Hepatitis C virus infection and pregnancy – not the simplest combination

Q4 Immunology and Microbiology Revista Romana de Boli Infectioase Pub Date : 2021-11-30 DOI:10.37897/rjid.2021.s.3
C. Mugescu, Mihaela Demetrian, N. Gică, R. Botezatu, C. Gică, G. Peltecu, A. Ciobanu, B. Cimpoca-Raptis, A. Panaitescu
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Abstract

Hepatitis C virus (HCV) infection has a rather noticeable effect on pregnancy, considering the fact that two entities are involved: the mother and the fetus. It has become a worldwide health threat, so forward actions are to be taken in order to minimize the impact on morbidity and mortality caused by this virus. We conducted this review article based on data from 33 articles published between 2016 and 2021 that assessed both maternal and fetal outcomes, long term effect on children born to HCV infected mothers, screening for HCV among pregnant women, vertical transmission, recommendations for the management of HCV infected pregnant patient, available medication and the need for treating HCV during pregnancy. The majority of authors concluded that HCV has a greater impact on the fetus/child rather than on mother and also, most of them are calling in for the need to treat this infection during pregnancy in order to diminish the risk of vertical transmission, therefore to reduce the incidence of HCV infection among infants. The necessity for further studies, especially on safety data for antiviral medication is imperative, as well as the need for new steps in downsizing the impact of HCV infection on individuals around the globe.
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丙型肝炎病毒感染和妊娠——不是最简单的组合
丙型肝炎病毒(HCV)感染对妊娠有相当显著的影响,考虑到有两个实体参与:母亲和胎儿。它已经成为世界范围内的健康威胁,因此需要采取前瞻性行动,以最大限度地减少这种病毒对发病率和死亡率的影响。我们根据2016年至2021年间发表的33篇文章的数据进行了这篇综述文章,这些文章评估了母体和胎儿的结局、对HCV感染母亲所生子女的长期影响、孕妇中HCV的筛查、垂直传播、HCV感染孕妇的管理建议,可用的药物和在妊娠期间治疗HCV的需要。大多数作者得出结论,丙型肝炎病毒对胎儿/儿童的影响比对母亲的影响更大,而且他们中的大多数人呼吁在怀孕期间治疗这种感染,以降低垂直传播的风险,从而降低婴儿中丙型肝炎病毒感染的发生率。进一步研究的必要性,特别是抗病毒药物的安全性数据,以及减少丙型肝炎病毒感染对全球个人影响的新措施的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
0.10
自引率
0.00%
发文量
11
审稿时长
4 weeks
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