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Impact of hepatitis C virus infection on lifestyle

World Journal of Gastroenterology 2007年第19期13卷 2722-2726页

作者： Paola Scognamiglio Vincenzo Galati Assunta Navarra Maria Antonella Longo Maria Stella Aloisi Maria Giulia Antonini massimo puoti Piero Luigi Almasio Giuseppe Ippolito Enrico Girardi Istituto Nazionale per le Malattie Infettive "L. Spallanzani" IRCCS Roma Italy Cattedra di Malattie Infettive Università di Brescia Italy Cattedra di Gastroenterologia Università di Palermo Italy

AIM: To evaluate the impact of the diagnosis of hepatitis C infection on lifestyle habits such as smoking, drinking, sports activity and ***: A self-administered, anonymous question-naire was offered to out-patients with HCV infection consecutively attending three clinical centres in ***: Of the 275 respondents, 62.2% (171) were male. Mean age was 51 (range 20-80) years. Overall, after the diagnosis of hepatitis C, 74.5% of drinkers had modified (giving up or reducing) alcohol consumption, 21.3% of smokers had modifi ed their habits and 32.3% of subjects who reported sports activity had either stopped or reduced frequency of activity or chose a less fatiguing sport. Sixty-four percent of the respondents reported having modified their diet, most of them on physician's advice. CONCLUSION: After the diagnosis of hepatitis C many patients correctly modif ied their alcohol consumption and a minority their smoking habits. The reason for reported changes in diet and physical activity needs further investigations.

关键词： Hepatitis C virus Lifestyle habits Smoking Alcohol consumption Diet Physical activity

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Antiretroviral Therapy in HIV/HCV Co-Infection Italian Consensus Workshop

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Advances in Infectious Diseases 2013年第2期3卷 105-114页

作者： Paola Nasta Anna Maria Cattelan Ivana Maida Francesca Gatti Erika Chiari massimo puoti Giampiero Carosi Clinic of Infectious and Tropical Diseases Spedali Civili Hospital Brescia Italy

About 50% of people living with the HIV infection in Italy are co-infected with HCV. In this group of patients, the primary cause of mortality is liver disease, which accounts for up to 14% of deaths. HIV/HCV co-infection also exposes patients to a higher risk of progression to AIDS, a faster evolution towards cirrhosis, more frequent drug toxicity, and lower tolerance for antiretroviral therapy. Moreover, HCV infection can play a part in increasing immune system depression;neurological, cognitive and renal damage;and bone fragility. Hence an optimal antiretroviral regimen needs to be chosen for co-administration with anti-HCV therapy and timed appropriately to improve the prognosis of co-infected HIV/HCV patients. Unfortunately, however, data on the safety and efficacy of antiretroviral drugs in these patients is scarce, as are studies of pharmacokinetics in patients with advanced liver impairment. Furthermore, restoring adequate immune constitution seems not to slow the progression of liver disease, and the metabolic and hepatic toxicity of some antiretroviral drugs can even contribute to inflammatory and fibrogenic processes. It is therefore essential that HIV/HCV co-infected patients receive only medications capable of ensuring the best immune recovery but possessing the lowest potential to trigger immune reconstitution syndrome or hepatic and metabolic damage.

关键词： ART HIV/HCV Co-Infection Liver Toxicity

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