Management of chronic hepatitis C virus infection in patients with end-stage renal disease: a review

Jonathan Aguirre Valadez,1 Ignacio García Juárez,1 Rodolfo Rincón Pedrero,2 Aldo Torre11Department of Gastroenterology, 2Department of Nephrology, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City, Mexico Abstract: Infecti...

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Autores principales: Aguirre Valadez J, García Juárez I, Rincón Pedrero R, Torre A
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Lenguaje:EN
Publicado: Dove Medical Press 2015
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Acceso en línea:https://doaj.org/article/a29c211840f34641bbefcec2713fcb46
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spelling oai:doaj.org-article:a29c211840f34641bbefcec2713fcb462021-12-02T12:26:56ZManagement of chronic hepatitis C virus infection in patients with end-stage renal disease: a review1178-203Xhttps://doaj.org/article/a29c211840f34641bbefcec2713fcb462015-02-01T00:00:00Zhttp://www.dovepress.com/management-of-chronic-hepatitis-c-virus-infection-in-patients-with-end-peer-reviewed-article-TCRMhttps://doaj.org/toc/1178-203X Jonathan Aguirre Valadez,1 Ignacio García Juárez,1 Rodolfo Rincón Pedrero,2 Aldo Torre11Department of Gastroenterology, 2Department of Nephrology, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City, Mexico Abstract: Infection with hepatitis C virus (HCV) is highly prevalent in chronic kidney disease (CKD) patients, mainly in those on hemodialysis (HD). The seroprevalence of HCV in developing countries ranges between 7% and 40%. Risk factors for this infection in the CKD population include the number of blood transfusions, duration of end-stage renal disease (ESRD), and prevalence of HCV in HD. Chronic HCV infection in patients with ESRD is associated with an increase in morbidity and mortality in the pre and post kidney transplant periods. The increase in mortality is directly associated with liver complications and an elevated cardiovascular risk in HCV-infected patients on hemodialysis. Antiviral treatment may improve the prognosis of patients with HCV, and standard interferon remains the cornerstone of treatment. Treatment of HCV in patients with CKD is complex, but achieving a sustained viral response may decrease the frequency of complications after transplantation. It appears that HCV-infected patients who remain on maintenance dialysis are at increased risk of death compared with HCV patients undergoing renal transplantation.Keywords: hepatitis C virus, chronic kidney disease, hemodialysis, interferonAguirre Valadez JGarcía Juárez IRincón Pedrero RTorre ADove Medical PressarticleTherapeutics. PharmacologyRM1-950ENTherapeutics and Clinical Risk Management, Vol 2015, Iss default, Pp 329-338 (2015)
institution DOAJ
collection DOAJ
language EN
topic Therapeutics. Pharmacology
RM1-950
spellingShingle Therapeutics. Pharmacology
RM1-950
Aguirre Valadez J
García Juárez I
Rincón Pedrero R
Torre A
Management of chronic hepatitis C virus infection in patients with end-stage renal disease: a review
description Jonathan Aguirre Valadez,1 Ignacio García Juárez,1 Rodolfo Rincón Pedrero,2 Aldo Torre11Department of Gastroenterology, 2Department of Nephrology, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City, Mexico Abstract: Infection with hepatitis C virus (HCV) is highly prevalent in chronic kidney disease (CKD) patients, mainly in those on hemodialysis (HD). The seroprevalence of HCV in developing countries ranges between 7% and 40%. Risk factors for this infection in the CKD population include the number of blood transfusions, duration of end-stage renal disease (ESRD), and prevalence of HCV in HD. Chronic HCV infection in patients with ESRD is associated with an increase in morbidity and mortality in the pre and post kidney transplant periods. The increase in mortality is directly associated with liver complications and an elevated cardiovascular risk in HCV-infected patients on hemodialysis. Antiviral treatment may improve the prognosis of patients with HCV, and standard interferon remains the cornerstone of treatment. Treatment of HCV in patients with CKD is complex, but achieving a sustained viral response may decrease the frequency of complications after transplantation. It appears that HCV-infected patients who remain on maintenance dialysis are at increased risk of death compared with HCV patients undergoing renal transplantation.Keywords: hepatitis C virus, chronic kidney disease, hemodialysis, interferon
format article
author Aguirre Valadez J
García Juárez I
Rincón Pedrero R
Torre A
author_facet Aguirre Valadez J
García Juárez I
Rincón Pedrero R
Torre A
author_sort Aguirre Valadez J
title Management of chronic hepatitis C virus infection in patients with end-stage renal disease: a review
title_short Management of chronic hepatitis C virus infection in patients with end-stage renal disease: a review
title_full Management of chronic hepatitis C virus infection in patients with end-stage renal disease: a review
title_fullStr Management of chronic hepatitis C virus infection in patients with end-stage renal disease: a review
title_full_unstemmed Management of chronic hepatitis C virus infection in patients with end-stage renal disease: a review
title_sort management of chronic hepatitis c virus infection in patients with end-stage renal disease: a review
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/a29c211840f34641bbefcec2713fcb46
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