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Recent advances in the treatment of chronic hepatitis B: where to start initial therapy?

https://doi.org/10.22625/2072-6732-2011-3-4-18-25

Abstract

This review summarizes recent advances in the study of the efficacy and safety of antiviral therapy in patients with chronic hepatitis B. Describe the modern concept of monitoring and treatment of these patients. Particular attention is given to determine the prognostic significance of the level of control HBsAg phases of treatment. Present new algorithms of interferon treatment and approaches nukleos(t)ide analogues therapy. Proposed start initial therapy in patients with chronichepatitis B with pegylated interferon. In the absence of favorable prognostic criteria or sustainable immune control, as well as the presence of contraindications tointerferon therapy and the development of adverse events requiring its withdrawal, patients should be translatedinto treatment nukleos(t)ide analogues.

About the Author

K. V. Zhdanov
Military Medical Academy named after S.M. Kirov, Saint-Petersburg
Russian Federation


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Review

For citations:


Zhdanov K.V. Recent advances in the treatment of chronic hepatitis B: where to start initial therapy? Journal Infectology. 2011;3(4):18-25. (In Russ.) https://doi.org/10.22625/2072-6732-2011-3-4-18-25

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