巴基斯坦马尔丹地区丙型肝炎病毒感染的检测和治疗反应评估

Atif Kamil, A. Zeb, Farooq Hussain, M. Jamal, Azmat Ali, Muhammad A Shah, Ayaz Ahmad, J. Khan, F. Anwar, Nabila
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摘要

众所周知,丙型肝炎病毒是全球主要的公共卫生问题。目的是调查马尔丹区一般人群中HCV感染的治疗和检测情况。目前还没有标准的治疗丙型肝炎病毒感染的方法,这可能是由于HCV基因组的高度变异,表达几种不同的HCV基因型。在5个月期间(2016年6月至2016年11月),对270名疑似患者访问了马尔丹医疗中心(MMC)的主要医院进行了访谈。其中100例在MMC诊断实验室采用ELISA和PCR检测HCV。共有170例HCV患者在MMC接受口服药物或干扰素疫苗治疗,治疗后用PCR监测反应。结果表明,基因组PCR检测HCV的灵敏度高于ELISA检测病毒外壳蛋白的灵敏度。对HCV治疗策略的评估显示,与干扰素和猪干扰素相比,目前可用的药物(即Sovaldi、Sofiget、Sofohil、Ocvir和sofosbuvir)的反应较高。HCV感染的准确和早期诊断对于有效的治疗策略至关重要。因此,PCR检测应成为一种特异性、准确性检测HCV感染的方法。与干扰素疫苗接种相比,目前可用的标准药物被证明是治疗丙型肝炎病毒感染的更好方法。关键词:疫苗,药物,Sovaldi, Mardan,干扰素,Sofohil, HCV
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Assessment of Detection and Treatment Response of Hepatitis C viral Infection in District Mardan Pakistan
Hepatitis C virus is known to be major public health issue around the globe. The aim was to investigate the treatment and detection of HCV infection in general population of District Mardan. Presently no standard treatment is available for the cure of Hepatitis C viral infection, attributed possibly to the hyper variations in HCV genome, expressing several distinct HCV genotypes. For a period of 5 months (June 2016 - November 2016), 270 suspected individuals visited the main hospital of Mardan Medical complex (MMC), were interviewed. Among them 100 individuals were diagnosed by ELISA and PCR for HCV detection at the diagnostic laboratory of MMC. A total of 170 HCV patients were treated at the MMC, with oral medicine or interferon vaccines and the response were monitored by PCR after treatments. Our result showed that high sensitivity for genome-based PCR detection of HCV in comparison to viral coat protein detection by ELISA. The assessment of treatment strategies for HCV showed high response for presently available medicines i.e., Sovaldi, Sofiget, Sofohil, Ocvir and sofosbuvir in comparison to interferon and pig interferon. The accurate and early diagnosis of the HCV infection is crucial for effective treatment strategies. Thereby PCR detection should be the proffered method for specific and accurate detection of HCV infection. The standard medicine available presently proved better treatment method for HCV infection in comparison to interferon vaccination. Keywords: Vaccine, Medication, Sovaldi, Mardan, Interferon, Sofohil, HCV.
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