Management of Hepatitis C Infection

  • Authors: Jordan J. Feld, MD, MPH; Hemant Shah, MD, MScCH HPTE (More Info)
  • Editor In Chief: Stefan Zeuzem, MD
  • Last Reviewed: 7/24/18 (What's New)

Introduction

  • Virologic cure is a realistic goal for most patients with HCV in settings where new direct-acting antivirals are available

The goal of antiviral therapy for patients with hepatitis C virus (HCV) is virologic cure. Eradication of HCV RNA, which remains undetectable long term off therapy, is referred to as a sustained virologic response and is now an increasingly achievable prospect thanks to the availability of direct-acting antivirals (DAAs). Several new classes of DAAs have been approved for the treatment of chronic HCV infection during the last 4 years, leading to dramatic shifts in the HCV landscape. This module focuses on evidence-based management approaches for patients with HCV infection, including treatment of patients with cirrhosis, strategies for drug resistance, and posttreatment management.

Goals of Therapy

  • Goal of HCV therapy is virologic cure defined as SVR after HCV therapy is discontinued
  • SVR associated with decreases in all-cause mortality, liver-related death, liver-related complications, need for liver transplantation, and incidence of hepatocellular cancer[Morgan 2010; ...

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