ETIOTROPIC THERAPY OF VIRAL HEPATITIS

Autor: S. B. Chuelov, A. L. Rossina, V. F. Uchaikin
Jazyk: ruština
Rok vydání: 2017
Předmět:
Zdroj: Детские инфекции (Москва), Vol 16, Iss 3, Pp 32-40 (2017)
Druh dokumentu: article
ISSN: 2072-8107
DOI: 10.22627/2072-8107-2017-16-3-32-40
Popis: Treatment of chronic viral hepatitis is not a fully resolved problem, especially in children. There are no convincing criteria for recovery. The paper presents various schemes used for etiotropic therapy of viral hepatitis at the present stage — interferons and antiviral drugs. For the treatment of hepatitis B, synthetic nucleoside and nucleotide analogues are used as an antiviral therapy, in the case of hepatitis C — ribavirin and protease and polymerase inhibitors. In children, interferon therapy remains important with the use of domestic drugs, including rectal forms of interferon administration (VIFERON®). At the same time, active research is underway to study non-interferon regimens for the treatment of chronic viral hepatitis in pediatric practice, but so far the choice of drugs for non-interferon therapy is limited to individual drugs. With hepatitis B, it is a lamivudine, prescribed from 3 years (the reception of which is accompanied by frequent development of resistance) and — tenofovir (appointed from 12 years). With hepatitis C, ribavirin can be administered from 3 years.
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