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Naguib GG, Michael TG, Elshazly Y, Wahdan MM, Mostafa A, Ahmed OA, Dabbous H, Aly HIS, Shaker MK, Elbaz HS, El-Serafy M, Doss W, Abd-Elsalam S, El-Sayed MH. The outcome of re-treatment of relapsed hepatitis C virus infection in a resource-limited setting. Virusdisease 2021; 32:582-588. [PMID: 34631983 PMCID: PMC8473466 DOI: 10.1007/s13337-021-00712-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Accepted: 06/08/2021] [Indexed: 01/08/2023] Open
Abstract
The aim of this study was to compare efficacy and safety of different combination regimens in re-treatment of HCV in the setting of inaccessibility of resistance testing. This real-life prospective study included 86 chronic HCV infected patients who experienced failure of treatment treated at Faculty of Medicine Ain shams Research Institute (MASRI) since 2018. 64% of the patients were males, with median age 50.2 years. They were re-treated using 1 of 3 proposed regimens of DAA combinations. One group received PAR/OMB/SOF/RBV for 12 weeks, another group received SOF/DAC/SIM/RBV for 12 weeks and a third received SOF/DAC/RBV for 24 weeks. Response to different regimens was assessed by comparing sustained virologic response (SVR) of each. Monitoring the occurrence of adverse events was performed. SVR was achieved in all but 3 patients (96.5% SVR), one in the SOF/DAC/SIM/RBV group and two in the SOF/DAC/RBV group. The group receiving RBV had more anaemia and hyperbilirubinemia. The first treatment regimen used was a significant predictor to SVR achievement. This study presents alternative treatment regimens for re-treatment of HCV patients in areas with limited resources in the case of non-availability of other regimens as velpatasvir, voxilaprevir, grazoprevir, elbasvir.
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Affiliation(s)
- Gina Gamal Naguib
- Department of Internal Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Tari George Michael
- Department of Internal Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Yehia Elshazly
- Department of Internal Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Maha Magdy Wahdan
- Department of Community, Environmental, and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Aya Mostafa
- Department of Community, Environmental, and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Ossama Ashraf Ahmed
- Department of Internal Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Hany Dabbous
- Department of Tropical Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Heba Ismail Saad Aly
- Department of Tropical Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Mohamed Kamal Shaker
- Department of Tropical Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Hosam Samir Elbaz
- Department of Internal Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Magdy El-Serafy
- Department of Tropical Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Wahid Doss
- Department of Tropical Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Sherief Abd-Elsalam
- Department of Tropical Medicine and Infectious Diseases, Tanta University, Tanta, 35127 Egypt
| | - Manal Hamdy El-Sayed
- Department of Pediatrics and Clinical Research Center, Faculty of Medicine, Ain Shams University, Cairo, Egypt
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Montalvo Prieto AA, Florez Torres IE, Romero Massa E. Asociación entre el nivel de incertidumbre y el tipo de enfermedad en pacientes hospitalizados en UCI. AVANCES EN ENFERMERÍA 2018. [DOI: 10.15446/av.enferm.v36n3.66508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objetivo: determinar la asociación entre el nivel de incertidumbre y el tipo de enfermedad en pacientes hospitalizados en unidades de cuidado intensivo de Cartagena, Colombia.Materiales y métodos: estudio observacional de corte transversal.La muestra estuvo constituida por 72 pacientes a quienes les fue aplicada la escala de incertidumbre de Merle Mishel. Se estimaron las asociaciones entre el tipo de enfermedad y la incertidumbre mediante la prueba no paramétrica Kruskal-Wallis.Resultados: la edad promedio de los participantes fue 58,3 años (DE = 19,4), con predominio del sexo femenino en el 54,2 %, la mediana de estancia hospitalaria correspondió a seis días. El 27,8 % presentó enfermedades cardiovasculares, seguidas de las metabólicas en un 19,4 %. El nivel de incertidumbre fue regular en el 63,9 % y alto en el 34,7 %. Respecto a la asociación entre variables, no se encontraron diferencias significativas entre los puntajes promedios de la escala según tipo de enfermedad (Prob. de Kruskal-Wallis > 0,05).Conclusión: la complejidad de la situación, las expectativas relacionadas con el compromiso de la salud, la presentación de los síntomas y los tratamientos médicos o quirúrgicos instaurados originaron incertidumbre independiente del tipo de enfermedad
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