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Challenges in Providing Treatment and Care for Viral Hepatitis among Individuals Co-Infected with HIV in Resource-Limited Settings
Joint Authors
Maek-a-nantawat, Wirach
Ohata, Pirapon June
Avihingsanon, Anchalee
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-03-26
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Hepatitis B and C infections are prevalent among HIV-infected individuals with different epidemiologic profiles, modes of transmission, natural histories, and treatments.
Southeast Asian countries are classified as “highly prevalent zones,” with a rate of hepatitis B and C coinfection in people living with HIV/AIDS of approximately 3.2–11%.
Majority of hepatitis B coinfection is of genotype C.
Most of the patients infected with hepatitis C in Thailand have genotype 3 which is significantly related to intravenous drug use whereas, in Vietnam, it is genotype 6.
The options for antiretroviral drugs are limited and rely on global funds and research facilities.
Only HBV treatment is available for free through the national health scheme.
Screening tests for HBV and HCV prior to commencing antiretroviral treatment are low.
Insufficient concern on hepatitis-virus-related liver malignancy and long-term hepatic morbidities is noted.
Cost-effective HCV treatment can be incorporated into the national health program for those who need it by utilizing data obtained from clinical research studies.
For example, patients infected with HCV genotype 2/3 with a certain IL-28B polymorphism can be treated with a shorter course of interferon and ribavirin which can also help reduce costs.
American Psychological Association (APA)
Maek-a-nantawat, Wirach& Avihingsanon, Anchalee& Ohata, Pirapon June. 2012. Challenges in Providing Treatment and Care for Viral Hepatitis among Individuals Co-Infected with HIV in Resource-Limited Settings. AIDS Research and Treatment،Vol. 2012, no. 2012, pp.1-10.
https://search.emarefa.net/detail/BIM-510525
Modern Language Association (MLA)
Maek-a-nantawat, Wirach…[et al.]. Challenges in Providing Treatment and Care for Viral Hepatitis among Individuals Co-Infected with HIV in Resource-Limited Settings. AIDS Research and Treatment No. 2012 (2012), pp.1-10.
https://search.emarefa.net/detail/BIM-510525
American Medical Association (AMA)
Maek-a-nantawat, Wirach& Avihingsanon, Anchalee& Ohata, Pirapon June. Challenges in Providing Treatment and Care for Viral Hepatitis among Individuals Co-Infected with HIV in Resource-Limited Settings. AIDS Research and Treatment. 2012. Vol. 2012, no. 2012, pp.1-10.
https://search.emarefa.net/detail/BIM-510525
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-510525