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Chinese Journal of Experimental and Clinical Virology ; (6): 224-226, 2009.
Artigo em Chinês | WPRIM | ID: wpr-325584

RESUMO

<p><b>UNLABELLED</b>OBJECTIVE; To investigate the clinic outcomes and the efficacy of antiviral treatment in renal transplantation recipients with hepatitis B viral serum markers positive.</p><p><b>METHODS</b>32 renal transplantation recipients with hepatitis B viral serum markers positive were enrolled. 23 patients in antiviral treatment group have received the lamivudine (19 cases), enticavir (2 cases) and adefovir (1 case). Another 9 patients have not received the antiviral treatment and were as the control group.</p><p><b>RESULTS</b>The biochemical response rate in antiviral treatment group and control group is 82.60% and 22.22%, respectively. 19 of 23 (82.60%) patients in treatment group survived and 1 of 9 (11.11%) patients in control group survived (P < 0.05). 20 of 23 (86.95%) patients in treatment group have the reduction of HBV DNA more than 2 log copies/ml or maintain less than 5 log copies/ml, while 1 of 9 (11.11%) patients in control group has the HBV DNA maintain less than 5 log copies/ml (P < 0.05). The virology rebound was observed in 6 of 19 (31.58%) patients with lamivudine treatment. 2 of them shift to enticavir treatment and 1 of them add adefovir treatment. The three patients survived. Other 3 patients die of liver function failure.</p><p><b>CONCLUSION</b>The antiviral could improve the survival in renal transplantation recipients with hepatitis B viral serum markers positive. When the virology rebound occurs, the add-on with adefovir or the shift to enticavir could be a rescue treatment.</p>


Assuntos
Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adenina , Usos Terapêuticos , Antivirais , Usos Terapêuticos , Estudos de Casos e Controles , Hepatite B , Tratamento Farmacológico , Virologia , Vírus da Hepatite B , Fisiologia , Transplante de Rim , Mortalidade , Lamivudina , Usos Terapêuticos , Organofosfonatos , Usos Terapêuticos , Resultado do Tratamento
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