Core IM | Internal Medicine Podcast #7: Chronic Hepatitis B Part 1: 5 Pearls segment
Jan 17, 2018
Learn about Chronic Hepatitis B screening and vaccinations with 5 Pearls including who to screen, transmission risks, test orders, vaccination populations, and seroconversion implications. Understand the role of primary care in managing HBV, screening guidelines, interpreting serology markers, and insights on clinical trials.
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Hepatitis B Screening Recommendations
- Screen high-risk groups for Hepatitis B, including immigrants from endemic regions.
- Consider how Hep B is transmitted (vertical, sexual, blood) to identify at-risk individuals.
Hepatitis B Survival Outside Body
- Hepatitis B can survive outside the body for at least seven days, sometimes even centuries, in dried blood.
- Counsel patients not to share personal items and clean blood spills with bleach.
Screening Before Immunosuppressants
- Screen for Hepatitis B before starting chemotherapy or biologics like Rituximab or TNF-alpha inhibitors.
- Reactivation can cause liver failure and death, so PCPs should know these medications' adverse effects.