2015 Outpatient Chronic Hepatitis B Management
|
|
- Sabina Paul
- 8 years ago
- Views:
Transcription
1 2015 Outpatient Chronic Hepatitis B Management
2 Hepatitis B
3 Hepatitis B Info 70% of acute infections are subclinical More severe symptoms when in addition to other liver disease Fulminant Hepatitis <2% is largely seen with coinfection with hep C or delta Transmission: Parenteral, perinatal or sexual
4 Screening For Hepatitis B Immigrant Risk, Higher Risk is Certain Regions All of Africa All of Asia: especially SE Asia, China, Korea, Indonesia, Philippines, Pacific Islands Middle East, except Israel South America except Argentina, Chile, Paraguay, Uruguay Eastern Europe except Hungary Malta and Spain Parts of Caribbean and Central America Native People of the Arctic
5 US Children of parents from endemic areas (8% positive) Household or sexual contact with HBsAg+ Men who have sex with men Individual with multiple partners or STIs Correctional Facilities IV Drug Users Dialysis or Immunosuppressives HIV or HCV Pregnant Screening For Hepatitis B Higher Risk Groups
6 Hepatitis B Findings Symptoms of Acute Hepatitis B 30% Anorexia, nausea, jaundice, RUQ pain. 70% milder anicteric, few symptoms Exam Acute Hepatitis B Hepatomegaly RUQ tenderness Jaundice Symptoms of Chronic Hepatitis B Usually none
7 Hepatitis B Markers HBsAg Patient is infected with the virus HBsAb/anti-HBs Patient is usually immune HBeAg Active viral replication Usually ongoing liver disease Highly infectious Absent in some mutant strains Anti HBe Usually reduced viral replication Inactive disease when with HBsAg Less infectious HBV DNA Viral Load by PCR Elevation indicates active disease IgG Anti HBc (core antibody) Indicates contact with Hepatitis B May or may not still be infected IgM Anti HBc Has been infected with HBV in last 6 months in most cases
8 Acute HBsAg+ Hepatitis B Serology Anti-HBc+(IgM then IgG) HBe Ag+ (usually) HBV DNA elevated Past Infection Anti-HBs+ IgG Anti-HBc+ Immunized Anti-HBs+ (isolated)
9 Chronic Hepatitis B Serology Chronic 5-10% of patient go on to chronic Hep B Older age exposure less likely to progress to chronic Hepatitis B HBsAg present for >6 months implies chronic infection HBsAg with IgG Anti-HBc and no IgM Anti- Hbc also indicates chronic Hep B 0.5% per year will clear their chronic HBsAg
10 Do I Care About Core Antibody? Immune Modulation Organ Donation Isolated Anti-HBc Window period after acute infection HBsAg below detection HBsAb below detection False Positive
11 Chronic Hepatitis B Initial Evaluation H and P coinfection, alcohol FH of liver disease, HCC Assess Function LFT, CBC with PLT, INR Assess Replication HBeAb, HbeAg, HB DNA PCR Hep A Test and Immunize (0+6 months) Hepatocellular Cancer Screening RUQ US now and q 6 months Timing of screening initiation depends on ethnicity, gender, age, and amount of inflammation Comorbid Disease Testing Hep C, HIV, +/-Hep D, +/-Hemochromotosis
12 Chronic Hepatitis B Follow Up All Chronic Hep B Increases Risk for Hepatocellular Carcinoma (rare exceptions) Q 6 months RUQ US AFP no longer recommended for screening Monitor clinically for signs of cirrhosis and immune complex disease
13 Tolerant State
14 Chronic Hepatitis B Treatment Offer evaluation with hepatology to anyone who was interested It pt is surely going to see hepatology, consider holding off on extensive evaluation as it will be repeated If ALT <2x normal, low viral load, and HBeAG-, follow q 6 months If ALT>2X normal, increased viral load, possible treatment If DNA elevated but HBeAG negative, possible treatment for mutant HBV Treatment is complex and often not curative Liver biopsy can be used to clarify risk and damage
15 Replicative phase: Immune tolerance Replicative phase: Immune Clearance HBe negative High activity Chronic Hepatitis Mutant? HBe negative Low activity Chronic Hepatits Low/non replicative Inactive Carrier Cirrhosis Detectable Cirrhosis Undetectable
Viral Hepatitis Case Report
Page 1 of 9 Viral Hepatitis Case Report Perinatal Hepatitis B Virus Infection Michigan Department of Community Health Communicable Disease Division Investigation Information Investigation ID Onset Date
More informationMolecular Diagnosis of Hepatitis B and Hepatitis D infections
Molecular Diagnosis of Hepatitis B and Hepatitis D infections Acute infection Detection of HBsAg in serum is a fundamental diagnostic marker of HBV infection HBsAg shows a strong correlation with HBV replication
More informationTESTING AND MANAGEMENT. Dr Nicole Allard GP Cohealth, Joslin Clinic, West Footscray PhD student, Epidemiology Unit VIDRL
TESTING AND MANAGEMENT Dr Nicole Allard GP Cohealth, Joslin Clinic, West Footscray PhD student, Epidemiology Unit VIDRL Disclosure and acknowledgments No conflicts of interest Board Member of Hepatitis
More informationPERINATAL AND CHILDHOOD HEPATITIS.. WHAT ABOUT THE CHILDREN?
PERINATAL AND CHILDHOOD HEPATITIS.. WHAT ABOUT THE CHILDREN? John T. Stutts, MD, MPH University of Louisville School of Medicine Department of Pediatrics Division of Pediatric Gastroenterology, Hepatology
More informationHBV DNA < monitoring interferon Rx
Hepatitis B Virus Suspected acute hepatitis >>Order: Acute Unknown hepatitis screen Suspected chronic hepatitis >>Order: Chronic unknown hepatitis screen Acute HBV or Delayed Anti HBs response after acute
More informationThe Epidemiology of Hepatitis A, B, and C
The Epidemiology of Hepatitis A, B, and C Jamie Berkes M.D. University of Illinois at Chicago jberkes@uic.edu Epidemiology: Definitions The study of the incidence and prevalence of diseases in large populations
More informationNational Health Burden of CLD in Italy
National Health Burden of CLD in Italy 11,000 deaths due to liver cirrhosis or HCC in 2006 Direct costs for the National Health System for treating CLD patients: 420 M / year for hospital care 164 M /
More informationROYAL HOSPITAL FOR WOMEN
HEPATITIS B POSITIVE MOTHERS AND THEIR BABIES This LOP is developed to guide clinical practice at the Royal Hospital for Women. Individual patient circumstances may mean that practice diverges from this
More informationHEPATITIS WEB STUDY Acute Hepatitis C Virus Infection: Epidemiology, Clinical Features, and Diagnosis
HEPATITIS WEB STUDY Acute C Virus Infection: Epidemiology, Clinical Features, and Diagnosis H. Nina Kim, MD Assistant Professor of Medicine Division of Infectious Diseases University of Washington School
More informationThe Natural History of Chronic Hepatitis B Virus Infection
The Natural History of Chronic Hepatitis B Virus Infection Brian J. McMahon, M.D. 1 ABSTRACT Three stages of chronic hepatitis B virus (HBV) infection are recognized: the immune tolerant phase, the chronic
More informationEPIDEMIOLOGY OF HEPATITIS B IN IRELAND
EPIDEMIOLOGY OF HEPATITIS B IN IRELAND Table of Contents Acknowledgements 3 Summary 4 Introduction 5 Case Definitions 6 Materials and Methods 7 Results 8 Discussion 11 References 12 Epidemiology of Hepatitis
More informationAppendix B: Provincial Case Definitions for Reportable Diseases
Infectious Diseases Protocol Appendix B: Provincial Case Definitions for Reportable Diseases Disease: Hepatitis B Revised Hepatitis B 1.0 Provincial Reporting Confirmed, chronic and probable cases of disease
More informationManagement of Chronic Hepatitis B: 2012 Update
Management of Chronic Hepatitis B: 2012 Update Brian J McMahon MD, Liver Disease and Hepatitis Program Alaska Native Medical Center and Arctic Investigations Program, CDC Conflicts of Interest The Liver
More informationViral Hepatitis. 2009 APHL survey report
Issues in Brief: viral hepatitis testing Association of Public Health Laboratories May Viral Hepatitis Testing 9 APHL survey report In order to characterize the role that the nation s public health laboratories
More informationAIR FORCE REPORTABLE EVENTS GUIDELINES & CASE DEFINITIONS
AIR FORCE REPORTABLE EVENTS GUIDELINES & CASE DEFINITIONS An Air Force addendum to the TRI-SERVICE REPORTABLE EVENTS GUIDELINES & CASE DEFINITIONS Prepared by: Air Force Institute for Operational Health
More informationHBV screening and management in HIV-infected children and adolescents
HBV screening and management in HIV-infected children and adolescents Linda Aurpibul M.D. Research Institute for Health Sciences, Chiang Mai University 8% HIV and Hepatitis B Co-infection Among Perinatally
More informationStepwise Approach for Detecting, Evaluating, and Treating Chronic Hepatitis B Virus Infection
Stepwise Approach for Detecting, Evaluating, and Treating Chronic Hepatitis B Virus Infection Federal Bureau of Prisons Clinical Practice Guidelines January 20, 2011 Clinical guidelines are made available
More informationenglish facts about hepatitis A, B and C
english facts about hepatitis A, B and C What is hepatitis? Hepatitis means inflammation of the liver. Many viruses can cause liver inflammation, including the hepatitis A, B and C viruses. Some people
More informationAre Booster Doses of Hepatitis B Vaccine Necessary?
Are Booster Doses of Hepatitis B Vaccine Necessary? Current CDC Recommendations And Gaps in Knowledge Division of Viral Hepatitis Centers for Disease Control and Prevention, USA Current United States Recommendations
More informationPatterns of abnormal LFTs and their differential diagnosis
Patterns of abnormal LFTs and their differential diagnosis Professor Matthew Cramp South West Liver Unit and Peninsula Schools of Medicine and Dentistry, Plymouth Summary liver function / liver function
More informationWhen an occupational exposure occurs, the source patient should be evaluated for both hepatitis B and hepatitis C. (AII)
XI. OCCUPATIONAL EXPOSURES TO HEPATITIS B AND C RECOMMENDATION: When an occupational exposure occurs, the source patient should be evaluated for both hepatitis B and hepatitis C. (AII) The risk of transmission
More informationWilliam Atkinson, MD, MPH Hepatitis B Vaccine Issues June 16, 2016
William Atkinson, MD, MPH Hepatitis B Vaccine Issues June 16, 2016 Advisory Committee on Immunization Practices (ACIP) The recommendations to be discussed are primarily those of the ACIP composed of 15
More informationEASL INTERNATIONAL CONSENSUS CONFERENCE ON HEPATITIS B 13 14 September, 2002 Geneva, Switzerland Consensus statement (Short version)
Journal of Hepatology 38 (2003) 533 540 Special article EASL INTERNATIONAL CONSENSUS CONFERENCE ON HEPATITIS B 13 14 September, 2002 Geneva, Switzerland Consensus statement (Short version) The EASL Jury*
More informationCo-infected health-care workers
Co-infected health-care workers Y.Yazdanpanah Service Universitaire des Maladies Infectieuses et du Voyageur C.H. Tourcoing, Faculté de Médecine de Lille CNRS U362, Lille, France Co-infected health-care
More informationCase Finding for Hepatitis B and Hepatitis C
Case Finding for Hepatitis B and Hepatitis C John W. Ward, M.D. Division of Viral Hepatitis Centers for Disease Control and Prevention Atlanta, Georgia, USA Division of Viral Hepatitis National Center
More informationLCD for Viral Hepatitis Serology Tests
LCD for Viral Hepatitis Serology Tests Applicable CPT Code(s): 86692 Antibody; Hepatitis, Delta Agent 86704 Hepatitis B Core Antibody (HBcAb); Total 86705 Hepatitis B Core Antibody (HBcAb); IgM Antibody
More informationHIV and Hepatitis Co-infection. Martin Fisher Brighton and Sussex University Hospitals, UK
HIV and Hepatitis Co-infection Martin Fisher Brighton and Sussex University Hospitals, UK Useful References British HIV Association 2010 http://www.bhiva.org/documents/guidelines/hepbc/2010/ hiv_781.pdf
More information190.33 - Hepatitis Panel/Acute Hepatitis Panel
190.33 - Hepatitis Panel/Acute Hepatitis Panel This panel consists of the following tests: Hepatitis A antibody (HAAb), IgM antibody; Hepatitis B core antibody (HBcAb), IgM antibody; Hepatitis B surface
More informationImpact of natural boostering on long-term protection against hepatitis B after newborn (HBsAg + mothers) vaccination.
Impact of natural boostering on long-term protection against hepatitis B after newborn (HBsAg + mothers) vaccination Roznovsky Ludek Department of Infectious Diseases University Hospital Ostrava, Czech
More informationCommonly Asked Questions About Chronic Hepatitis C
Commonly Asked Questions About Chronic Hepatitis C From the American College of Gastroenterology 1. How common is the hepatitis C virus? The hepatitis C virus is the most common cause of chronic viral
More informationHepatitis B Virus (Pregnancy) Investigation Guideline
Hepatitis B Virus (Pregnancy) Investigation Guideline Contents CASE DEFINITION... 3 LABORATORY ANALYSIS... 3 BACKGROUND... 4 NOTIFICATION TO PUBLIC HEALTH... 5 INVESTIGATOR RESPONSIBILITIES... 6 STANDARD
More informationHepatitis C. Laboratory Tests and Hepatitis C
Hepatitis C Laboratory Tests and Hepatitis C If you have hepatitis C, your doctor will use laboratory tests to check your health. This handout will help you understand what the major tests are and what
More informationHEPATITIS C. The Facts. Get Tested. Get Cured! Health
HEPATITIS C The Facts Get Tested. Get Cured! Health EVEN IF YOU FEEL HEALTHY, HEPATITIS C MAY BE DAMAGING YOUR LIVER. Your liver keeps you healthy in many ways, such as by removing toxins from your blood
More informationCommunicable Disease Control Chapter I - Management of Specific Diseases Hepatitis B September 2009 TABLE OF CONTENTS
TABLE OF CONTENTS 1.0 GOAL...1 2.0 CLINICAL DESCRIPTION...1 3.0 EPIDEMIOLOGY...2 4.0 LABORATORY INFORMATION...2 5.0 DEFINITIONS...2 6.0 CASE MANAGEMENT...5 7.0 CONTACT MANAGEMENT...5 8.0 HEPATITIS B POST-
More informationGUIDELINES FOR VIRAL HEPATITIS SURVEILLANCE AND CASE MANAGEMENT
GUIDELINES FOR VIRAL HEPATITIS SURVEILLANCE AND CASE MANAGEMENT January 2005 Guidelines for Viral Hepatitis Surveillance and Case Management Ordering information To order a copy of this manual, write to:
More informationAASLD PRACTICE GUIDELINES Chronic Hepatitis B
AASLD PRACTICE GUIDELINES Chronic Hepatitis B Anna S. F. Lok 1 and Brian J. McMahon 2 This guideline has been approved by the American Association for the Study of Liver Diseases and represents the position
More informationHEPATITIS B. Hepatitis B in Children
HEPATITIS B Hepatitis B in Children Every year, between 10 and 30 million people worldwide are infected with the hepatitis B virus (HBV). Many are children and teens. An estimated one-third of the world
More informationCASL Symposium Hepatitis B Co-chairs: Carla Coffin and Mang Ma
CASL Symposium Hepatitis B Co-chairs: Carla Coffin and Mang Ma Occult HBV Infection: Assessment and Clinical Significance D. Lorne Tyrrell Director, Li Ka Shing Institute of Virology University of Alberta
More informationAASLD PRACTICE GUIDELINES Chronic Hepatitis B: Update 2009
AASLD PRACTICE GUIDELINES Chronic Hepatitis B: Update 2009 Anna S. F. Lok 1 and Brian J. McMahon 2 This guideline has been approved by the American Association for the Study of Liver Diseases and represents
More informationBeginner's guide to Hepatitis C testing and immunisation against hepatitis A+B in general practice
Beginner's guide to Hepatitis C testing and immunisation against hepatitis A+B in general practice Dr Chris Ford GP & SMMGP Clinical Lead Kate Halliday Telford & Wrekin Shared Care Coordinator Aims Discuss:
More informationHepatitis B (Chronic Carrier)
January 2011 Hepatitis B (Chronic Carrier) Case Definition Confirmed Chronic Carrier Laboratory confirmation of infection: Persistence of confirmed Hepatitis B surface antigen (HBsAg) positivity for more
More informationAlbumin. Prothrombin time. Total protein
Hepatitis C Fact Sheet February 2016 www.hepatitis.va.gov Laboratory Tests and Hepatitis If you have hepatitis C, your doctor will use laboratory tests to about learn more about your individual hepatitis
More informationUpdate on Hepatitis C. Sally Williams MD
Update on Hepatitis C Sally Williams MD Hep C is Everywhere! Hepatitis C Magnitude of the Infection Probably 8 to 10 million people in the U.S. are infected with Hep C 30,000 new cases are diagnosed annually;
More informationHEPATITIS B VIRUS II. HEPATITIS B VIRUS RECOMMENDATIONS:
HEPATITIS B VIRUS II. HEPATITIS B VIRUS Hepatitis B virus (HBV) is a major cause of acute and chronic hepatitis worldwide. In the United States, approximately 250,000 to 300,000 new HBV infections occur
More informationTHE A, B, C S OF HEPATITIS. Matt Eidem, M.D. Digestive Health Associates of Texas 1600 Coit Road Suite #301 Plano, Texas 75075 (972) 867-0019
THE A, B, C S OF HEPATITIS Matt Eidem, M.D. Digestive Health Associates of Texas 1600 Coit Road Suite #301 Plano, Texas 75075 (972) 867-0019 WHAT IS HEPATITIS? Hepatitis means inflammation of the liver
More informationPhysician s Guide to. Hepatitis B. a silent killer. Developed by the Asian Liver Center at Stanford University
2013 Physician s Guide to Hepatitis B a silent killer Developed by the Asian Liver Center at Stanford University Table of Contents Recommended Tests to Screen for Chronic Hepatitis B 2 HBV and Liver Cancer
More informationChronic hepatitis B (CHB) remains an important public SPECIAL REPORT
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2008;6:1315 1341 SPECIAL REPORT A Treatment Algorithm for the Management of Chronic Hepatitis B Virus Infection in the United States: 2008 Update EMMET B. KEEFFE,*
More information12/2/2015 HEPATITIS B AND HEPATITIS C BLOOD EXPOSURE OBJECTIVES VIRAL HEPATITIS
HEPATITIS B AND HEPATITIS C BLOOD EXPOSURE DISEASE 101 ONLINE CONFERENCE SARAH WENINGER, MPH VIRAL HEPATITIS.STD.HIV PREVENTION COORDINATOR DECEMBER 3, 2015 OBJECTIVES Describe the populations that should
More informationThe availability of newer antiviral agents, as
TREATMENT OF HEPATITIS B VIRUS INFECTION * Norman L. Sussman, MD ABSTRACT In treating chronic hepatitis B virus (HBV) infection, the primary goal of therapy is to achieve sustained suppression of HBV replication,
More informationTransmission of HCV in the United States (CDC estimate)
Transmission of HCV in the United States (CDC estimate) Past and Future US Incidence and Prevalence of HCV Infection Decline among IDUs Overall incidence Overall prevalence Infected 20+ years Armstrong
More informationLamivudine for Patients with hronic Hepatitis B and Advanced Liver Disease. From : New England Journal of Medicine
Lamivudine for Patients with hronic Hepatitis B and Advanced Liver Disease From : New England Journal of Medicine Volume 351:1521-1531, Number 15, Oct 7, 2004 馬 偕 紀 念 醫 院 一 般 內 科, 肝 膽 腸 胃 科 新 竹 分 院 陳 重
More informationReview: How to work up your patient with Hepatitis C
Review: How to work up your patient with Hepatitis C You screened your patient, and now the HCV antibody test is positive. What do you do next? The antibody test only means they have been exposed to HCV.
More informationViral Hepatitis- The Silent Disease Facts and Treatment Guidelines
Viral Hepatitis- The Silent Disease Facts and Treatment Guidelines NATIONAL CENTRE FOR DISEASE CONTROL 22- SHAM NATH MARG, DELHI -110054 Directorate General of Health Service, Ministry of Health & Family
More informationOffering Testing for Hepatitis B and C in Primary Care
Offering Testing for Hepatitis B and C in Primary Care Presentation 3 January 2014 Quality Education for a Healthier Scotland 1 Learning Outcomes Participants will be able to:- Undertake a pre-test discussion
More informationJoão Silva de Mendonça, MD, PhD Infectious Diseases Service Hospital do Servidor Público Estadual São Paulo - Brazil
Brazilian Ministry of Health, Brazilian Society of Hepatology PAHO, Viral Hepatitis Prevention Board PART III SESSION 9 Prevention and control of Viral Hepatitis in Brazil HEPATITIS IN SPECIAL RISK GROUPS/
More informationViral Hepatitis A, B, and C
Viral Hepatitis A, B, and C What is Hepatitis? Hepatitis means inflammation of the liver Elizabeth A. Bancroft, MD, SM Acute Communicable Disease Control County of Los Angeles Department of Public Health
More informationHepatitis C. Screening, Diagnosis and Linkage to Care
Hepatitis C Screening, Diagnosis and Linkage to Care Diagnosis If your hepatitis C antibody test is reactive, a second test will be needed to diagnose and determine if you are currently infected. Screening
More informationResults Demographic profile of these children is shown in Table I.
Prevalence of Antibody to Hepatitis C Virus in Pakistani Thalassaemics by Particle Agglutination Test Utilizing C 200 and C 22-3 Viral Antigen Coated Particles Pages with reference to book, From 269 To
More informationLiver Disease and Therapy of Hepatitis B Virus Infections
Liver Disease and Therapy of Hepatitis B Virus Infections University of Adelaide Catherine Scougall Arend Grosse Huey-Chi Low Allison Jilbert Fox Chase Cancer Center Chunxiao Xu Carol Aldrich Sam Litwin
More informationInformation about hepatitis C for patients and carers
Information about hepatitis C for patients and carers What is hepatitis C? Hepatitis C is an illness caused by a virus which can be passed through blood from one person to another. It mainly affects the
More informationCANCER OF THE LIVER HEPATOCELLULAR CARCINOMA
CANCER OF THE LIVER HEPATOCELLULAR CARCINOMA WHAT IS CANCER OF THE LIVER? Hepatocellular carcinoma is the most common form and it comes from the main type of liver cell, the hepatocyte. About 3 out 4
More informationGENERAL INFORMATION. Hepatitis B Foundation - Korean Chapter Pg. 3 www.hepb.org
GENERAL INFORMATION What is hepatitis B? Hepatitis B is the world's most common liver infection that can lead to cirrhosis and liver cancer. It is caused by the hepatitis B virus (HBV), which attacks and
More informationEpidemiology of Hepatitis C Infection. Pablo Barreiro Service of Infectious Diseases Hospital Carlos III, Madrid
Epidemiology of Hepatitis C Infection Pablo Barreiro Service of Infectious Diseases Hospital Carlos III, Madrid Worldwide Prevalence of Hepatitis C 10% No data available WHO.
More informationHepatitis C Infections in Oregon September 2014
Public Health Division Hepatitis C Infections in Oregon September 214 Chronic HCV in Oregon Since 25, when positive laboratory results for HCV infection became reportable in Oregon, 47,252 persons with
More informationGUIDELINES FOR THE MANAGEMENT OF HEPATITIS C
GUIDELINES FOR THE MANAGEMENT OF HEPATITIS C HEPATITIS, VIRAL A brief overview of hepatic viruses other than C - - The hepatitis A virus (HAV) infection is usually acquired by the fecal-oral route, produces
More informationHepatitis Update 2013. Brendan M. McGuire, MD UAB Liver Center
Hepatitis Update 2013 Brendan M. McGuire, MD UAB Liver Center Introduction Hepatitis - Inflammation of the liver Five types A B C D E Characteristics of Hepatitis Viruses Virus Genome Family Major mode
More informationPerformance of a New-Generation Chemiluminescent Assay for Hepatitis B Surface Antigen
Clinical Chemistry 52:8 1592 1598 (2006) Other Areas of Clinical Chemistry Performance of a New-Generation Chemiluminescent Assay for Hepatitis B Surface Antigen Dan Chen 1* and Lawrence A. Kaplan 1 Background:
More informationHepatitis B and C Co-infection. Mark Hull MHSc, FRCPC Clinical Assistant Professor Division of AIDS
Hepatitis B and C Co-infection Mark Hull MHSc, FRCPC Clinical Assistant Professor Division of AIDS Objectives Review natural history of hepatitis coinfection Brief overview of treatment indications for
More informationAASLD PRACTICE GUIDELINE UPDATE Chronic Hepatitis B: Update 2009
AASLD PRACTICE GUIDELINE UPDATE Chronic Hepatitis B: Update 2009 Anna S. F. Lok 1 and Brian J. McMahon 2 The 2009 update of the American Association for the Study of Liver Diseases (AASLD) Practice Guidelines
More informationUCSF Communicable Disease Surveillance and Vaccination Policy
Office of Origin: Occupational Health Program I. PURPOSE To provide a sustainable, healthy and safe working environment for UCSF research laboratory staff, and animal research care staff and to prevent
More informationEpidemiology It is estimated that there are at least 350 million chronically infected cases of HBV worldwide. (see Figure 9.1).
Chapter 9 09 Vaccine introduced to primary schedule 2008 NOTIFIABLE In some circumstances, advice in these guidelines may differ from that in the Summary of Product Characteristics of the vaccines. When
More informationApproach to Abnormal Liver Tests
This Morning s Presentation Approach to Abnormal Liver Tests Hal F. Yee, Jr., M.D., Ph.D. Rice Distinguished Professor, UCSF Chief of Gastroenterology, SFGH hyee@medsfgh.ucsf.edu Clinical vignettes representing
More informationAcute Hepatitis B 1. DISEASE REPORTING
1. DISEASE REPORTING Acute Hepatitis B 1.1 Purpose of Reporting and Surveillance 1. To identify sources of infection. 2. To determine whether or not cases may have exposed others or may be likely to do
More informationEvaluation of Liver Function tests in Primary Care. Abid Suddle Institute of Liver Studies, KCH
Evaluation of Liver Function tests in Primary Care Abid Suddle Institute of Liver Studies, KCH Liver Function tests Markers of hepatocellular damage Cholestasis Liver synthetic function Markers of Hepatocellular
More informationof HBsAg beyond six months after acute infection is accepted as evidence of chronic infection 5.
Bangladesh Med Res Counc Bull 2008; 34: 39-43 Copyright 2008 by Bangladesh Medical Research Council HBeAg/anti-HBe, alanine aminotransferase and HBV DNA levels in HBsAg positive chronic carriers Fareha
More informationNP/PA Clinical Hepatology Fellowship Summary of Year-Long Curriculum
OVERVIEW OF THE FELLOWSHIP The goal of the AASLD NP/PA Fellowship is to provide a 1-year postgraduate hepatology training program for nurse practitioners and physician assistants in a clinical outpatient
More informationHIV and Hepatitis B CoInfection
HIV and Hepatitis B CoInfection Douglas G. Fish, MD June 3, 2014 44 yo male with AIDS who had fallen out of care and returned in October 2013 Last seen in November 2012 CD4 at that time 340 cells/cmm HIV
More informationDr. Abonyi Margit PhD SE 1st Medical Clinic Associate Professor. Hepatology-2014
Dr. Abonyi Margit PhD SE 1st Medical Clinic Associate Professor Hepatology-2014 Other virus hepatitis Epstein-Barr vírus Cytomegalo vírus Herpes simplex vírus Coxsackie vírus Hepatitis B vírus Hepadnavírus,
More informationThe Hepatitis B virus (HBV)
The Hepatitis B virus (HBV) There are 400 million people in the world who live with chronic hepatitis B, including France. Most people don t even know they are infected. But there are several important
More informationTreatment Options for Children with Hepatitis B
Treatment Options for Children with Hepatitis B Special thanks to Philip Rosenthal, MD, for reviewing this document. Updated summer 2010 When given the news that their child has chronic hepatitis B, the
More informationHepatitis B is a vaccine-preventable
CHI goes paperless see back for details City Health Information May 2012 The New York City Department of Health and Mental Hygiene Vol. 31(2):9-16 PREVENTING AND MANAGING HEPATITIS B Vaccinate all children
More informationHEPATITIS E VIRUS AND ALLOGENIC STEM CELL TRANSPLANTATION
Date 13 August 2015 Dear Colleague HEPATITIS E VIRUS AND ALLOGENIC STEM CELL TRANSPLANTATION We are seeing a significant increase in the number of reports of cases of hepatitis E virus (HEV) arising from
More informationwww.hepinfo.ie Are you Hep C aware? awareness information support prevention To find out more visit
Are you Hep C aware? awareness information support prevention To find out more visit www.hepinfo.ie What is Hepatitis C? Hepatitis C is a viral infection that affects the liver, causing it to become inflamed
More informationHepatitis at a national level: government perspectives
Hepatitis at a national level: government perspectives Presenter: Dr Shin Young-Soo Regional Director WHO Western Pacific Panel The Honourable Dr. David Sergeenko Minister of Health, Labour and Social
More informationHepatitis B. Section 1: ABOUT THE DISEASE. A. Etiologic Agent. B. Clinical Description. C. Vectors and Reservoirs. D. Modes of Transmission
A. Etiologic Agent Section 1: ABOUT THE DISEASE Hepatitis B The hepatitis B virus (HBV) is a DNA hepadnavirus. Important components of the viral particle include hepatitis B surface antigen (HBsAg), hepatitis
More informationEASL Clinical Practice Guidelines: Management of chronic hepatitis B virus infection
EASL Clinical Practice Guidelines: Management of chronic hepatitis B virus infection European Association for the Study of the Liver Introduction Our understanding of the natural history of hepatitis B
More informationKnowledge about Post-exposure Prophylaxis for Hepatitis B Virus among Dentists and Dental Students in Pakistan
{189} ORIGINAL RESEARCH Knowledge about Post-exposure Prophylaxis for Hepatitis B Virus among Dentists and Dental Students in Pakistan Zohaib Ahmed 1 Umber Zahra 2 Nasir Saleem 3 1,2 BDS. House Officer.
More informationNew IDSA/AASLD Guidelines for Hepatitis C
NORTHWEST AIDS EDUCATION AND TRAINING CENTER New IDSA/AASLD Guidelines for Hepatitis C John Scott, MD, MSc Associate Professor, UW SoM Asst Director, Liver Clinic, Harborview Medical Center Presentation
More informationLong-term Results of Pegylated Interferon alfa-2a and Tenofovir for Hepatitis B
Long-term Results of Pegylated Interferon alfa-2a and Tenofovir for Hepatitis B Patrick Marcellin Viral Hepatitis Research Center Hôpital Beaujon, University of Paris France OBJECTIVES OF THERAPY IN CHRONIC
More informationMedical publications on HBV and HCV Coinfection
Recent advances of HBV and HCV co-infection 台 中 榮 總 內 科 部 胃 腸 肝 膽 科 呂 宜 達 醫 師 2013.03.28 Outline Epidemiology of HBV and HCV coinfection Clinical significance of HBV and HCV coinfection Interplay between
More informationGUIDELINE. South African guideline for the management of chronic hepatitis B: 2013
South African guideline for the management of chronic hepatitis B: 2013 C W N Spearman, 1 MB ChB, FCP (SA), MMed, PhD; M W Sonderup, 1,2 MB ChB, BPharm, FCP (SA); J F Botha, 2,3 MB ChB, FCP (SA); S W van
More informationPrimary Care for Hepatitis B and C:
Primary Care for Hepatitis B and C: Clinical Tools for Efficient Management Rena K. Fox, M.D. Associate Professor of Clinical Medicine University of California, San Francisco Outline 1. Epidemiology of
More informationHBsAg level and hepatitis B viral load correlation with focus on pregnancy
ORIGINAL ARTICLE Annals of Gastroenterology (2015) 28, 1-6 HBsAg level and hepatitis B viral load correlation with focus on pregnancy Maria Belopolskaya a, Viktor Avrutin b, Sergey Firsov a, Alexey Yakovlev
More informationProtecting Against Chronic Hepatitis B QUICK REFERENCE
PRIMARY CARE MANAGEMENT OF HEPATITIS B QUICK REFERENCE PROTECTING CANADIANS FROM ILLNESS TO PROMOTE AND PROTECT THE HEALTH OF CANADIANS THROUGH LEADERSHIP, PARTNERSHIP, INNOVATION AND ACTION IN PUBLIC
More informationPOST-EXPOSURE PROPHYLAXIS IN THE HEALTH CARE SETTING
MARCH 2014 A Quick Guide to POST-EXPOSURE PROPHYLAXIS IN THE HEALTH CARE SETTING HIV PROVIDER REFERENCE SERIES A PUBLICATION OF THE MOUNTAIN PLAINS AIDS EDUCATION AND TRAINING CENTER MountainPlains AIDS
More informationBriefing Note: Hepatitis B & Hepatitis C. Summary:
Briefing Note: Hepatitis B & Hepatitis C Summary: In Canada, hepatitis B and hepatitis C infections remain serious public health concerns due to high prevalence rates, high health care expenditures and
More informationRecommendations for the Identification of Chronic Hepatitis C virus infection Among Persons Born During 1945-1965
Recommendations for the Identification of Chronic Hepatitis C virus infection Among Persons Born During 1945-1965 MMWR August 17, 2012 Prepared by : The National Viral Hepatitis Technical Assistance Center
More informationCompany Overview March 2015
Company Overview March 2015 Disclaimer This presentation may contain forward-looking statements, including, without limitation, statements containing the words believes, expects, plans, estimates and similar
More informationUniversity of Alberta 2015-2016 Faculty Immunization Clearance Form: Requirements for Validating Forms for Entry into a Program
University of Alberta 2015-2016 Faculty Immunization Clearance Form: Requirements for Validating Forms for Entry into a Program Key Terms & Abbreviations: dtap: tetanus, diphtheria, acellular pertussis
More informationBACKGROUND MEDIA INFORMATION Fast facts about liver disease
BACKGROUND MEDIA INFORMATION Fast facts about liver disease Liver, or hepatic, disease comprises a wide range of complex conditions that affect the liver. Liver diseases are extremely costly in terms of
More information