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. 2021 Apr 2;11(4):267. doi: 10.3390/jpm11040267

Table 2.

Definitions of HBV reactivation based on different society guidelines.

Society Reactivaion of CHB Reactivation of Resolved HBV
American Association for the Study of Liver Diseases (AASLD) 2018 guideline [2] Any of the following:
  • Unavailable DNA baseline: ≥10,000 IU/mL

  • Available DNA baseline, previously undetectable: ≥1000 IU/mL

  • Available DNA baseline, previously detectable: ≥100-fold increase

Any of the following:
  • Development of detectable DNA

  • Reappearance of HBsAg (also known as reverse seroconversion)

American Gastroenterological Association (AGA) 2015 guideline [6]
  • Unavailable DNA baseline: not explicitly defined

  • Available DNA baseline, previously undetectable: de novo detectable DNA

  • Available DNA baseline, previously detectable: ≥10-fold increase

  • Reverse seroconversion to HBsAg-positive status

The Asian Pacific Association for the Study of the Liver (APASL) 2016 guideline [7]
  • Unavailable DNA baseline: ≥20,000 IU/mL

  • Available DNA baseline, previously undetectable: de novo detectable HBV DNA to a level of 100 IU/mL

  • Available DNA baseline, previously detectable: ≥2 log increase from baseline levels

  • Not clearly defined

European Association for the Study of the Liver (EASL) 2017 guideline [3]
  • No clearly defined

  • Not clearly defined

Korean Association for the Study of the Liver (KASL) 2019 guideline [8]
  • An increase in serum HBV DNA by more than 100 times the baseline level

  • Seroconversion of HBsAg-negative to positive

  • Detection of serum HBV DNA from none to positive

American Society of Clinical Oncology (ASCO) 2020 update [9]
  • The same as the AASLD guidelines

  • The same as the AASLD guidelines