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JAC Advance Access originally published online on September 5, 2008
Journal of Antimicrobial Chemotherapy 2008 62(5):860-865; doi:10.1093/jac/dkn346
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© The Author 2008. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Leading articles

Treatment of acute hepatitis C: the success of monotherapy with (pegylated) interferon {alpha}

Johannes Wiegand1,*, Katja Deterding2, Markus Cornberg2 and Heiner Wedemeyer2

1 Department of Internal Medicine, Medical Clinic and Polyclinic II, University of Leipzig, Leipzig, Germany 2 Department of Gastroenterology, Hepatology and Endocrinology, Medical School Hannover, Hannover, Germany


* Corresponding author. Tel: +49-341-97-12226; Fax: +49-341-97-12228; E-mail: johannes.wiegand{at}medizin.uni-leipzig.de

Early control in the acute phase of hepatitis C infection is an attractive therapeutic goal in order to shorten disease duration and infectivity, to prevent chronicity and progression to advanced liver disease and to avoid eventual therapeutic non-response in the later stages of chronic hepatitis C. Over the past decade, different interferon-based treatment options have been developed, which lead to sustained virological response rates of up to 98%. The present article summarizes the successful invention of immediate and delayed strategies in acute hepatitis C monoinfection, critically discusses potential limitations and illustrates the therapeutic challenges of the near future.

Keywords: antiviral therapy , hepatology , liver disease


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