Hepatitis D screening

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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.
  • 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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