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Hepatitis C virus therapy with peg-interferon and ribavirin in Myanmar: A resource-constrained country

World Journal of Gastroenterology 2016年第43期22卷 9613-9622页

作者： Naomi Khaing Than Hlaing Debolina Banerjee Robert Mitrani Soe Htet Arker Kyaw San Win Nyan Lin Tun Zaw Thant Khin Maung Win K Rajender Reddy Department of Hepatology Mandalay General Hospital Division of Gastroenterology and Hepatology University of Pennsylvania

AIM To investigate peg-interferon(peg-IFN) and ribavirin(RBV) therapy in Myanmar and to predict sustained virologic response(SVR).METHODS This single-center, open-label, study was conducted in Myanmar between 2009 and 2014. A total of 288 patients infected with HCV genotypes 1, 2, 3 and 6 were treated with peg-IFN alpha-2a(180 μg/wk) or alpha-2b(50 to 100 μg as a weight-based dose) and RBV as a weight-based dose(15 mg/kg/d). Treatment duration was 48 wk for genotypes 1 and 6, 24 wk for genotype 2, and 24 or 48 wk for genotype 3 based on rapid virologic response(RVR). Those co-infected with hepatitis B received 48 wk of *** Overall, SVR was achieved for 82% of patients and the therapy was well tolerated. All patients achieved SVR at equivalent rates regardless of HCV genotype(P = 0.314). Low fibrosis scores(P 96% positive predictive value for achieving SVR. Treatment duration did not significantly impact the likelihood of achieving SVR for patients infected with genotype 3 HCV(P = 0.371). The most common adverse events were fatigue(71%) and poor appetite(60%). Among patients with genotype 3 HCV, more patients in the 48-wk treatment group required erythropoietin than in the 24-wk treatment group(61.1% vs 49.2%).CONCLUSION SVR rates were high with peg-IFN and RBV therapy in Myanmar. Fibrosis scores, baseline albumin, HCV RNA levels and RVR independently predicted SVR.

关键词： Hepatitis C virus Pegylated-interferon Ribavirin Sustained virologic response rapid virologic response

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Prevalence of abnormal glycometabolism in patients with chronic hepatitis C and related risk factors in China

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Chinese Medical Journal 2011年第2期124卷 183-188页

作者： WANG Li-fen WU Chi-hong SHAN Yuan FAN Xiao-hong HUO Na LU Hai-ying XU Xiao-yuan Department of Infectious Diseases Peking University First Hospital Beijing 100034 China

Background An epidemiologic link between hepatitis C virus （HCV） and abnormal glycometabolism had been *** study was designed to investigate the prevalence of type 2 diabetes rnellitus and insulin resistance,and to explore the relation between insulin resistance and hepatitis C virus genotype,serum hepatitis C virus-RNA level in chronic hepatitis C（CHC） *** Three hundred and fifty-nine consecutive patients （CHC,n=296;chronic hepatitis B （CHB）,n=63） were *** genotyping was performed by restriction fragment method and serum hepatitis C virus-RNA quantified PCR for all CHC patients in the baseline *** levels of insulin and glucose were measured in all patients and the homeostatic assessment of insulin resistance was calculated in the baseline *** Type 2 diabetes mellitus was diagnosed in 15.5% of 296 CHC *** resistance was present in 23.8% of the 235 nondiabetic CHC patients,in 23.1% of the 182 nondiabetic and noncirrhotic CHC patients,and associated with high serum HCV RNA level （OR： 1.754;95% CI：1.207-2.548,P=0.003） and age 〉40 years （OR.3.542;95% CI：1.257-9.978,P=0.017）.Insulin resistance was less frequent in CHB than in matched CHC （7.9% vs.21.4%respectively,P 〈0.0001）.Conclusion The incidence of insulin resistance in CHC was significantly higher than that in CHB patients,associated with high serum HCV RNA level and age 〉40 years.

关键词： insulin resistance hepatitis C rapid virologic response

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