期刊
GASTROENTEROLOGIE CLINIQUE ET BIOLOGIQUE
卷 32, 期 3, 页码 S96-S108出版社
MASSON EDITEUR
DOI: 10.1016/S0399-8320(08)73272-X
关键词
hepatitis C; compliance; general practitioner; ribavirin; peginterferon alpha-2b; peginterferon alpha-2a
Adhesion to pegylated combination therapy is a key factor for therapeutic success in patients HCV infected. To optimize it, goats to reach are to limit dose reduction and premature discontinuation of treatment due to adverse events; to improve the patient compliance to treatment, particularly during the first three months, particularly to ribavirin. Therapeutic education, management of psychiatric adverse events, epoetin alfa, have demonstrated their benefit in terms of sustained virologic response or quality of life. Preparing the treatment with the patient and a multi-disciplinary team, setting successive therapeutic goals with the predictive value of the early virologic response will promote adhesion to treatment. A hepatitis C training program for general practitioners (GP) allows an efficient follow-up of treated patients by a trio hepatologist - GP -nurse and a concrete implication of GP in the field of hepatitis C. Further developments are needed for : taking in account the patient quality of life during treatment to anticipate premature discontinuation, promotion of therapeutic education by specialized nurses, standardization of the diagnosis of depression during treatment, and regular updating of general practitioners on antiviral C treatment (C) 2008 Elsevier Masson SAS. All rights reserved.
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