate updated clinical guidance for coinfected patients.

Framework:

  • A panel of Spanish experts convened to review fifteen key topics concerning HBV and HCV management in HIV-infected patients.
  • Recommendations were developed for nine HCV-related, five HBV-related, and one coinfection-specific topic.
  • The Infectious Disease Society of America (IDSA) grading system was employed to score the proposed recommendations.

Implementation:

  • The guidelines provide a comprehensive framework for managing coinfected patients.
  • Expert consensus was reached on updated treatment strategies.
  • The recommendations are designed for practical application in clinical settings.

Implications:

  • These updated guidelines offer a crucial resource for clinicians managing coinfected patients.
  • Improved management strategies can lead to better health outcomes for individuals with HIV and chronic viral hepatitis.
  • This work supports the ongoing efforts to reduce morbidity and mortality associated with HBV and HCV in the HIV-positive population.

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