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Consensus on management of hepatitis C virus infection in resource-limited Ukraine and Commonwealth of Independent States regions
Authors:Massimo Giuseppe Colombo  Erkin Isakovich Musabaev  Umed Yusupovich Ismailov  Igor A Zaytsev  Alexander V Nersesov  Igor Anatoliyevich Anastasiy  Igor Alexandrovich Karpov  Olga A Golubovska  Kulpash S Kaliaskarova  Ravishankar AC  Sanjay Hadigal
Affiliation:Research and Clinical Center;Research Institute of Virology;Hepatoсenter;Department of Therapy;Department of Gastroenterology and Hepatology;Department Infectious Diseases;Department Infectious Diseases;Hepatology;Medical Affairs
Abstract:
Globally, 69.6 million individuals were infected with hepatitis C virus(HCV)infection in 2016. Of the six major HCV genotypes(GT), the most predominant one is GT1, worldwide. The prevalence of HCV in Central Asia, which includes most of the Commonwealth of Independent States(CIS), has been estimated to be5.8% of the total global burden. The predominant genotype in the CIS and Ukraine regions has been reported to be GT1, followed by GT3. Inadequate HCV epidemiological data, multiple socio-economic barriers, and the lack of regionspecific guidelines have impeded the optimal management of HCV infection in this region. In this regard, a panel of regional experts in the field of hepatology convened to discuss and provide recommendations on the diagnosis, treatment,and pre-, on-, and posttreatment assessment of chronic HCV infection and to ensure the optimal use of cost-effective antiviral regimens in the region. A comprehensive evaluation of the literature along with expert recommendations for the management of GT1-GT6 HCV infection with the antiviral agents available in the region has been provided in this review. This consensus document will help guide clinical decision-making during the management of HCV infection, further optimizing treatment outcomes in these regions.
Keywords:Antiviral agents  Commonwealth of Independent States  Genotype  Hepatitis C virus  Sustained virologic response  Ukraine
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