UPDATE OF HCV TREATMENT (2023)

Xuan Chuong Tran

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Abstract

Viral hepatitis C has a significant impact on morbidity and mortality worldwide as it is a cause of cirrhosis, hepatocellular carcinoma, liver transplantation, and liver-related deaths. The current global HCV prevalence estimate is 1%, corresponding to 71 million infected people. In Vietnam, WHO’s research (2019) estimates that more than 1 million people are infected with HCV.


Current screening strategies mainly target people at high risk of HCV infection: people who inject drugs, have a family member infected with HCV, patients undergoing hemodialysis, ect. Current medicines (DAAs) are all proven to be highly effective, safe and can be used for all hepatitis C patients. The duration of treatment is short, the drug is well tolerated, and even the patient's with decompensated cirrhosis or underlying medical conditions can also be treated. The World Health Organization (WHO) has approved the Global Strategy to eliminate HCV infection by 2030. This review presents the latest WHO and AASLD recommendations on strategies for diagnosis, treatment and treatment of hepatitis C in special subjects.

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References

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