Abstract
Egypt has the highest prevalence of HCV worldwide. It is
estimated to be 7.3% which is considered more than double the
global prevalence that is estimated to be 3% according to the
World Health Organization (WHO). The main #genotype in Egypt
is genotype 4 [1]. For many years ago, HCV treatment remained a
challenge, where the available regimens were the moderately potent
but poorly tolerated combination of pegylated interferon (PegIFN)
and #ribavirin for 24 or 48 weeks [2]. Using this combination,
HCV genotype 4 patients had intermediate SVR rates (50-60%)
[3]. Since 2011, multiple new drugs acting on specific #enzymaticsites throughout the HCV life cycle were developed (direct acting
antiviral drugs DAAs). DAAs are more potent than the INF/RBV
with bettersafety profile. DAAs are now widely available worldwide
[4].
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