| A. Prior to commencing dialysis |
| All patients |
HBsAg, anti‐HBs, anti‐HBc, anti‐HCV, ALT, anti‐HIV |
HBsAg, anti‐HBs, anti‐HBc, anti‐HCV, ALT, anti‐HIV |
HBV DNA test is indicated in HD patients who are HBsAg negative and anti‐HBs negative but anti‐HBc positive
Testing for HBV DNA in subjects who are HBsAg negative, anti‐HBs positive, and anti‐HBc positive is done when clinically indicated, for example, when potent immunosuppressive treatment is being considered
Irrespective of anti‐HCV status, testing for HCV RNA is indicated to determine the current HCV carrier status in patients who have previously received anti‐viral treatment
|
| B. After commencing long‐term dialysis |
| Patients who are HBsAg negative and anti‐HBs negative and anti‐HBc positive or negative |
HBsAg half‐yearly |
HBsAg annually |
– |
| Patients who are HBsAg negative and with anti‐HBs >10 IU/L |
anti‐HBs annually |
anti‐HBs annually |
booster HBV vaccine advisable when anti‐HBs ≤10 IU/L |
| Patients who are HBsAg positive |
HBsAg annually |
– |
– |
| Patients who are anti‐HCV negative |
anti‐HCV half‐yearly |
– |
– |
| Patients who are anti‐HCV positive |
anti‐HCV annually |
anti‐HCV annually |
when HCV reactivation is suspected in known responders to prior HCV treatment, HCV RNA test is indicated irrespective of anti‐HCV status |
| Patients either anti‐HIV positive or negative |
anti‐HIV annually |
– |
– |