What are the monitoring considerations for patients with hepatitis B (HBV) (Hep B)?

Updated: Jun 08, 2021
  • Author: Nikolaos T Pyrsopoulos, MD, PhD, MBA, FACP, AGAF; Chief Editor: BS Anand, MD  more...
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Physicians should keep the following in mind when managing a patient with hepatitis B:

  • Identify cases of fulminant hepatic failure, and list the patient as a candidate for liver transplantation

  • Monitor individuals with inactive chronic infection for probable disease reactivation

  • Inform the patients' spouse/sexual partners about the infectivity of hepatitis B and their need for screening, possible linkage to care, and possible need for vaccination

  • Monitor patients with cirrhosis and perform HCC surveillance studies (ie, liver ultrasonography) every 6-12 months

  • Place patients with cirrhosis on liver transplantation list when needed

  • Identify hepatitis D (delta) virus (HDV) superinfection in patients with HBV infection

  • Screen for human immunodeficiency virus (HIV) and/or hepatitis C virus (HCV) coinfection

  • Assess for hepatitis A virus (HAV) immunity; if the patient is not immune, provide immunization

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