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Published on: June 26, 2020
[Polyvirus hepatitides (prevalence, diagnosis, characteristics of virusological process)]
Insights
Chronic hepatitis of polyvirus etiology is common. Early diagnosis and treatment of mixed viral liver diseases, alongside lifestyle changes, can reduce prevalence.
Area of Science:
- Hepatology
- Virology
- Epidemiology
Context:
- Chronic liver diseases (CLD) encompass various etiologies, with viral infections being a significant concern.
- Polyviral etiologies contribute to the complexity and progression of chronic hepatitis.
- Understanding the prevalence and characteristics of polyvirus-induced chronic hepatitis is crucial for effective management.
Purpose:
- To determine the prevalence of chronic hepatitis (CH) caused by multiple viruses (polyvirus etiology).
- To characterize the clinical, biochemical, virological, and morphological aspects of polyvirus CH.
- To identify factors influencing the course and outcomes of mixed viral hepatitis.
Summary:
- A study of 15,000 patients with CLD identified 312 cases of CH with polyvirus etiology.
- Hepatitis B virus (HBV) replication significantly impacts the disease activity in mixed hepatitis.
- Chronic HBV and hepatitis C virus (HCV) infections increase with age, and hepatitis A virus (HAV) shows atypical presentation in drug users.
Impact:
- Findings highlight the prevalence of polyvirus CH and the need for comprehensive diagnostic and antiviral strategies.
- Emphasizes the importance of epidemiological surveillance, particularly in high-risk groups like drug addicts.
- Promotes the role of healthy lifestyles and integrated management of CLD with mixed viral etiologies to reduce disease burden.
Aim:
To ascertain prevalence of chronic hepatitides (CH) of polyvirus etiology and to characterize a course of such polyvirus CH.
Material And Methods:
A total of 15000 patients with chronic diseases of the liver (CDL) of different etiology were examined for markers of hepatotropic viruses, 312 patients with CH aged 18-59 years were examined clinically, biochemically, virusologically and morphologically.
Results:
CH of polyvirus etiology are rather prevalent. A replicative form of HBV has a significant effect on the activity of the pathological process in mixed hepatitis. Incidence of chronic HBV and HCV infection rises with age. Viral hepatitis A in drug addicts runs an atypical course.
Conclusion:
Adequate epidemiological analysis, diagnosis and antiviral treatment, follow-up of CDL of mixed viral etiology, monitoring of drug addiction, healthy life style are able to reduce prevalence of mixed hepatitis.
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