RESULTS OF THE 3D TREATMENT AND MODEL OF ELIMINATION OF HCV INFECTION IN CROATIA
Neven Papić, Davorka Dušek, Tatjana Nemeth Blažić, Ivan Kurelac, Juraj Krznarić, Adriana Vince
Chronic hepatitis C (CHC) has been recognized as a global health problem. World health organization (WHO) has set a goal to reduce new viral hepatitis infections by 90% and reducing deaths due to viral hepatitis by 65% by 2030. Achievement of this goal became possible by the discovery of direct acting antiviral agents (DAA). The aim of this paper is to describe the first Croatian experience in the treatment of CHC with the ombitasvir/paritaprevir/ritonavir + dasabuvir (PrOD) ± ribavirin (RBV) combined therapy. Mathematical model was used to estimate the prevalence and number of complications depending on the number of treated patients annually. Overall, 117 patients with HCV genotype 1 and 4 infection were treated with PrOD±RBV. Sustained virological response was achieved in 97% of treated patients without significant side effects and therapy discontinuation. The goal of reducing deaths by 65% can be achieved if 450 patients are treated annually. With epidemiological effort in early diagnosis combined with timely treatment, Croatia can be among first countries that would achieve WHO goals in the control of chronic viral hepatitis.