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Author |
Huber, Milo; Weber, Rainer; Oppliger, Robert; Vernazza, Pietro; Schmid, Patrick; Schönbucher, Peter; Bertisch, Barbara; Meili, Daniel; Renner, Eberhard |
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Title |
Interferon-alpha2a plus ribavirin 1000/1200 mg versus interferon-alpha2a plus ribavirin 600 mg for treatment of chronic hepatitis C among patients in opiate substitution programs : an open-label randomized multicenter trial : Korrekturexemplar |
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Year |
2005 |
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Infection |
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33 |
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1 |
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93-97 |
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health promotion; viral hepatitis; hepatitis C |
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Abstract |
Background: Many intravenous opiate users are infected with hepatitis C virus (HCV) but few are treated. Although this complies with various guidelines, virtually no published evidence supports such a recommendation. Patients and Methods: In a multicenter study, HCV-infected patients in opiate maintenance treatment programs received interferon plus high- or low-dose ribavirin (1000/1200 mg or 600 mg). HIV-coinfected patients were not included. Endpoints were feasibility, efficacy, side effects, and reasons for dropout. Results: Of the 420 patients who tested positive for HCV, 27 (6%) were enrolled; 393 (94%) either failed to meet the inclusion criteria or refused treatment. Virologic end-of-treatment response was achieved in 12/27 patients, and sustained response in 13/27 (48%). Response depended on viral genotype, not ribavirin dose. The two doses of ribavirin did not differ in their side effects. Conclusion: In a small fraction of HCV-infected intravenous drug users in an opiate maintenance treatment program, antiviral therapy was feasible, safe and effective. The success rate was comparable to that achieved in controlled studies that excluded drug users. |
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English |
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Notes |
Der Entwurf dieses Artikel ist auf Deutsch vorhanden, allerdings ohne EndNote-Eintrag (vgl. zweites pdf-file). |
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Call Number |
50-02758 |
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59746 |
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