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Management practices of hepatitis C virus infected alcoholic hepatitis patients:A survey of physicians

World Journal of Gastrointestinal Pharmacology and Therapeutics 2013年第2期4卷 16-22页

作者： Ashwani K Singal Habeeb Salameh Anjna Singal Sarat C Jampana Daniel H Freeman Karl E Anderson don brunder Departments of Internal Medicine GastroenterologyBiostatistics and LibraryUniversity of YX Medical BranchGalvestonTX 77555United States Division of Gastroenterology and Hepatology University of Alabama at BirminghamBirminghamAL 35294-0012United States

AIM:To survey gastroenterologists and hepatologists regarding their current views on treating hepatitis C virus(HCV) infected alcoholic hepatitis(AH) ***:A sixteen item questionnaire was electronically mailed to gastroenterologists and hepatologists.A reminder was sent after 2 mo to increase the response *** of respondents was *** secured web site to respond to the questionnaire was considered as informed *** received on the secured website were downloaded in an excel sheet for data ***:Analyzing 416 responses to 1556(27% response rate) emails,57% respondents(56% gastroenterologists) reported HCV prevalence > 20% amongst AH *** nine percent often treated AH and 46% preferred corticosteroids(CS).Proportion of respondents with consensus(75% or more respondents agreeing on question) on specific management of HCV infected AH were:routine HCV testing(94%),HCV not changing response to CS(80%) or pentoxifylline(91%),no change in approach to treating HCV infected AH(75%).None of respondent variables:age,specialty,annual number of patients seen,and HCV prevalence could predict respondent to be in consensus on any of or all 4 ***,only 4% would choose CS for treating HCV infected AH as opposed to 47% while treating HCV negative ***:Gastroenterologists and hepatologists believe that AH patients be routinely checked for ***,there is lack of consensus on choice of drug for treatment and outcome of HCV positive AH *** are needed to develop guidelines for management of HCV infected AH patients.

关键词： Survey Alcoholic hepatitis Hepatitis C virus Alcoholic liver disease

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