Hepatitis C Flashcards
what is the classification of HCV?
flavivirus, hepacivirus
which area has the highest prevalence of HCV?
Egypt
what is the risk of HCV sexual transmission in someone who is HCV positive only, and in a monogamous relationship?
low
what is the risk of HCV sexual transmission in someone who is HCV AND HIV positive, and in a monogamous relationship?
moderate-high
what is the only liver disease that oscillates between normal and abnormal (ALT levels / liver enzymes)?
hepatitis C
what is the 5 year survival for patients with hepatocellular carcinoma?
less than 5%
what is the main factor associated with fibrosis in HCV?
alcohol use (more than 50 g per day)
who should be screened for hepatitis C, with or without risk factors?
baby boomers (1940 - 1964)
what is the first test for HCV testing?
HCV antibody test (ELISA)
what is the most common HCV genotype in the US?
genotype 1
what is the most important factor in HCV prognosis?
genotype
what is the primary goal of HCV therapy?
eradicate HCV infection
what is the difference between HCV and HIV treatment?
there is an end to HCV treatment
what is the significance of pegylating therapeutic agents?
increases the time it spends in the body
what is the best therapy for HCV? why?
harvoni
one pill a day no side effects no monitoring 8-12 weeks therapy 95-99% SVR