GeSIDA prepares a document on hepatitis and HIV

For many years, hepatitis C has been the most common disease among people living with HIV.In this sense, co-infection HIV and Hepatitis C virus (Hepatitis C virus) has a prevalence of 55% in some groups. However, due to the advent of direct-acting antiviral drugs (Yard) in 2015, today Liver disease among people infected with the virus AIDS It has been virtually eliminated.

Faced with this new scenario, AIDS Research Group of Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), AIDS, a more detailed follow-up of these patients is recommended.This is included in the documentation “Management of liver disease in HIV-infected patients”which also followed the rest hepatitis.

AIDS Since 2009, it has been developing consensus documents on the surveillance and treatment of people infected with viral hepatitis. HIV.Among them, the last two items are related to spanish liver research association (acute cerebral infarction), focusing on the drug treatment of hepatitis C antiviral drugs

Direct effects, excluding remaining liver pathologies.

Dr. Montes: “At GeSIDA we feel it is very necessary to have a document that addresses liver disease from any cause and helps focus on the new situation we are currently in”

Newly updated care consensus document Liver disease among people who have HIV What is different from the past is that it focuses on the post-healing era. chronic hepatitis C.Therefore, it updates about Liver disease The most prevalent chronic disease in the next few years, we must do our best to prevent, diagnose and treat it.

“Given the changes in people’s attention this momentous event has Liver disease people living with HIVfrom AIDS We believe it is very necessary to develop a document to address this issue Liver disease For any reason that helps us focus on the new scenario we are currently in,” explained Dr. Maria Luisa Montesof Madrid La Paz University Hospital and one of the coordinators for the management of this document Liver disease.

Currently, people with the following diseases HIV present a chronic residual liver diseasebecause of chronic infection Hepatitis C virus (HCV) has been largely eliminated. However, patients must continue to be monitored. “While the vast majority of people experience dramatic improvement after treatment, those with more severe liver disease or other causes of liver damage may develop complications. This is of particular concern in the document,” details illustrate Dr. Montes.

Therefore, one of the new features of this document is the inclusion of a specific section on post-treatment follow-up. Hepatitis C

among people who have HIV Suffering from advanced fibrosis and cirrhosis.One of the most innovative aspects details the possibility of pausing screening for complications Liver disease among patients Cirrhosis go through Hepatitis C virusno other related liver disease, liver stiffness measurement value after cure is less than 14 kPa (kiloPascal).

Also emphasized is the use of a measure Liver stiffness Post-healing blood pressure below 30 kPa and platelet count below 110,000 platelets to identify groups of subjects with Cirrhosis Favorable process, no need for regular screening Esophageal varices.

On the other hand, co-infection Hepatitis B virus (Hepatitis B virus), this alcoholic liver disease and metabolic liver disease are the other most common reasons liver pathology.Its prevention, diagnosis and treatment will mark the treatment of liver-related diseases HIV over the next few years.

For the first time, the document has a chapter dedicated to non-viral liver disease,pay attention metabolic liver disease (European Meteorological Service).This is the main reason for this phenomenon chronic liver disease Everyone in the population HIV Like no infection, it is characterized by variability, multifactoriality, and complexity.

Dr. Montes: “The consequences of MetHE will have a significant impact on people living with HIV in the coming years, so it is important to incorporate current recommendations”

Among other things, great efforts must be made to keep the subject’s weight within a normal range, engage in regular physical exercise and follow a healthy Mediterranean diet. There is currently no specific treatment for this disease, so efforts must be made to prevent and control cardiovascular risk factors.

“as a result of European Meteorological Service It is of great significance to people suffering from the following diseases HIV In the coming years, there is a strong need to incorporate current recommendations to optimize care for this disease,” emphasizes Dr. Marisa Montesof Madrid La Paz University Hospital and one of the coordinators of the new document AIDS.

Finally, the document devotes a prominent section to alcoholic liver diseaseits prevalence is very high Spain. “We hope this document will be the starting point for a new focus on Liver disease of people have HIV From now on, in conjunction with the dramatic epidemiological and therapeutic changes that are taking place,” concluded Dr. Maria Luisa Montes.