Hepatitis D screening: Difference between revisions

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{{For|Recommendations for Persons Who Should Be Tested for HBV Infection|Hepatitis B screening}}
{{For|Recommendations for Persons Who Should Be Tested for HBV Infection|Hepatitis B screening}}


===Recommendations for HCC Screening: AASLD Practice Guidelines 2009===
{{For|Recommendations for HCC Screening|Hepatitis B screening}}
The following groups should be screened with US examination every 6-12 months: ''(Grade II-2)''<ref name="pmid15229781">{{cite journal |author=Lok AS, McMahon BJ |title=[AASLD Practice Guidelines. Chronic hepatitis B: update of therapeutic guidelines] |journal=[[Romanian Journal of Gastroenterology]] |volume=13 |issue=2 |pages=150–4 |year=2004 |month=June |pmid=15229781 |doi= |url=http://www.aasld.org/practiceguidelines/documents/bookmarked%20practice%20guidelines/chronic_hep_b_update_2009%208_24_2009.pdf |accessdate=2012-02-10}}</ref>
* [[HBV]] carriers at high risk for [[HCC]] such as Asian men over 40 years and Asian women over 50 years of age
* Persons with [[cirrhosis]]
* Persons with a family history of [[HCC]]
* Africans over 20 years of age
* Any carrier over 40 years with persistent or intermittent [[ALT]] elevation and/or high [[HBV]] [[DNA]] level >2,000 IU/mL
 
For [[HBV]] carriers at high risk for [[HCC]] who are living in areas where US is not readily available, periodic screening with [[AFP]] should be considered. (Grade II-2)}}


==References==
==References==

Revision as of 04:42, 6 August 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jolanta Marszalek, M.D. [2] João André Alves Silva, M.D. [3]

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. Preventive measures 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 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.
  • Patients without immunity to the virus should be vaccinated

The general population, without risk for HBV and /or HDV, does not need screening.

References

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