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Demographic Characteristics and Transmission Risk Factors of Patients with Hepatitis C Virus in Turkey: The EPI-C, A Multicenter and Cross-sectional Trial 土耳其丙型肝炎病毒患者的人口统计学特征和传播危险因素:EPI-C,一项多中心横断面试验
IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-12-23 DOI: 10.4274/vhd.galenos.2021.2021-1-3
F. Tabak, G. Sirin, M. Demir, M. Aladağ, Ş. Sümer, B. Kurtaran, S. Tosun, T. Yamazhan, İlkay Bozkurt, Yunus Gürbüz, A. Batırel, E. Şenateş, F. O. Kandemir, Firdevs Topal, H. Doğanay, O. Sezgin, R. Mıstık, Ş. Köse, Y. Yılmaz, D. Inan, İ. Köksal, E. Parlak, M. Akdoğan, Rahmet Güner
ÖZ Objectives: To describe the prevalence of risk factors in patients infected with hepatitis C virus (HCV). Materials and Methods: Patients who were aged >18 years visiting outpatient clinics and diagnosed as having HCV infection were enrolled in this cross-sectional, multicenter study conducted in 71 cities. Patient data on socio-demographic and clinical characteristics and pre-defined risk factors were collected. Results: Among 1,018 patients, 53.0% were women. The mean age was 57.2±14.3 years and 34.8% had been diagnosed as having HCV infection >10 years before enrollment. Almost half of the patients (45.5%) were diagnosed during their regular check-up visits, and only 16.8% were diagnosed because of signs or symptoms of HCV. Genotype 1 and sub-genotype 1 b were detected in 87.9% and 73.7% of the patients, respectively. At least one risk factor was present in 94.8% of the patients. The most frequently reported risk factor was major dental procedures (79.2%), followed by major surgical operations (56.9%) and minor surgical interventions (42.3%). Conclusion: Our results revealed that most of the patients with HCV infection underwent major dental procedures.
ÖZ目的:描述丙型肝炎病毒(HCV)感染患者危险因素的患病率。材料和方法:在71个城市进行的这项横断面、多中心研究中,纳入了门诊就诊的年龄>18岁并被诊断为丙型肝炎病毒感染的患者。收集有关社会人口统计学和临床特征以及预定义风险因素的患者数据。结果:1018例患者中,女性占53.0%。平均年龄为57.2±14.3岁,34.8%的患者在入组前10年以上被诊断为HCV感染。几乎一半的患者(45.5%)是在定期检查期间被诊断的,只有16.8%是因为丙型肝炎的体征或症状而被诊断的。在87.9%和73.7%的患者中分别检测到基因型1和亚基因型1b。94.8%的患者存在至少一种危险因素。最常见的危险因素是主要的牙科手术(79.2%),其次是主要的外科手术(56.9%)和次要的外科干预措施(42.3%)。
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引用次数: 0
The Treatment of Ledipasvir/Sofosbuvir in Patients with Chronic Hepatitis C Virus: The Results of Five-year Follow-up Ledipasvir/Sofosbuvir治疗慢性丙型肝炎患者的5年随访结果
IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-12-23 DOI: 10.4274/vhd.galenos.2021.2021-6-1
M. Pekgöz, N. Ince
Objectives: Chronic hepatitis C virus (HCV) is a fundamental worldwide health challenge. We assessed the treatment outcomes of ledipasvir (LDV) and sofosbuvir (SOF) with and without ribavirin (RBV) for 12 and 24 weeks in pre-treated and treatment-naive patients with chronic HCV. Materials and Methods: Totally 65 patients were included in the present study. Patients were divided in two groups. In the first group, LDV and SOF with RBV were administered to 12 patients for 12 weeks. In the second group, LDV and SOF without RBV were administered to 53 patients for 24 weeks. Results: Sustained virological response (SVR) rates were 100% for the both groups included in the study. The adverse events were weakness (15.39%), pruritus (6.15%), myalgia (4.62%) nausea (3.08%), dry mouth (1.54%) and anorexia (1.54%) in all patients. HCV-RNA was also negative in all patients 48 weeks after the beginning of the treatment. At the end of the fifth year of treatment, all the patients still had SVR and no recurrence was detected. Conclusion: In the treatment of patients with chronic HCV, LDV and SOF with and without RBV were highly effective. SVR rate of 100% was achieved in all pre-treated or treatment naive patients with or without cirrhosis regardless of genotype of HCV.
目的:慢性丙型肝炎病毒(HCV)是一个全球性的基本健康挑战。我们评估了莱迪帕韦(LDV)和索非布韦(SOF)联合利巴韦林(RBV)治疗前和治疗初期慢性HCV患者12周和24周的治疗结果。材料与方法:本研究共纳入65例患者。患者被分为两组。在第一组中,12名患者服用LDV和SOF加RBV,为期12周。在第二组中,53名患者服用LDV和SOF,持续24周。结果:纳入研究的两组患者的持续病毒学应答率均为100%。所有患者的不良事件为虚弱(15.39%)、瘙痒(6.15%)、肌痛(4.62%)、恶心(3.08%)、口干(1.54%)和厌食(1.54%。在开始治疗48周后,所有患者的HCV-RNA也呈阴性。在治疗的第五年结束时,所有患者仍有SVR,没有发现复发。结论:LDV和SOF治疗慢性丙型肝炎有无RBV疗效显著。无论HCV基因型如何,在所有治疗前或治疗初期的肝硬化患者中,SVR率均达到100%。
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引用次数: 0
Effect of Hepatitis B Virus Genotypes and Viral Load on the Response of Patients Treated with Peginterferon-αα-2a 乙型肝炎病毒基因型和病毒载量对聚乙二醇干扰素-αα-2a治疗患者疗效的影响
IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-12-23 DOI: 10.4274/vhd.galenos.2021.2021-5-6
M. Mahmood, M. A. Anwar, Muhammad Naseem Hasrat, Zahid Azam
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引用次数: 0
Knowledge Level of Physicians in Turkey about Hepatitis C and New Treatments 土耳其医生对丙型肝炎和新疗法的知识水平
IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-12-23 DOI: 10.4274/vhd.galenos.2021.2021-5-2
A. Sezen, K. Kart Yaşar
Ad dress for Cor res pon den ce: Ayşegül İnci Sezen MD, University of Health Sciences Turkey, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Clinic of Infectious Diseases and Clinical Microbiology, İstanbul, Turkey Phone: +90 212 414 71 71 E-mail: incinarin@hotmail.com ORCID ID: orcid.org/0000-0001-8920-9019 Re cei ved: 07.05.2021 Ac cep ted: 14.09.2021 ©Copyright 2021 by Viral Hepatitis Society / Viral Hepatitis Journal published by Galenos Publishing House. ABSTRACT ÖZ
广告地址:ay eg l İnci Sezen MD,土耳其健康科学大学,Bakırköy Sadi Konuk培训和研究医院,传染病和临床微生物学诊所,İstanbul,土耳其电话:+90 212 414 71 71 E-mail: incinarin@hotmail.com ORCID ID: orcid.org/0000-0001-8920-9019接收:07.05.2021 Ac接收:14.09.2021©版权由病毒性肝炎学会2021 /病毒性肝炎杂志由Galenos出版社出版。文摘盎司
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引用次数: 0
Molecular Analysis of Hepatitis B Virus Reverse Transcriptase Domain for Mutations Associated with Viral Resistance in Pakistani Patients 巴基斯坦患者乙型肝炎病毒逆转录酶结构域与病毒耐药性相关突变的分子分析
IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-12-23 DOI: 10.4274/vhd.galenos.2021.2021-5-5
M. Mahmood, Sdia Jameel, Z. Rahman, M. A. Anwar
Objectives: Current study was designed to screen out the resistant mutations in reverse transcriptase (RT) domain of hepatitis B virus (HBV) genome from non-responder Pakistani patients. Materials and Methods: A total of 22 patients, receiving different nucleot(s)ide analogues were included in the study. RT domain of the virus from samples of non-responder patients was amplified and sequenced. Sequences were aligned and analyzed for RT domain mutations. Results: After 18 months, 18 patients were responder and 4 were non-responder. Mean alanine aminotransferase (ALT) and viral load of responder patients decreased significantly as compared to those of non-responder patients. Two of the 4 samples from nonresponders were successfully sequenced. Mutations rtY135S, rtI169P, rtV173P, rtL180I, rtA181V, rtT184Y and rtM204V were identified from the sample of patient 1, while rtL80V/rtL80G and rtY135S were identified from the sample of patient 2. Conclusion: Mutations rtY135S, rtI169P, rtV173P, rtL180I, rtA181V, rtT184Y, rtM204V, rtL80V/rtL80G, and rtY135S are present in genome of HBV circulating in Pakistani patients. These mutations give resistance to virus against lamivudine, telbivudine, adefovir, and partially resistance against entecavir. However, no mutation was found to be associated with the viral resistance against tenofovir.
目的:本研究旨在从无应答的巴基斯坦患者中筛选出乙型肝炎病毒(HBV)基因组逆转录酶(RT)结构域的耐药突变。材料和方法:本研究共纳入22名接受不同核苷类似物治疗的患者。对来自无应答患者样本的病毒RT结构域进行扩增和测序。对序列进行比对并分析RT结构域突变。结果:18个月后,18例患者有反应,4例无反应。与无应答患者相比,应答患者的平均丙氨酸氨基转移酶(ALT)和病毒载量显著下降。来自无应答者的4个样本中有两个被成功测序。从患者1的样本中鉴定出突变rtY135S、rtI169P、rtV173P、rtL180I、rtA181V、rtT184Y和rtM204V,而从患者2的样本中识别出rtL80V/rtL80G和rtY135S。结论:在巴基斯坦流行的HBV基因组中存在突变rtY135S、rtI169P、rtV173P、rtL180I、rtA181V、rtT184Y、rtM204V、rtL80V/rtL80G和rtY135S。这些突变使病毒对拉米夫定、替比夫定、阿德福韦产生耐药性,并对恩替卡韦产生部分耐药性。然而,并没有发现突变和病毒对替诺福韦的耐药性有关。
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引用次数: 0
Evaluation of HBsAg, Anti-HCV, Anti-HIV Seroprevalence and Perinatal Outcomes in Pregnant Women 孕妇HBsAg、抗- hcv、抗- hiv血清阳性率及围产期结局的评价
IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-08-01 DOI: 10.4274/vhd.galenos.2021.2020-12-2
Kazım Uçkan, İzzet Çeleğen, T. Uçkan
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引用次数: 0
Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study 慢性乙型肝炎病毒感染患者的胰岛素抵抗:一项病例对照研究
IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-08-01 DOI: 10.4274/vhd.galenos.2021.2021-2-6
A. Kaya, S. Kaya, B. Mete, I. Balkan, N. Saltoğlu, Ö. Tabak
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引用次数: 0
The Etiology and Clinical Follow-up of Patients with Acute Viral Hepatitis in an Adult Population: A Prospective Multicenter Study 成人急性病毒性肝炎的病因学和临床随访:一项前瞻性多中心研究
IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-08-01 DOI: 10.4274/vhd.galenos.2021.2021-3-1
S. Tosun, Ayşe Albayrak, G. Durmus, İrem Çetin Altaş, Ayşegül Özel, N. Tülek, A. Kadanalı, S. Erol, Arzu Altunçekiç Yıldırım, N. Ceran, Ö. Dağlı, A. Olut
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引用次数: 0
Results of Viral Hepatitis and Human Immunodeficiency Virus Screening in Afghan Irregular Migrants: A Crosssectional Study (2011-2019) 阿富汗非正规移民病毒性肝炎和人类免疫缺陷病毒筛查结果:横断面研究(2011-2019)
IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-08-01 DOI: 10.4274/vhd.galenos.2021.2020-12-8
Emine Füsun Karaşahin1, Ömer Karaşahin, İ. Akdemir Kalkan
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引用次数: 2
Evaluation of Knowledge Levels, Attitudes and Behaviors Among the Relatives of Patients Infected with Hepatitis B 乙型肝炎患者亲属知识水平、态度和行为的评价
IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-08-01 DOI: 10.4274/vhd.galenos.2021.2020-12-4
A. Kaya Kalem, Rahmet Güner, F. Eser, I. Hasanoğlu, G. Yılmaz, Mehmet Akın Taşyaran
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引用次数: 0
期刊
Viral Hepatit Dergisi-Viral Hepatitis Journal
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