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screening for hepatitis B

Indications: - people born in high-prevalence regions of the world - Africa (except Egypt & Morroco) - Asia (except Japan, India, Indonesia Israel, Afghhanistan, Iran, Iraq, Lebanon, Malaysia, Nepal) - some countries in Eastern Europe (Russia, Romania, Belarus, Moldova, Bulgaria, Albania) - some countries in South America (Ecuador, Peru) - Caribbean (Haiti, Dominican Republic, Jamaica) - other (Turkey, Belize, Cyprus, Italy, New Zealand) - US-born children of parents from high-prevalence regions of the world (present in draft) - immunosuppressed patients - HIV1 - hemodialysis for ESRD [3] - high-risk sexual behavior (men who have sex with men) - injection drug use - incarceration - household contacts of HBV-infected patients - sexual contacts of patients with HBV [3] - blood donors & tissue donors - pregnant women [2] - infants born to HBV-infected mothers [3] - people with hepatitis C - elevated serum ALT - CDC: one time screening for all adults - USPSTF: high risk individuals * screening guidelines apply even if previously given hepatitis B vaccine

General

screening for viral infection

References

  1. USPSTF Issues Draft Recommendations on Hepatitis B Screening Physician's First Watch, Feb 11, 2014 David G. Fairchild, MD, MPH, Editor-in-Chief Massachusetts Medical Society http://www.jwatch.org - LeFevre ML et al Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. Published online 27 May 2014 PMID: 24863637 http://annals.org/article.aspx?articleid=1874740 - Chou R et al Screening for Hepatitis B Virus Infection in Adolescents and Adults: A Systematic Review to Update the U.S. Preventive Services Task Force Recommendation. Ann Intern Med. Published online 27 May 2014 PMID: 24861032 http://annals.org/article.aspx?articleid=1874741 - Rajbhandari R and Chung RT Screening for Hepatitis B Virus Infection: A Public Health Imperative. Ann Intern Med. Published online 27 May 2014 PMID: 24861100 http://annals.org/article.aspx?articleid=1874742 - US Preventive Services Task Force Screening for Hepatitis B Virus Infection in Adolescents and Adults. US Preventive Services Task Force Recommendation Statement. JAMA. 2020;324(23):2415-2422 PMID: 33320230 https://jamanetwork.com/journals/jama/fullarticle/2774056 - Chou R, Blazina T, Bougatsos Cet al Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults. Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2020;324(23):2423-2436 PMID: 33320229 https://jamanetwork.com/journals/jama/fullarticle/2774055 - Hwang JP, Lok AS. USPSTF 2020 Hepatitis B Screening Recommendation. Evidence to Broaden Screening and Strengthen Linkage to Care. JAMA. 2020;324(23):2380-2382 PMID: 33320206 https://jamanetwork.com/journals/jama/fullarticle/2774030
  2. Kubo A et al Prevention of Vertical Transmission of Hepatitis B: An Observational Study. Ann Intern Med. Published online 27 May 2014. PMID: 24862434 http://annals.org/article.aspx?articleid=1876817 - U.S. Preventive Services Task Force (USPSTF) Draft Recommendation Statement Hepatitis B Virus Infection in Pregnant Women: Screening. https://www.uspreventiveservicestaskforce.org/Page/Document/draft-recommendation-statement/hepatitis-b-virus-infection-in-pregnant-women-screening
  3. Abara WE, Qaseem A, Schillie S et al Hepatitis B Vaccination, Screening, and Linkage to Care: Best Practice Advice From the American College of Physicians and the Centers for Disease Control and Prevention. Ann Intern Med. Nov 21, 2017 PMID: 29159414 http://annals.org/aim/fullarticle/2664089/hepatitis-b-vaccination-screening-linkage-care-best-practice-advice-from