Hepatitis B screening: Difference between revisions
Joao Silva (talk | contribs) (/* Recommendations for HCC Screening: AASLD Practice Guidelines 2009{{cite journal |author=Lok AS, McMahon BJ |title=[AASLD Practice Guidelines. Chronic hepatitis B: update of therapeutic guidelines] |journal=Romanian Journal of Gastroenterology |volum...) |
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==Screening== | ==Screening== | ||
===Recommendations for Persons Who Should Be Tested for HBV Infection: AASLD Practice Guidelines 2009<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> | ===Recommendations for Persons Who Should Be Tested for HBV Infection: AASLD Practice Guidelines 2009=== | ||
The following groups should be tested for [[HBV infection]]:<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> | |||
*Persons born in high or intermediate [[endemic]] areas | *Persons born in high or intermediate [[endemic]] areas | ||
*United States– born persons not [[vaccinated]] as infants whose parents were born in regions with high [[HBV]] endemicity] | *United States– born persons not [[vaccinated]] as infants whose parents were born in regions with high [[HBV]] endemicity] | ||
Line 21: | Line 20: | ||
*Testing for [[HBsAg]] and [[anti-HBs]] should be performed, and [[seronegative]] persons should be vaccinated. ''(Grade I Recommendation)''}} | *Testing for [[HBsAg]] and [[anti-HBs]] should be performed, and [[seronegative]] persons should be vaccinated. ''(Grade I Recommendation)''}} | ||
===Recommendations for HCC Screening: AASLD Practice Guidelines 2009<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> | ===Recommendations for HCC Screening: AASLD Practice Guidelines 2009=== | ||
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 | * [[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 [[cirrhosis]] |
Revision as of 20:31, 29 July 2014
Hepatitis B |
Diagnosis |
Treatment |
Case Studies |
Hepatitis B screening On the Web |
American Roentgen Ray Society Images of Hepatitis B screening |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
High risk groups, such as : persons born in high or intermediate endemic areas; United States– born persons not vaccinated as infants whose parents were born in regions with high HBV endemicity; persons needing immunosuppressive therapy; patients with history of IV drugs history; among others should be tested for HBV infection.
Screening
Recommendations for Persons Who Should Be Tested for HBV Infection: AASLD Practice Guidelines 2009
The following groups should be tested for HBV infection:[1]
- Persons born in high or intermediate endemic areas
- United States– born persons not vaccinated as infants whose parents were born in regions with high HBV endemicity]
- Persons with chronically elevated aminotransferases
- Persons needing immunosuppressive therapy
- Men who have sex with men
- Persons with multiple sexual partners or history of sexually transmitted disease
- Inmates of correctional facilities
- Persons who have ever used injecting drugs, dialysis patients, HIV or HCV infected individuals, pregnant women, and family members, household members, and sexual contacts of HBV infected persons.
- Testing for HBsAg and anti-HBs should be performed, and seronegative persons should be vaccinated. (Grade I Recommendation)}}
Recommendations for HCC Screening: AASLD Practice Guidelines 2009
The following groups should be screened with US examination every 6-12 months: (Grade II-2)[1]
- 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
- ↑ 1.0 1.1 Lok AS, McMahon BJ (2004). "[AASLD Practice Guidelines. Chronic hepatitis B: update of therapeutic guidelines]" (PDF). Romanian Journal of Gastroenterology. 13 (2): 150–4. PMID 15229781. Retrieved 2012-02-10. Unknown parameter
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