1. STUDIU CLINIC PRIVIND CRITERIILE DE MONITORIZARE A TRATAMENTULUI CU ENTECAVIR ÂN HEPATITELE CRONICE CU VIRUS B.
- Author
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Iordache, Elena Lelia, Aron, Gheorghita, Cecil, Omer, Oprea, Raluca, Preotescu, Liliana, and Georgescu, Dan
- Subjects
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CHRONIC hepatitis B , *TREATMENT effectiveness , *ANTIGENS , *ANTIVIRAL agents , *VIROLOGY , *HISTOLOGY - Abstract
Background. There are over 50 years since the discovery of Australia antigen (HBsAg) and, despite tremendous progress, chronic HBV infection remains a major health issue. The treatment methodology for this infection is constantly perfecting and EASL has recently updated its fundamental principles. Aims. To evaluate the status viral load replication seconversion, quantitative HBsAg and fibrosis in dynamic as well as to establish some correlations and status HBs Ag( HBs antigen), HBe Ag (Hbe antigen) under the antiviral treatment with entecavir. Material and method. We selected for the study 48 patients who had at the initial evaluation, the results correlated of the tests FibroScan and FibroTest/FibroMax (initial and after 48 weeks), HBV- DNA- level, quantitative HBsAg, HBeAg, anti-HBs antibodies, anti-HBe antibodies in dynamic, adherence (0,3,6,12, months). Results and conclusions. Antiviral therapy with entecavir has improved the prognosis of patients included in the study after 24 months of treatment as follows: 50% of all patients in the study had HBeAg seroconversion, 76.4% had a maintained virologic response, 78% had a biochemical response, 37.5% - a histological response. The cases which had virologic rebound at 12, 24, 48 weeks were correlated with male sex, age 18-30 years old, initial high fibrosis staging F3 (staging F3 fibrosis) and F4, HBe Ag positive and antiviral treatment previous. [ABSTRACT FROM AUTHOR]
- Published
- 2013