文章基本信息

标题：Efficacy Of Pegylated Interferon And Ribavirin Treatment In Coinfected HIV HCV Patients
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作者：Irina Magdalena Dumitru ; Eugen Dumitru ; Liliana Ana Tuta 等
期刊名称：ARS Medica Tomitana
电子版ISSN：1841-4036
出版年度：2017
卷号：23
期号：1
页码：47-52
DOI：10.1515/arsm-2017-0009
语种：English
出版社：Walter de Gruyter GmbH
摘要：The objectives of the study were to determine the efficacy of pegylated interferon alfa 2 b (PegINF) and ribavirin (RBV) treatment in co-infected HIV / HCV patients, to identify predictive factors associated with sustained viral response (SVR) in these patients. Out of the 956 HIV infected patients, 38 were HCVAb (4%) positive, 14 of which had undetectable HCV RNA, only 6 patients met the inclusion criteria. Screening failure was due to: liver cirrhosis Child Pugh B / C, hepatocellular carcinoma, pulmonary TB, thyroid dysfunction, CD4 <200 cells3, detectable HIV RNA and depressive syndrome. We initiated PegINF and RBV therapy for 48 weeks. SVR was achieved in 16.6% of cases (only one patient) and correlated with HCV RNA level, CD4 count, duration of HIV infection, CDC classification and liver fibrosis. In conclusion, our study group has a low prevalence of HIV / HCV co-infection (2.6%) with a large number of patients HCVAb positive but undetectable HCV RNA. Positive predictive factors for SVR were: low levels of HCV RNA, small duration of HIV infection, high levels of CD4, B1/B2 (CDC classification) and low degree of fibrosis.
关键词：HIV/ HCV coinfection ; antiviral treatment ; SVR