Actualización en el tratamiento de la coinfección por VIH y VHC en pacientes adultos

  1. Rial Crestelo, David
  2. Torralba González de Suso, Miguel
  3. Rodríguez Zapata, Manuel
Revista:
RIECS: Revista de Investigación y Educación en Ciencias de la Salud

ISSN: 2530-2787

Año de publicación: 2019

Volumen: 4

Número: 2

Páginas: 71-83

Tipo: Artículo

DOI: 10.37536/RIECS.2019.4.2.163 DIALNET GOOGLE SCHOLAR lock_opene_Buah editor

Otras publicaciones en: RIECS: Revista de Investigación y Educación en Ciencias de la Salud

Resumen

El presente artículo es una revisión sobre el tratamiento del VHC en pacientes infectados por el VIH. Se aborda brevemente el contexto epidemiológico, la interacción existente entre ambos virus, y la historia natural e inmunopatogenia del VHC. Posteriormente se analizan las estrategias históricas (que incluían el interferón pegilado) y las actuales con los nuevos agentes antivirales directos. Se profundiza en las indicaciones, el concepto de respuesta viral sostenida, la eficacia, la toxicidad, y el tratamiento en situaciones especiales como la infección aguda por VHC o el trasplante hepático. Por último, se aborda la evolución de la fibrosis hepática, el trasplante hepático, el riesgo de hepatocarcinoma y el impacto poblacional de la curación de la infección por VHC.

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