Decision making in hbv

  • How is HBV commonly transmitted from person to person choose every correct answer?

    Hepatitis B is spread when blood, semen, or other body fluids from a person infected with the virus enters the body of someone who is not infected.
    This can happen through sexual contact; sharing needles, syringes, or other drug-injection equipment; or during pregnancy or delivery..

  • What are the recommendations for HBV?

    Adults.
    CDC recommends screening all adults aged 18 years and older for hepatitis B at least once in their lifetime using a triple panel test. Infants.
    CDC recommends testing infants born to HBsAg positive people for HBsAg and anti-HBs seromarkers.Pregnant people. People at increased risk. Screening tests..

  • What is the advice on hepatitis B?

    Avoid direct contact with blood and bodily fluids.
    Clean up blood spills with a fresh diluted bleach solution (mix 1 part bleach with 9 parts water) Cover all cuts carefully.
    Avoid sharing sharp items such as razors, nail clippers, toothbrushes, and earrings or body rings..

  • What is the recommendation of HBV?

    A one-time HBV screening of adults would be complementary to the 2022 Advisory Committee on Immunization Practices (ACIP) recommendation to vaccinate all adults aged 19–59 years for HBV infection because screening establishes any history of infection, and vaccination protects from future infection and need for .

  • People can become infected with the virus from:

    Birth to an infected person.Sex with a partner who has hepatitis B.Sharing contaminated needles, syringes, or drug preparation equipment.Sharing contaminated items such as toothbrushes, razors, or medical equipment (like a glucose monitor) with a person who has hepatitis B.
  • Adults.
    CDC recommends screening all adults aged 18 years and older for hepatitis B at least once in their lifetime using a triple panel test. Infants.
    CDC recommends testing infants born to HBsAg positive people for HBsAg and anti-HBs seromarkers.Pregnant people. People at increased risk. Screening tests.
  • The natural history of chronic HBV infection is complex.
    It comprises the immune‐tolerant phase, immune‐active chronic phase, inactive HBsAg phase and reactivation.
    The four phases differ from each other in certain parameters such as serum ALT level, HBeAg status and viral load.
DECISION MAKING IN HEPATITIS B. People who should be offered testing • If HBV DNA undetectable: HBsAg/anti-HBs. (12 monthly). • If cirrhotic: FBE and INR (3 

Are HBV DNA levels associated with risk of developing cirrhosis?

Figure 2.
Baseline HBV DNA Levels and Risk of Developing Cirrhosis These data are from persons with chronic HBV infection who have a negative anti-hepatitis C virus antibody test.
This graphic shows a clear correlation of HBV DNA levels and risk of developing cirrhosis.

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Is antiviral therapy a curative treatment for chronic hepatitis B (HBV)?

Antiviral therapy is not considered curative but can improve serologic, virologic, and histologic endpoints.
It has also been shown to reduce the risk of liver-related outcomes such as:

  1. cirrhosis and HCC in selected patients

Multiple organizations have issued guidance that address treatment indications for persons with chronic HBV.
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Is cirrhosis a good indicator for HBV treatment?

The presence of cirrhosis is generally considered a strong indicator that favors initiating HBV treatment.
Since cirrhosis is a strong indication for HBV treatment, it is important to evaluate persons with chronic HBV for the presence of cirrhosis.

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What should I do if I have chronic hepatitis B (HBV)?

Write ‘? chronic hepatitis B’ or similar on the request slip.
If acute HBV is suspected (through recent risk, presentation, or both) IgM anti-HBc can also be ordered to support clinical suspicion.
Test for HAV, HCV, HDV and HIV to check for co-infection.
Discuss vaccination if susceptible to HAV.
Discuss transmission and prevention of BBVs.


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