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Universal precautions to avoid transmission of blood-borne viruses in healthcare settings should be adopted
III
Strong
•
For prevention of HCC, HBV vaccination is recommended to all new-borns and unvaccinated children up to 5 years age
II-2
Strong
•
Effective antiviral therapy should be started in all eligible patients with chronic hepatitis B or C infection to prevent HCC
I
Strong
•
For prevention of HCC healthy lifestyle should be encouraged including prevention of obesity and control of metabolic diseases, such as diabetes and NAFLD
II-2
Strong
•
Steps should be taken to reduce alcohol consumption
I
Strong
•
All patients with alcohol-related cirrhosis should be counselled and encouraged to achieve abstinence to reduce the risk of development of HCC
I
Strong
•
Patients with alcohol-related cirrhosis should be screened for cofactors, including obesity, diabetes, cigarette smoking and hepatitis B and C virus infections, and if detected they should be managed appropriately.