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. Author manuscript; available in PMC: 2024 Jan 1.
Published in final edited form as: Gastroenterology. 2022 Oct 12;164(1):42–60.e6. doi: 10.1053/j.gastro.2022.10.008

Table 2.

Indications for treatment and prophylaxis

Indications for treatment Indications for prophylaxis (Prevention of HBV transmission/re-activation)
Decompensated cirrhosis Post-liver transplantation
Compensated cirrhosis regardless of HBV DNA and ALT levels Post-liver transplantation from anti-HBc positive donor to HBsAg negative recipient
HBV presenting with acute liver failure HBsAg positive mother during the third trimester with HBV DNA >200,000 IU/mL
HBeAg positive immune active (HBV DNA >20,000 IU/mL and ALT >2XULN) HBsAg positive patients receiving immunosuppression/chemotherapy
HBeAg negative immune active (HBV DNA >2,000 IU/mL and ALT >2XULN) HBsAg negative, anti-HBc positive patients receiving immunosuppression / chemotherapy and at high risk for reactivation
HBV/HDV Co-infection with HBV DNA >2,000 IU/mL
HBV / HIV Co-infection
HBV presenting with extrahepatic manifestations
HBsAg positive healthcare worker with HBV DNA>2,000 IU/mL