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13:04
A Protocol for Analyzing Hepatitis C Virus Replication
Published on: June 26, 2014
[HIV and hepatitis C co-infection].
M Vogel1, C Boesecke, J-C Wasmuth
1Medizinische Klinik und Poliklinik I, Universitätsklinikum Bonn.
Deutsche Medizinische Wochenschrift (1946)
|June 2, 2010
Summary
HIV and Hepatitis C Virus (HCV) co-infection accelerates liver disease progression. Early HAART initiation and HCV treatment are recommended for co-infected patients to slow fibrosis and prevent complications.
Area of Science:
- Hepatology
- Infectious Diseases
- Immunology
Background:
- Chronic hepatitis C virus (HCV) infection is a major comorbidity in HIV-infected individuals, affecting one-third in Europe.
- HIV/HCV co-infection accelerates liver cirrhosis, decompensation, and hepatocellular carcinoma compared to HCV mono-infection, especially with severe immunodeficiency.
Purpose of the Study:
- To review the epidemiology and natural course of HCV in HIV co-infection.
- To summarize current guidelines for managing chronic hepatitis C in HIV co-infected patients.
Main Methods:
- Literature review of epidemiological data.
- Analysis of the natural history of HCV in the context of HIV.
- Synthesis of current clinical management guidelines.
Main Results:
- Immune reconstitution with HAART slows liver fibrosis progression in HIV/HCV co-infected individuals.
- HCV treatment with pegylated interferon and ribavirin can halt disease sequelae.
Conclusions:
- Early HAART initiation is advised for HCV co-infected patients.
- All HIV/HCV co-infected patients should be evaluated for HCV treatment eligibility.
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