{"id":5456,"date":"2017-11-29T08:00:04","date_gmt":"2017-11-29T07:00:04","guid":{"rendered":"https:\/\/asscat-hepatitis.org\/?p=5456"},"modified":"2018-07-16T19:16:14","modified_gmt":"2018-07-16T17:16:14","slug":"eliminacio-de-lhepatitis-c-en-persones-amb-el-vih","status":"publish","type":"post","link":"https:\/\/asscat-hepatitis.org\/ca\/eliminacio-de-lhepatitis-c-en-persones-amb-el-vih\/","title":{"rendered":"Eliminaci\u00f3 de l&#8217;hepatitis C en persones amb el VIH"},"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;]<br \/>\n[\/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>L&#8217;eliminaci\u00f3 de l&#8217;hepatitis C dependr\u00e0 que s&#8217;implementin uns elevats nivells de diagn\u00f2stic i acc\u00e9s al tractament, aix\u00ed com de la inclusi\u00f3 de persones amb hepatitis C en els serveis d&#8217;atenci\u00f3. Les persones que viuen amb el VIH tenen uns alts nivells d&#8217;inclusi\u00f3 en els serveis d&#8217;atenci\u00f3 pel maneig a llarg termini de la infecci\u00f3 pel VIH.<\/h3>\n<p><strong>Un recent estudi realitzat a Espanya i Su\u00efssa reflecteix que \u00e9s possible eliminar l&#8217;hepatitis C en la poblaci\u00f3 de persones amb el VIH, sempre que existeixi un acc\u00e9s a la ter\u00e0pia.<\/strong><\/p>\n<p>En la <a href=\"http:\/\/www.infohep.org\/page\/3185351\/?utm_source=NAM-Email-Promotion&amp;utm_medium=conference-bulletin&amp;utm_campaign=English\">XVI Confer\u00e8ncia Europea de la Sida<\/a> organitzada de forma recent per la Societat Europea de la Sida (EACS, en les seves sigles en angl\u00e8s) i celebrada a la ciutat de Milan (It\u00e0lia), el\u00a0<a href=\"http:\/\/www.infohep.org\/Hepatitis-C-halved-in-Spanish-people-living-with-HIV-in-one-year-due-to-treatment\/page\/3185351\/?utm_source=NAM-Email-Promotion&amp;utm_medium=conference-bulletin&amp;utm_campaign=English\">doctor Juan Berenguer va informar<\/a> de la disminuci\u00f3 de la prevalen\u00e7a del virus de l&#8217;hepatitis C (VHC) entre les persones que viuen amb el VIH a Espanya.\u00a0<strong>Despr\u00e9s de recopilar mostres de les cohorts cl\u00edniques del VIH a Espanya, Berenguer i el seu equip de col\u00b7laboradors van trobar que la prevalen\u00e7a de la infecci\u00f3 cr\u00f2nica per l&#8217;hepatitis C pr\u00e0ctivament s&#8217;ha redu\u00eft a la meitat entre finals del 2015 i finals del 2016 (passant del 22% al 11,6%)<\/strong>. Aquest descens coincideix amb l&#8217;oferta, des de principis del 2016, del tractament amb antivirals d&#8217;acci\u00f3 directa per a l&#8217;hepatitis C a totes les persones que presenten un grau F2 o superior de fibrosi, a m\u00e9s de la provisi\u00f3 de tractament amb AAD a totes les persones en situaci\u00f3 de risc de transmetre el VHC, amb independ\u00e8ncia del seu grau de fibrosi.<\/p>\n<p><strong>Una pol\u00edtica sistem\u00e0tica de realitzaci\u00f3 de proves i provisi\u00f3 de tractament va permetre, en un per\u00edode de 8 mesos, curar al 99% dels homes que practiquen sexe amb homes (HSH) que tenien hepatitis C en la cohort su\u00efssa del VIH i tamb\u00e9 va reduir en gaireb\u00e9 dos ter\u00e7os la prevalen\u00e7a d&#8217;hepatitis C<\/strong>, <a href=\"http:\/\/www.infohep.org\/page\/3186308\/?utm_source=NAM-Email-Promotion&amp;utm_medium=conference-bulletin&amp;utm_campaign=English\">segons va informar a la confer\u00e8ncia<\/a> Dominique Braun, de l&#8217;Hospital Universitari de Zuric.<\/p>\n<p>La cohort su\u00efssa del VIH es va proposar identificar a tots els HSH infectats per l&#8217;hepatitis C i el VIH, amb l&#8217;objectiu de curar l&#8217;hepatitis C a tants homes com fos possible i aix\u00ed reduir la taxa de transmissi\u00f3 sexual d&#8217;aquest virus entre aquesta poblaci\u00f3 a Su\u00efssa. Igual que en d&#8217;altres pa\u00efsos d&#8217;Europa occidental, des de mitjans de la d\u00e8cada del 2000, Su\u00efssa ha experimentat un gran augment en els casos d&#8217;infecci\u00f3 per l&#8217;hepatitis C entre homes homosexuals i bisexuals amb el VIH.\u00a0<strong>Aquest augment pot explicar-se, en part, per un augment en el consum de drogues (com la metanfetamina injectable durant les relacions sexuals), per\u00f2 tamb\u00e9 per les pr\u00e0ctiques sexuals sense preservatiu<\/strong>.<\/p>\n<p>El cribratge realitzat el 2015 va permetre identificar a 177 homes que presentaven una infecci\u00f3 cr\u00f2nica pel VHC (el 4,8% dels HSH de la cohort), dels quals 147 ja comptaven amb un diagn\u00f2stic previ. A tots els homes infectats pel VHC de genotip 1 o 4 se&#8217;ls hi va oferir tractament immediat amb grazoprevir\/elbasvir (Zepatier) durant 12 o 16 setmanes. El 99% d&#8217;aquests homes es van curar de l&#8217;hepatitis C.<\/p>\n<p><strong>En principi, sempre existeix la possibilitat d&#8217;una reinfecci\u00f3 pel VHC, ja que la curaci\u00f3 de la infecci\u00f3 no genera cap immunitat<\/strong>. En conseq\u00fc\u00e8ncia, als participants de l&#8217;estudi tamb\u00e9 se&#8217;ls va convidar a participar en una intervenci\u00f3 conductual dissenyada per reduir el risc de reinfecci\u00f3, a trav\u00e9s de l&#8217;avaluaci\u00f3 de les conductes sexuals i ajudant als participants a\u00a0<strong>identificar estrat\u00e8gies de reducci\u00f3 de riscos per evitar la reinfecci\u00f3<\/strong>. Fins a la data, no s&#8217;ha detectat cap cas de reinfecci\u00f3 en aquesta cohort d&#8217;estudi.<\/p>\n<p>&nbsp;<\/p>\n<h6>Font:\u00a0<a href=\"http:\/\/www.infohep.org\/page\/3185351\/?utm_source=NAM-Email-Promotion&amp;utm_medium=conference-bulletin&amp;utm_campaign=English\">infohep.org<\/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;]<br \/>\n[\/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;]<br \/>\n[\/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; \/][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n<!-- Begin Yuzo --><div class='yuzo_related_post style-1'  data-version='5.12.77'><!-- without result --><div class='yuzo_clearfixed yuzo__title yuzo__title'><h3>Related Post<\/h3><\/div>\n\t\t\t\t\t\t  <div class=\"relatedthumb \" style=\"width:125px;float:left;overflow:hidden;\">  \n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t  <a  href=\"https:\/\/asscat-hepatitis.org\/ca\/5-de-novembre-ii-jornada-de-sostenibilitat-i-innovacio-de-laidifh\/\"  >\n\t\t\t\t\t\t\t\t\t  <div class=\"yuzo-img-wrap \" style=\"width: 125px;height:90px;\">\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<div class=\"yuzo-img\" style=\"background:url('https:\/\/asscat-hepatitis.org\/wp-content\/uploads\/PROGRAMA-SOSTENIBILIDAD-E-INNOVACIO\u0301N-1-150x150.jpg') 50% 50% no-repeat;width: 125px;height:90px;margin-bottom: 5px;background-size: cover; 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