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 |