Outcome of chronic hepatitis C treatment with pegylated interferon alpha 2a and ribavirin in patients with and without HIV co-infection in resource-constrained setting

  • ศุภรัตน์ เข็มนาค Bamrasnaradura Infectious Disease Institute
  • บุญชัย โควาดิสัยบูรณะ Bamrasnaradura Infectious Disease Institute
  • สุรศักดิ์ วิบูลชุติกุล Bamrasnaradura Infectious Disease Institute
Keywords: treatment chronic hepatitis C, SVR in HIV and non-HIV group


This retrospective cohort study was conducted to assess the therapeutic response chronic hepatitis C infection using pegylated interferon alpha 2a with ribavirin comparing HCV/HIV coinfected patients and HCV infected patients without HIV co-infection. The total 111 patients were enrolled into the study during 1 Jan 2004 to 31 Dec 2015, 51 were HCV/HIV coinfected patients and 60 were HCV patients without HIV co-infection. The two study groups were significantly different regarding age (40.4±6.8 vs 48.3±9.1, p<0.05), gender (male 92.3% vs 71.7%, p<0.05, body weight (BW) at the beginning of treatment (62.4±10.0 kg. vs 67.6±13.3 kg., p<0.05) and HCV genotype (p<0.05) The study revealed that the SVR was lower among HCV/HIV coinfected patients (61.3% vs 81.7%, p=0.07), and the RVR was significantly lower compare to HCV patients without coinfection (33.3% vs 68.4%, p<0.05). Multivariate analysis identified EVR as independent predictor of SVR


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