{"id":5269,"date":"2018-01-24T08:00:15","date_gmt":"2018-01-24T07:00:15","guid":{"rendered":"https:\/\/asscat-hepatitis.org\/1a-guia-internacional-sobre-el-tratamiento-de-hepatitis-c-en-pacientes-renales\/"},"modified":"2018-07-13T16:13:46","modified_gmt":"2018-07-13T14:13:46","slug":"1a-guia-internacional-sobre-el-tractament-dhepatitis-c-en-pacients-renals","status":"publish","type":"post","link":"https:\/\/asscat-hepatitis.org\/ca\/1a-guia-internacional-sobre-el-tractament-dhepatitis-c-en-pacients-renals\/","title":{"rendered":"1\u00aa Guia Internacional sobre el Tractament d&#8217;Hepatitis C en Pacients Renals"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243; disabled_on=&#8221;off|off|off&#8221; _builder_version=&#8221;3.0.106&#8243; custom_margin=&#8221;|||&#8221; custom_padding=&#8221;0px||0px|&#8221; next_background_color=&#8221;#000000&#8243;][et_pb_row custom_padding=&#8221;0px||0px|&#8221; _builder_version=&#8221;3.0.106&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_post_title author=&#8221;off&#8221; date_format=&#8221;d\/m\/Y&#8221; comments=&#8221;off&#8221; featured_placement=&#8221;background&#8221; text_background=&#8221;on&#8221; text_bg_color=&#8221;#ffffff&#8221; module_class=&#8221;ac-post-title-section-0&#8243; _builder_version=&#8221;3.0.106&#8243; title_font=&#8221;Montserrat|600|||||||&#8221; title_text_color=&#8221;#2d2d2d&#8221; title_letter_spacing=&#8221;-1px&#8221; title_line_height=&#8221;1.2em&#8221; meta_font=&#8221;Open Sans||||||||&#8221; meta_text_color=&#8221;rgba(45,45,45,0.5)&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;|||&#8221; custom_padding=&#8221;|20px|20px|20px&#8221; title_text_align=&#8221;center&#8221; meta_font_size=&#8221;13px&#8221; meta_text_align=&#8221;center&#8221;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_post_title][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; specialty=&#8221;on&#8221; _builder_version=&#8221;3.0.106&#8243; custom_padding=&#8221;0px|||&#8221; prev_background_color=&#8221;#000000&#8243; next_background_color=&#8221;#000000&#8243;][et_pb_column type=&#8221;2_3&#8243; specialty_columns=&#8221;2&#8243;][et_pb_row_inner admin_label=&#8221;Fila&#8221; _builder_version=&#8221;3.0.106&#8243;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Contenido Entrada 1&#8243; ul_type=&#8221;square&#8221; module_class=&#8221;ac-posts-content&#8221; _builder_version=&#8221;3.0.106&#8243; text_orientation=&#8221;justified&#8221; background_layout=&#8221;light&#8221;]<\/p>\n<h3>Aquesta Guia ajudar\u00e0 a la presa de decisions dels nefr\u00f2legs i hepat\u00f2legs que hagin de tractar a pacients renals amb hepatitis C.<\/h3>\n<p>La prestigiosa Revista\u00a0<strong><em>Journal of Nephrology<\/em><\/strong>\u00a0ha publicat recentment la <strong>primera Guia Internacional sobre el Tractament de l&#8217;Hepatitis C en els Pacients amb Malaltia Renal Cr\u00f2nica<\/strong>. Aquesta guia de pr\u00e0ctica cl\u00ednica, l&#8217;elaboraci\u00f3 de la qual ha estat promoguda i coordinada per l&#8217;<strong><a href=\"http:\/\/www.aehr.es\/\">Associaci\u00f3 Espanyola de Fetge i Rony\u00f3<\/a>\u00a0(AEHR),<\/strong>\u00a0ajudar\u00e0 a la presa de decisions dels nefr\u00f2legs i hepat\u00f2legs que hagin de tractar a pacients renals amb hepatitis C.<\/p>\n<p>A Espanya, hi ha m\u00e9s de 1.500 pacients en di\u00e0lisi que estan infectats pel virus de l&#8217;hepatitis C (VHC). La prevalen\u00e7a \u00e9s major en els pacients amb malaltia renal cr\u00f2nica que encara no han iniciat di\u00e0lisi o els que tenen un trasplantament renal. Precisament, l&#8217;\u00faltim estudi de prevalen\u00e7a del VHC en di\u00e0lisi el va dur a terme l&#8217;AEHR el 2013\u00a0(l&#8217;estudi SHECTS). En ell van participar 187 centres i va situar la prevalen\u00e7a del VHC en di\u00e0lisi en el 5,6%, enfront al 3% de la poblaci\u00f3 general.<\/p>\n<p>A la Guia Internacional sobre el Tractament de l&#8217;Hepatitis C en els Pacients amb Malaltia Renal Cr\u00f2nica han participat hepat\u00f2legs, nefr\u00f2legs i farmac\u00e8utics dels hospitals\u00a0<strong>La Mancha-Centro de Alc\u00e1zar de San Juan (Ciudad Real), Cl\u00ednic de Barcelona i la Princesa de Madrid<\/strong>. La coordinaci\u00f3 d&#8217;aquest estudi ha anat a c\u00e0rrec del doctor\u00a0<strong>Sami Aoufi Rabih<\/strong>, president de l&#8217;<strong>AEHR<\/strong>\u00a0i especialista en Aparell Digestiu, i la doctora\u00a0<strong>Rebeca Garc\u00eda Agudo<\/strong>, secret\u00e0ria de la Junta Directiva de l&#8217;AEHR i responsable del Servei de Nefrologia de l&#8217;<strong>Hospital La Mancha-Centro<\/strong>.<\/p>\n<p><strong>Fins el moment, cap societat cient\u00edfica havia confeccionat una guia de pr\u00e0ctica cl\u00ednica de l&#8217;hepatitis C en pacients renals degut a la seva complexitat<\/strong>\u00a0i la necessitat d&#8217;abordar el maneig d&#8217;aquestes dues malalties des d&#8217;un punt de vista multidisciplinari.<\/p>\n<p>Precisament, l&#8217;<strong>AEHR<\/strong>\u00a0es va fundar amb aquest objectiu, el de treballar de manera conjunta entre metges de diferents especialitats, per fer arribar al pacient el millor diagn\u00f2stic i tractament possibles. Aix\u00ed, despr\u00e9s de dos anys de feina, un comit\u00e8 d&#8217;experts en hepatitis c i malaltia renal cr\u00f2nica ha posat de manifest els f\u00e0rmacs m\u00e9s adequats per tractar els diferents genotips del virus de l&#8217;hepatitis C en els pacients amb insufici\u00e8ncia renal.<\/p>\n<h3>Aven\u00e7os en els tractaments<\/h3>\n<p>Fins el 2014, pel tractament de l&#8217;hepatitis C nom\u00e9s es disposava d&#8217;interfer\u00f3 i ribavirina, el que ocasionava molts i greus efectes secundaris en els pacients, especialment si patien insufici\u00e8ncia renal, i la resposta al tractament era molt baixa, amb un m\u00e0xim del 40% d&#8217;eradicaci\u00f3 del virus. Aix\u00f2 portava als metges a evitar el tractament en aquests pacients, pel que l&#8217;augment de la prevalen\u00e7a de l&#8217;hepatitis C durant d\u00e8cades s&#8217;ha mantingut inalterable.<\/p>\n<p>En els centres de di\u00e0lisi, l&#8217;hepatitis C constitu\u00efa un factor de risc de contagi pels pacients que no la patien o pel personal sanitari que els atenia i era un factor de mal pron\u00f2stic pels pacients afectats. Fa tres anys van sorgir els inhibidors de la proteasa, amb assajos cl\u00ednics espec\u00edfics en aquesta poblaci\u00f3. La resposta del virus C amb aquests f\u00e0rmacs pot arribar al 95% i els events adversos s\u00f3n m\u00ednims. Segons el doctor Sami Aoufi, \u00e9s possible que en un futur proper el virus de l&#8217;hepatitis C tingui una prevalen\u00e7a molt baixa o fins i tot sigui eradicar-lo, fet que constitueix un dels objectius que pret\u00e8n facilitar aquesta Guia.<\/p>\n<p>&nbsp;<\/p>\n<h6>Font:\u00a0<a href=\"https:\/\/www.consalud.es\/pacientes\/pacientes-avances\/la-primera-guia-internacional-hepatitis-c-pacientes-renales-sello-espanol_46302_102.html\">consalud.es<\/a><\/h6>\n<h6>Not\u00edcia tradu\u00efda per l&#8217;ASSCAT<\/h6>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;Fila&#8221; custom_padding=&#8221;0px|||&#8221; _builder_version=&#8221;3.0.105&#8243; custom_margin=&#8221;|||&#8221;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_post_title admin_label=&#8221;Metadatos &#8211; Fecha \u00daltima actualizaci\u00f3n&#8221; title=&#8221;off&#8221; author=&#8221;off&#8221; date_format=&#8221;d\/m\/Y&#8221; categories=&#8221;off&#8221; comments=&#8221;off&#8221; featured_image=&#8221;off&#8221; _builder_version=&#8221;3.0.106&#8243; title_text_align=&#8221;left&#8221; meta_font=&#8221;Open Sans||||||||&#8221; meta_text_align=&#8221;left&#8221; meta_font_size=&#8221;13px&#8221; meta_text_color=&#8221;#0082ca&#8221; border_width_top=&#8221;1px&#8221; border_color_top=&#8221;#cccccc&#8221; custom_margin=&#8221;50px|||&#8221; custom_padding=&#8221;10px|||&#8221; custom_css_before=&#8221;content:%22\u00daltima actualizaci\u00f3n:%22;&#8221; global_module=&#8221;3449&#8243; saved_tabs=&#8221;all&#8221;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_post_title][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_sidebar orientation=&#8221;right&#8221; area=&#8221;et_pb_widget_area_8&#8243; module_class=&#8221;ac-posts-sidebar&#8221; _builder_version=&#8221;3.0.106&#8243; global_module=&#8221;3198&#8243; saved_tabs=&#8221;all&#8221;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_sidebar][\/et_pb_column][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; _builder_version=&#8221;3.0.106&#8243; custom_padding=&#8221;||0px|&#8221; prev_background_color=&#8221;#000000&#8243; module_class=&#8221;ac-post-section-share-rrss&#8221;][et_pb_row custom_padding=&#8221;||0px|&#8221; custom_margin=&#8221;|||&#8221; _builder_version=&#8221;3.0.105&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_text _builder_version=&#8221;3.0.106&#8243; text_font=&#8221;Montserrat||||||||&#8221; text_text_color=&#8221;#e20611&#8243; text_orientation=&#8221;center&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;|||&#8221; background_layout=&#8221;light&#8221; disabled=&#8221;on&#8221;]<\/p>\n<h5>Desde aqu\u00ed puedes compartir esta publicaci\u00f3n. \u00a1Gracias!<\/h5>\n<p>[\/et_pb_text][et_pb_divider color=&#8221;#e20611&#8243; show_divider=&#8221;on&#8221; divider_style=&#8221;ridge&#8221; _builder_version=&#8221;3.0.106&#8243; 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