HEPATITIS C VIRUS AND CHRONIC PROGRESSIVE KIDNEY DISEASE GUIDELINES FOR DETECTION, EVALUATION, TREATMENT AND PREVENTION OF INFECTION TRANSMISSION IN HEMODIALYSIS UNITS; PROCEDURE FOR INFECTED PATIENTS-CANDIDATES FOR KIDNEY TRANSPLANTATION AND PROCEDURE FOR PATIENTS SUSPECTED OF HCV INFECTION-RELATED KIDNEY DISEASE

Abstract

Infekcije s virusom hepatitisa C (HCV) pripadaju u relativno česte komplikacije kod bolesnika koji se dugotrajno liječe dijalizom. U postupniku su prikazane smjernice za serološku i molekularnu dijagnostiku hepatitisa C u bolesnika s kroničnom bolesti bubrega, preporuke za liječenje HCV infekcije u tih bolesnika i prevenciju prijenosa HCV u jedinicama za hemodijalizu. U posebnom su poglavlju navedene upute za postupak s bolesnicima koji su inficirani s HCV prije i nakon transplantacije bubrega. U posebnom poglavlju dane su smjernice za liječenje bolesti bubrega koje su posljedica HCV infekcije.Hepatitis C virus (HCV) infection is a relatively frequent complication among long-term dialysis patients. The paper presents guidelines for serologic and molecular diagnosis of hepatitis C in patients with chronic kidney disease, recommendations for the treatment of HCV infection in these patients and the prevention of transmission of HCV in hemodialysis units. A separate chapter provides guidance on the management of patients who are infected with HCV before and after kidney transplantation, and guidelines for the treatment of renal disease resulting from HCV infection