维普中文期刊产品整合服务
1篇 您的检索式:作者名="David M.Feldman"
    题名 作者 年代 出处 被引量
1Risk assessment and management of hepatitis B reactivation from direct-acting antivirals for hepatitis C显示文摘Although hepatitis B virus(HBV)reactivation has been reported in hepatitis C patients who received interferon therapy,rare cases of HBV reactivation occur in the context of direct-acting antiviral(DAA)agent therapy for treatment of hepatitis C virus(HCV)infection.Recent studies observed that the reactivations were predominantly in hepatitis B surface antigen(HBsAg)positive patients,but reactivation can rarely occur in patients who are HBsAg negative and hepatitis B core antibody(HBcAb)positive.The severity of an HBV flare varies.In some cases,severe liver injury or fulminant hepatic failure may occur.HBV reactivation may occur regardless of HCV genotype and type of DAA regimens.The onset of HBV reactivation can range from 4 to 48 weeks after initiating DAA therapy.These patients may have undetectable levels of HBV deoxyribonucleic acid(DNA)prior to DAA treatment.Pre-emptive antiviral therapy for HBV should be considered in HBsAg-positive patients with high levels of viremia who are not receiving HBV treatment.If HBV DNA viral load is less than the guideline criteria for HBV treatment,one should consider pre-emptive HBV antiviral versus HBV DNA monitoring during DAA therapy.For patients who are HBsAg negative but HBcAb positive,close monitoring of serum alanine aminotransferase(ALT)levels during/post-treatment is highly recommended.The current review summarizes the recommendations of different society guidelines and discusses the appropriate management strategies in various patient profiles.Maureen Whitsett David M.Feldman Calvin Q.Pan 2019Liver Research2019,3,2:0
返回顶部 每页显示:
共1页 首页 上一页 第1页 下一页 末页 /1 跳转

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1 渝公网安备 50019002500403号 违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费