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Use of antiviral therapy in patients with chronic hepatitis C
Natalia Dragomiretskaya1, Anna Izha1, Nikolay Kalinichenko1
1Ukrainian scientific research institute of medical rehabilitation and curortology Ministry of Health Ukraine, Odessa, Ukraine.
Insights
This study shows that combining antiviral therapy with resort treatments effectively manages chronic hepatitis C (HCV) replication. Patients receiving combined therapy achieved higher rates of viral elimination and sustained remission compared to controls.
Area of Science:
- Hepatology
- Virology
- Gastroenterology
Background:
- Chronic hepatitis C (HCV) infection is prevalent and poses significant health risks.
- Understanding HCV replication dynamics is crucial for effective treatment strategies.
Purpose of the Study:
- To evaluate the efficacy of combined antiviral therapy (Roferon + Vero-Ribavirin) and resort treatments for chronic hepatitis C patients in the replication phase.
- To assess the impact of this combined approach on viral clearance and clinical remission.
Main Methods:
- A study involving 48 patients with chronic hepatitis C in the replication phase.
- Utilized enzyme-linked immunosorbent assay (ELISA) and polymerase chain reaction (PCR) for HCV detection and genotyping.
- Therapy outcomes were monitored at multiple time points up to 12 months post-treatment.
Main Results:
- All patients achieved persistent clinical and biochemical remission at 12 months.
- Viral elimination was observed in 74% of the study group, compared to 56% in the control group.
- The replication phase was associated with asthenic-vegetative syndrome, depression, pain, dyspepsia, hypertransaminasemia, and cholestasis.
Conclusions:
- Combined antiviral therapy and resort treatment is effective for managing chronic hepatitis C in the replication phase.
- This approach leads to improved viral clearance and sustained remission.
- Addressing associated symptoms like asthenic-vegetative syndrome is important in HCV management.
Introduction:
The presence of background HCV infection cannot be overestimated in view of the prevalence of chronic hepatitis C and the risk of adverse outcomes of this disease. Purpose of this study was to evaluate the effectiveness of the combined use of antiviral therapy (Roferon + Vero-Ribavirin) and resort factors in patients with chronic hepatitis C in the phase of replication.
Material And Methods:
We observed 48 patients with chronic hepatitis C; the minimum level of activity of the process defined the phase of replication. Markers of HCV infection were determined by enzyme linked immunosorbent assay (ELISA) (a-HCV and HCV-Ig M). HCV RNA was determined twice by the polymerase chain reaction (PCR). Genotyping of hepatitis C virus was performed. Biochemical blood analysis and the study of HCV infection markers were carried out four times. Results of therapy were assessed immediately after the end of the resort (spa) treatment, then at 3, 6 and 12 months after starting treatment. At 12 months after starting treatment, all the observed patients had persistent clinical and biochemical remission. Elimination of the virus from the blood was noted in 56% of the control group and 74% of patients in the study group.
Conclusions:
For patients with moderately active HCV, the replication phase was characterized by asthenic-vegetative syndrome (100% of patients) with severe depression (22.92%), pain (77.08%) and dyspeptic syndrome (33.33%), moderate hypertransferaseemia (100%), slightly pronounced cholestasis (33% of patients), and signs of mesenchymal-inflammatory response.
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