Clinical diagnosis of viral hepatitis: Current status and future strategies

Diagn Microbiol Infect Dis. 2024 Mar;108(3):116151. doi: 10.1016/j.diagmicrobio.2023.116151. Epub 2023 Nov 30.

Abstract

Viral hepatitis (VH) is a significant public health issue with tremendous potential to aggravate into chronic hepatitis, liver cirrhosis, and hepatocellular carcinoma. Recent decade has witnessed remarkable uprising in the drug development and effective treatment of VH. An upsurge is seen in identification of antiviral therapies with low rates of viral resistance, the improvement of Hepatitis B Virus (HBV) vaccination and the development of direct-acting antivirals for Hepatitis C Virus (HCV). But unfortunately, the "2030 worldwide eradication" objective of World Health Organization (WHO) is still unmet. It can be largely attributed to the deficit faced by the healthcare system concerning screening and diagnosis. A timely, accurate and comprehensive screening; encompassing maximum population coverage is essential to combat this disease. However, advancements in VH diagnostics remain inadequate and with a marginal use in routine practice. This paper deliberates upon the lacunae in traditional and prevailing diagnostic methodology of viral hepatitis, especially their inadequacy in meeting the unique situations prevailing low- and middle-income countries (LMIC).

Keywords: Advanced diagnosis; Biosensors; Protein biomarkers; Rapid diagnostic; Serology; Viral hepatitis.

Publication types

  • Review

MeSH terms

  • Antiviral Agents / therapeutic use
  • Hepatitis C*
  • Hepatitis C, Chronic* / drug therapy
  • Hepatitis, Viral, Human* / diagnosis
  • Hepatitis, Viral, Human* / drug therapy
  • Humans
  • Liver Neoplasms* / drug therapy
  • Liver Neoplasms* / prevention & control

Substances

  • Antiviral Agents