2014, Number 3
Treatment of chronic hepatitis C with Cuban pegylated interferon and ribavirin
Language: Spanish
References: 24
Page: 290-303
PDF size: 202.19 Kb.
ABSTRACT
Introduction: currently, the association of pegylated interferon and ribavirin is internationally the most accepted therapy for the treatment of chronic hepatitis C. The application of this combination began in Matanzas in 2011, using the Cuban pegylated interferon (PEG-Heberon), setting up a new way in the therapeutic management of this disease.Objective: to describe the first results of the PEG-Heberon and ribavirin application in the treatment of chronic hepatitis C in Matanzas.
Methods: descriptive-prospective study. Universe: 19 patients from the provincial consultation of Hepatology of the University Clinic-surgical Hospital Comandante Faustino Pérez in the period from October 2011 to October 2013. The studied variables were: sex, age groups, type of patient, presentation way, adverse reactions, behavior against them, biochemical and virologic answers to treatment.
Results: there it was a predominance of female patients (57,9 %); the average age was 41,7 ± 9,2 years; treatment-virgins (73,7 %) and asymptomatic clinical forms (68,4 %). There were adverse reactions in 100 % of the cases; all the clinical ones were mild and among the hematologic ones, 70,4 % were light. There were neither serious events nor cancelations of the treatment. There was a biochemical answer at the end of the treatment in 89,4 % and a maintained one in 78,9 %. The virological answer was achieved at the end of the treatment in 78,9 %, and six months after treatment in 68,4 % of the patients.
Conclusion: a high adherence to the combined therapy was achieved, being tolerated and safe for the patient, with acceptable rates of continuous virological answers.
REFERENCES
Hernández-Ojeda O, Osorio-Pagola M, Martínez-Martínez O, Monzón-Vega D, Vega-Galindo M. Evolución bioquímica y respuesta histológica de pacientes con hepatitis C bajo tratamiento antiviral. Medisur [Internet]. 2011 [citado 10 Mar 2014];9(3):[aprox. 5 pantallas]. Disponible en: http://medisur.sld.cu/index.php/medisur/article/view/1500/7317
Sánchez Rodríguez YA, Arús Soler E, López Saura P, Nodarse Cuní H. Seguridad de la terapia de interferón alfa 2b recombinante más ribavirina en la hepatitis crónica C. Rev Cubana Farm [Internet]. 2011 [citado 23 Dic 2013];45(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 75152011000100004&lng=es
Corrales Alonso S, Celestrín Tápanes H, Alfonso de León AG, Misiara Álvarez AE, Hernández Hernández R. Caracterización de pacientes con hepatitis crónica C en el Servicio de Gastroenterología. Hospital Provincial Clínico Quirúrgico José R. López Tabrane. 2008-2010. Rev Méd Electrón [Internet]. 2011 Sep-Oct [citado 20 Feb 2013];33(5). Disponible en: http://www.revmatanzas.sld.cu/revista%20medica/ano%202011/vol5%202011/te ma01.htm
Pérez Mota A, Blanco Coronado MA, Graus Morales J et al. Hepatitis crónica por virus C: Datos epidemiológicos y de eficacia terapéutica en 255 casos. An Med Inter [Internet]. 2006 [citado 4 Dic 2013];23(6). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212- 71992006000600002&lng=es
Gordon CE, Balk EM, Becker BN, Crooks PA, Jaber BL, Johnson CA, et al. S1. KDOQI US Commentary on the KDIGO Clinical Practice Guideline for the Prevention, Diagnosis, Evaluation, and Treatment of Hepatitis C in CKD. AJKD [Internet]. 2008 Nov [citado 12 Ene 2013];52(5):811-1125. Disponible en: https://www.kidney.org/professionals/kdoqi/pdf/ajkd_kdoqi_commentary.pdf
Durant K. Interferón pegilado, de la nanomedicina a la salud: Alternativa terapéutica disponible para la población cubana con Hepatitis C crónica [Internet]. Trabajadores. Martes 12 Jun 2012; Biotecnología [citado 10 Mar 2014]. Disponible en: http://archivo.trabajadores.cu/news/20120615/2510203-interferon-pegilado-de-la-nanomedicina-la-salud
Hernández N, Mescia G, Pollio C, Robaina G, Quintana L, Bianchi C. Efectividad del interferón pegilado alfa 2a más ribavirina para la hepatitis crónica C en la práctica. Acta Gastroenterol Latinoam [Internet]. 2010 [citado 10 Mar 2014];40(2):117-21. Disponible en: http://www.actagastro.org/actas/2010/n2/40_2_2010_8.pdf
Dorta Guridi Z, Castellanos Fernández M, Nodarse Cuní H, Arús Soler E, Pérez Triana F, González Fabián L. Tolerancia del tratamiento con interferón estándar y ribavirina en pacientes cirróticos por virus de la hepatitis C. Rev Cubana Med [Internet]. 2010 [citado 2 Dic 2013];49(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232010000200001&lng=es
Martín-Santos R, Díez-Quevedo C, Castellví P, Navinés R, Miquel M, Masnou H, et al. De Novo Depression and Anxiety Disorders and Influence on Adherence During Peginterferon-Alpha-2a and Ribavirin Treatment in Patients With Hepatitis C. Aliment Pharmacol Ther [Internet]. 2008 [citado 4 Mayo 2013];27(3):257-65. Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2036.2007.03568.x/full
De Juan J, Faraco I, Saiz de la Hoya P, Marco A, Yllobre C, Da Silva A. Causas de no inicios al tratamiento de la hepatitis C en el medio penitenciario: subanálisis del estudio Epiband. Rev Esp Sanid Penit [Internet]. 2011 [citado 4 May 2013];13:44-51. Disponible en: http://scielo.isciii.es/pdf/sanipe/v13n2/03_original2.pdf
López-Alonso G, Ágreda M, Devesa MJ, Cuenca F, Suárez A, Ortega L, et al. Resultados del tratamiento de la hepatitis crónica por VHC genotipo 4: Un análisis comparativo con el genotipo 1. Rev Esp Enferm Dig [Internet]. 2008 [citado 14 Ene 2013];100(4). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082008000400003&lng=es&nrm=iso&tlng=es
Ghany MG, Nelson DR, Strader DB, Thomas DL, Seeff LB. American Association for Study of Liver Diseases. An update on treatment of genotype 1 chronic hepatitis C virus infection: 2011 practice guideline by the American Association for the Study of Liver Diseases. Hepatology. 2011;54:1433-44. Citado en PubMed; PMID: 21898493.