2019 Hepatitis B Guidance Update on Prevention, Diagnosis, and Treatment of Chronic Hepatitis B
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2019 Hepatitis B Guidance Update on Prevention, Diagnosis, and Treatment of Chronic Hepatitis B

2019 Hepatitis B Guidance Update on Prevention, Diagnosis, and Treatment of Chronic Hepatitis B - What is new in Diagnostics

Key points

  • HBV is an incurable disease
  • anti-HBc = cccDNA
  • Stage all patients with imaging and noninvasive testing
  • Determine phase of  viral/liver disease looking at HBeAg status, ALT and HBV DNA
  • Link all patients to care who are HBsAg+
  • Determine who should be treated with an integration of ALT, HBV DNA quant and level of fibrosis
  • Test all HBsAg patients for anti-HDV, HCV and consider HIV testing
  • For patients who are HBsAg+: Test all contacts and family members for HBV using the triple panel of biomarkers
  • Know the details of managing special populations
  • Be aware of risk for HBV reactivation and guide monitoring according to risk level

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