Journal
GASTROENTEROLOGY CLINICS OF NORTH AMERICA
Volume 44, Issue 4, Pages 859-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.gtc.2015.07.013
Keywords
Direct-acting antivirals; Sofosbuvir; Ledipasvir; Paritaprevir; Ombitasvir; Egypt; Access to treatment; Screening
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Hepatitis C virus (HCV) is a major cause of chronic liver disease, with more than 170 million infected individuals worldwide. Genotype 4 is the most frequent cause of chronic hepatitis C in the Middle East and sub-Saharan Africa. It has recently spread to southern Europe. The introduction of all-oral, interferon-free regimens that combine direct-acting antivirals (DAAs) has significantly advanced HCV treatment. High efficacy rates, short treatment duration, and favorable adverse event profiles have been demonstrated with multiple regimens, both with and without ribavirin. This review discusses management of patients with HCV genotype 4 chronic hepatitis, in the era of DAAs.
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