Table 2.
Antiviral prophylaxis before and after liver transplantation for hepatitis B virus reinfection
| Patients with high risk of HBV reinfection [HBV-DNA ≥ 105 copies/mL or HBeAg(+)] | Patients with low risk of HBV reinfection [HBV-DNA < 105 copies/mL or HBeAg(-)] |
| Pre-LT: nucleoside analogues, qd 2-4 w | Pre-LT: nucleoside analogues, qd 0-2 w |
| Intraoperative: HBIG 4000 IU, iv | Intraoperative: HBIG 2000 IU, iv |
| Post-LT: HBIG 1000 IU, iv, qd, 1-7 d | Post-LT: HBIG 1000 IU, iv, qd, 1-7d |
| After 7 d, HBIG 1000 IU, iv, once a week; or HBIG 400 IU, im, qd or qod or twice a week. Adjust frequency of HBIG administration to reach target therapeutic concentration | After 7 d, HBIG 1000 IU, iv, once a week; or HBIG 400 IU, im, qd or qod or twice a week. Adjust frequency of HBIG administration to reach target therapeutic concentration |
| Target therapeutic concentration post-LT | Target therapeutic concentration post-LT |
| ≤ 6 mo post-LT: anti-HBs titer ≥ 500 IU/L | ≤ 6 mo post-LT: anti-HBs titer ≥ 300 IU/L |
| 6-12 mo post-LT: anti-HBs titer ≥ 200 IU/L | 6-12 mo post-LT: anti-HBs titer ≥ 200 IU/L |
| ≥ 12 mo post-LT: anti-HBs titer ≥ 100 IU/L | ≥ 12 mo post-LT: anti-HBs titer ≥ 100 IU/L |
HBV: Hepatitis B virus; HBeAg: Hepatitis B e antigen; LT: Liver transplantation.