Management and treatment of hepatitis B virus in patients with HIV infection: A practical guide for health care professionals
| Autor: | Rachel Therrien, Annie Talbot, Marc-André Charron, Jean-Pierre Villeneuve, Marc Poliquin, Jean-Guy Baril, Cécile Tremblay, Claude Fortin, Richard N. Lalonde, Marina B. Klein, Benoit Trottier, Irina Tsarevsky, Marie-France Matte |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Microbiology (medical)
Pathology medicine.medical_specialty Cirrhosis Article Subject Infectious and parasitic diseases RC109-216 Review medicine.disease_cause Microbiology Health care medicine Intensive care medicine Hepatitis B virus medicine.diagnostic_test business.industry virus diseases Hepatitis B medicine.disease QR1-502 digestive system diseases Vaccination Infectious Diseases Concomitant Hepatocellular carcinoma Liver biopsy business |
| Zdroj: | Canadian Journal of Infectious Diseases and Medical Microbiology, Vol 22, Iss 3, Pp 88-96 (2011) |
| Popis: | The management and treatment of HIV and hepatitis B virus (HBV)-coinfected patients present specific challenges for clinicians. The morbidity and mortality related to these concomitant infections are growing concerns, while the use of antiviral drugs effective against both viruses complicates therapeutic decision making. The present document provides guidelines for physicians regarding care and treatment of patients coinfected with HIV and HBV. Primary prevention of HBV in HIV-positive patients is achieved through appropriate vaccination schedules. Follow-up before treatment of HBV may include liver biopsy, screening for hepatocellular carcinoma and testing for esophageal varicies in cases of cirrhosis. In HBV-infected patients requiring treatment, recommendations regarding initiation, duration and choice of first-line drugs are made. Finally, in the case of resistance, appropriate alternative therapies are necessary. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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