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Outcomes of the Use of Direct-Acting Antiviral Therapy in Patients of Chronic Hepatitis-C of Genotype 3a

Objective: To measure the outcomes of direct acting Antiviral therapy in terms of frequency of Hepatocellular carcinoma after its use of in HCV patients infected with 3a genotype and to analyze the efficacy of double and triple regimen in HCV patients of Child Pugh’s class A and B respectively. Stud...

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Published in:Pakistan Armed Forces medical journal 2023-08, Vol.73 (SUPPL-1), p.S69-72
Main Authors: Zahoor, Sarmad, Sikander Abdullah, Muhammad Ahmed Saifullah, Saroosh Zahoor, Khan Amer, Ali, Shoaib
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container_end_page 72
container_issue SUPPL-1
container_start_page S69
container_title Pakistan Armed Forces medical journal
container_volume 73
creator Zahoor, Sarmad
Sikander Abdullah
Muhammad Ahmed Saifullah
Saroosh Zahoor
Khan Amer
Ali, Shoaib
description Objective: To measure the outcomes of direct acting Antiviral therapy in terms of frequency of Hepatocellular carcinoma after its use of in HCV patients infected with 3a genotype and to analyze the efficacy of double and triple regimen in HCV patients of Child Pugh’s class A and B respectively. Study Design: Quasi- experimental study. Place and Duration of Study: Mayo Hospital, Lahore Pakistan, from May to Dec 2019. Methodology: After applying inclusion and exclusion criteria 262 patients of 3a genotype were awarded as Child Pugh’s Class A and B and were treated with double and triple regimen for 12 and 24 weeks respectively. They were followed up with Ultrasound Abdomen every month and PCR Quantitative was done for evaluating Sustained Virological Response after 3 months of completing treatment. Results: Out of 262 patients, 141(53.8%) were male and 121(46.2%) were female. 243(92.7%) patients achieved Sustained Virological Response. 9(3.4%) developed Hepatocellular carcinoma of which 8 were on triple regimen and 1 on double regimen. Conclusion: direct Acting Antivirals are effective in achieving Sustained Virological Response but pose a greater risk for Hepatocellular carcinoma. So, they should be used with caution and serial monitoring.
doi_str_mv 10.51253/pafmj.v73iSUPPL-1.5798
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Study Design: Quasi- experimental study. Place and Duration of Study: Mayo Hospital, Lahore Pakistan, from May to Dec 2019. Methodology: After applying inclusion and exclusion criteria 262 patients of 3a genotype were awarded as Child Pugh’s Class A and B and were treated with double and triple regimen for 12 and 24 weeks respectively. They were followed up with Ultrasound Abdomen every month and PCR Quantitative was done for evaluating Sustained Virological Response after 3 months of completing treatment. Results: Out of 262 patients, 141(53.8%) were male and 121(46.2%) were female. 243(92.7%) patients achieved Sustained Virological Response. 9(3.4%) developed Hepatocellular carcinoma of which 8 were on triple regimen and 1 on double regimen. Conclusion: direct Acting Antivirals are effective in achieving Sustained Virological Response but pose a greater risk for Hepatocellular carcinoma. 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subjects Abdomen
Antiviral agents
Antiviral drugs
Blood transfusions
Care and treatment
Frequency distribution
Gender
Genetic aspects
Genotype & phenotype
Health surveillance
Hepatitis B
Hepatitis C
Hepatitis C virus
Interferon
Liver
Liver cancer
Liver cirrhosis
Liver diseases
Mortality
Patient outcomes
Patients
Ultrasonic imaging
Variables
title Outcomes of the Use of Direct-Acting Antiviral Therapy in Patients of Chronic Hepatitis-C of Genotype 3a
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