Hepatitis C

Hepatitis C
Presentation by
Bruce Luxon, MD, PhD
James A. Clifton Chair in Gastroenterology
Professor of Internal Medicine
Director, Division of Gastroenterology and Hepatology
University of Iowa


The Silent Epidemic
DIAGNOSTIC APPROACH TO CHRONIC HEPATITIS
RISK FACTORS FOR HCV OR ELEVATED ALT LEVELS
ANTI-HCV (EIA) TESTING
REFER TO SPECIALIST FOR EVALUATION AND TREATMENT
NEGATIVE
POSITIVE
EIA=enzyme immunoassay.
Check HCV RNA (viral load) and HCV genotype

* Basic facts on diagnosing hepatitis C
o Who is at risk?
o How do I screen?
o Why should I screen?
* Basic facts on treating hepatitis C
o What are treatment options?
o What are the success rates?
* Mention new trials and treatment options
o What should I do if initial treatment fails?

Cure
Consensus Interferon (CIFN)
DIRECT Trial
Maintenance Therapy?
HALT-C Trial
Summary
What to Take Away from Today

Hepatitis C.ppt