Hepatitis D screening: Difference between revisions

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*HBsAg positive patients, who have acute or chronic hepatitis D. The follow-up procedures should be equal, regardless of co-infection status with hepatitis D
*HBsAg positive patients, who have acute or chronic hepatitis D. The follow-up procedures should be equal, regardless of co-infection status with hepatitis D
*Patients who have acute hepatitis B, are not HBsAg positive yet and who are IgM anti-HBc positive may be tested for HDV.
*Patients who have acute hepatitis B, are not HBsAg positive yet and who are IgM anti-HBc positive may be tested for HDV.
*
*Patients with positive HBsAg and/or HDV antibody should be alerted not to share items such as razors, eating or drinking utensils.


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* Patients with acute hepatitis B who are not yet HBsAg positive, but are immunoglobulin M (IgM) hepatitis B core antibody (anti-HBc) positive, may be tested for HDV; however, again, the presence of HDV antibody will not alter the care or counseling of such a patient
* Patients who are HBsAg positive and/or HDV antibody positive should be advised not to share razors, toilet articles, or drinking and eating utensils
* Patients who are not already immune to hepatitis B virus should be vaccinated against the virus
* Patients who are not already immune to hepatitis B virus should be vaccinated against the virus



Revision as of 03:14, 6 August 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Varun Kumar, M.B.B.S. [2]

Overview

Screening

All patients with current or previous IV drug use history should be evaluated for hepatitis B. However, screening is not recommended in asymptomatic HBsAg positive patients. The following preventive and screening may be applied in:

  • HBsAg positive patients, who have acute or chronic hepatitis D. The follow-up procedures should be equal, regardless of co-infection status with hepatitis D
  • Patients who have acute hepatitis B, are not HBsAg positive yet and who are IgM anti-HBc positive may be tested for HDV.
  • Patients with positive HBsAg and/or HDV antibody should be alerted not to share items such as razors, eating or drinking utensils.


References

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