NASPGHAN Practice guidelines: Diagnosis and management of hepatitis c infection in infants, children, and adolescents

Cara L. Mack, Regino P. Gonzalez-Peralta, Nitika Gupta, Daniel Leung, Michael R. Narkewicz, Eve A. Roberts, Philip Rosenthal, Kathleen B. Schwarz

Research output: Contribution to journalReview articlepeer-review

130 Scopus citations

Abstract

Hepatitis C virus (HCV) is an RNA virus that affects >180 million individuals worldwide with a high propensity for chronic infection. Children with HCV infection differ from adults in several ways including some modes of transmission, rates of clearance, progression of fibrosis, and the duration of potential chronic infection when acquired at birth. Since the discovery of HCV in 1989, there have been significant advances in the understanding of the virology and natural history of chronic HCV infection in children. In addition, there are now several treatment options for children with chronic hepatitis C infection and many new therapies on the horizon. As a consequence, the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition brought together experts in pediatric hepatology to review the available data in children and provide clinicians with approaches to the diagnosis, management, and prevention of HCV infection in children and adolescents. The guideline details the epidemiology and natural history of HCV infection in children, the diagnostic workup, monitoring and treatment of disease, and provides an update on future treatment options and areas of research.

Original languageEnglish (US)
Pages (from-to)838-855
Number of pages18
JournalJournal of pediatric gastroenterology and nutrition
Volume54
Issue number6
DOIs
StatePublished - Jun 2012

Keywords

  • Chronic hepatitis
  • Infectious hepatitis
  • Interferon therapy
  • Pediatric liver disease

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Gastroenterology

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