丙型肝炎血清反应阳性患者的丙型肝炎 RNA 量与抗病毒治疗和风险因素的相关性

Suchita Netam, Kshyudratika Priyadarsini, Nikita Sherwani, Suresh Chandravanshi, Neha Singh, Aparna Sahu
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引用次数: 0

摘要

丙型肝炎病毒是一种血源性病毒,是慢性肝炎、肝硬化和肝细胞癌的主要病因。病毒载量是疾病进展的预后标志。本研究旨在确定丙型肝炎 RNA 量与抗病毒治疗的相关性,以及丙型肝炎病毒血清反应阳性患者的风险因素。这项研究将有助于对疾病进展及其并发症进行早期评估。血样采集时间为 2022 年 4 月至 2023 年 3 月,为期一年。血清经 ELISA 检测抗 HCV Ab。通过 MylabPathoDetect HCV 定量 PCR 试剂盒对 HCV 血清阳性患者进行病毒载量定量检测。75 名患者的 HCV 感染呈阳性。HCV 感染率为 0.39。经过直接作用抗病毒药物的有效治疗,63 名(84%)患者的平均病毒载量从 3.08×10 IU/ml 降至 1.98×10 IU/ml,并获得了持续病毒应答 (SVR12)。高危性行为是在血清反应阳性患者中观察到的最常见风险因素。目前的研究确定了平均病毒载量的降低,以及在尽早接受有效的抗病毒治疗后获得的持续病毒应答,这有助于预防疾病进展及其并发症。
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Co-relation of hepatitis C RNA load with antiviral therapy and risk factors among hepatitis C seropositive patients
Hepatitis C virus is a bloodborne virus and the major cause of chronic hepatitis, cirrhosis and hepatocellular carcinoma. Viral load is the prognostic marker of the disease progression. The aim of this study is to determine the correlation of hepatitis C RNA load with antiviral therapy and its risk factors among the HCV seropositive patients. This study will be helpful in early assessment of the disease progression and its complications.The blood samples were collected over a period of one year from April 2022-March 2023. The serum was subjected to ELISA for Anti HCV Ab. Viral load quantification was done by MylabPathoDetect HCV Quantitative PCR Kit in HCV seropositive patients.About 18,882 patients were tested for HCV infection over a period of one year. 75 patients were positive for HCV infection. Prevalence of HCV was 0.39. The mean viral load was reduced from 3.08×10 IU/ml to 1.98×10 IU/ml and Sustained Viral Response (SVR12) was achieved in 63(84%) patients after effective treatment with direct acting antiviral agents. High risk sexual behavior was the most common risk factor observed in seropositive patients.The current study determines the reduction in mean viral load and achieving sustained viral response after the effective antiviral therapy at the earliest, which is helpful in prevention of disease progression and its complications.
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