TREATMENT RESULTS CHRONIC HEPATITIS B BY ENTECAVIR IN CHILDREN BELOW 12 YEARS OLD AT THE NATIONAL HOSPITAL FOR TROPICAL DISEASE

Trần Văn Giang1,2, Nguyễn Mạnh Trường1,2,, Nguyễn Quốc Phương 1,2
1 Hanoi Medical University
2 National Hospital for Tropical Diseases

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Abstract

Objectives: To evaluate the clinical and subclinical effectiveness of entercavir treatment regimens in children under 12 years of age who were monitored at the Pediatric Outpatient Clinic, National Hospital for Tropical Diseases. Subjects and Methods: A cross-sectional descriptive study with analysis of 48 children under 12 years of age with a diagnosis of chronic hepatitis B virus being treated with the antiretroviral drug entercavir at the Pediatrics Department, National Hospital for Tropical Diseases. January, 2017 -December, 2021. Results and conclusions: Children with chronic hepatitis B virus infection have marked clinical improvement after 1 and 3 months of treatment. Normal AST after 3, 6, 9, 12 months was: 43.8%, 75%, 89.6% and 87.5%, the proportion of patients with normal ALT activity after 3, 6, 9, 12 months were: 33.3%, 64.6%, 85.4% and 85.4%. The rates of seroconversion after 6 months, 12 months were 10.9% and 21.7%. Patients with HBV DNA load below the detection threshold after 6, 12 months are: 27.1% and 45.8%, 02/48 patients with ideal score lost HBsAg and developed AntiHBs after 12 months of treatment with entercavir.

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References

1. WHO. (2015). Guidelines for the prevention care and treatment of persons with chronic hepatitis B infection: Mar-15: World Health Organization.
2. Bộ Y tế. Hướng dẫn chẩn đoán, điều trị bệnh viêm gan virus B, Ban hành theo quyết định số 3310/QĐ- BYT ngày 29 tháng 07 năm 2019
3. Liver EAFTSOT. (2017). EASL 2017 Clinical Practice Guidelines on the management of hepatitis B virus infection. Journal of hepatology. 67(2):370-398.
4. Chang K.C, Wu J.F, Hsu H.Y, et al. (2016). Entecavir Treatment in Children and Adolescents with Chronic Hepatitis B Virus Infection. Pediatrics and neonatology, 57(5):390-395. doi:10.1016/ j.pedneo.2015.09.009.
5. Saadah O.I, Sindi H.H, Bin-Talib Y, et al. (2012). Entecavir treatment of children 2–16 years of age with chronic hepatitis B infection. Arab Journal of Gastroenterology. 13(2):41-44.
6. Jonas M.M, Chang M.H, Sokal E, et al. (2016). Randomized, controlled trial of entecavir versus placebo in children with hepatitis B envelope antigen–positive chronic hepatitis B. Hepatology. 63(2):377-387.
7. Lee K.J, Choe B-H, Choe JY, et al. (2018). A multicenter study of the antiviral efficacy of entecavir monotherapy compared to lamivudine monotherapy in children with nucleos (t) ide-naïve chronic hepatitis B. J Korean Med Sci. 33(8):e63.
8. Pawłowska M, Halota W, Smukalska E, et al. (2012). HBV DNA suppression during entecavir treatment in previously treated children with chronic hepatitis B. European journal of clinical microbiology & infectious diseases. 31(4):571-574.