Approach to the Management of Patients with Chronic Hepatitis C Who Failed to Achieve Sustained Virologic Response
2005; Elsevier BV; Volume: 9; Issue: 3 Linguagem: Inglês
10.1016/j.cld.2005.05.002
ISSN1557-8224
AutoresAmrita Sethi, Mitchell L. Shiffman,
Tópico(s)Liver Disease Diagnosis and Treatment
ResumoThe combination of peginterferon and ribavirin is the most effective therapy for patients with chronic hepatitis C virus (HCV) infection. Although more than half of all patients are able to achieve a sustained virologic response (SVR), a significant proportion of patients, particularly those with genotype 1, fail to have undetectable HCV RNA during treatment or relapse after completing therapy with return of detectable HCV RNA. The management of these patients creates a formidable challenge. This article outlines various strategies for patients who have failed to achieve SVR and discusses the merits of different approaches to management.
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