The Curbsiders Internal Medicine Podcast #440 Hepatitis B with Dr. Arthur Kim
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May 20, 2024 
Dr. Arthur Kim shares insights on Hepatitis B screening, vaccination, treatment, and counseling. Topics include interpreting test results, chronic HBV infection stages, preventing transmission, antiviral treatment, and screening for hepatocellular carcinoma.
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Universal Hepatitis B Screening
- Screen all adults for hepatitis B at least once as per the 2023 CDC guideline update.
- This approach helps identify chronic infections and candidates for vaccination or treatment early.
Hepatitis B Triple Test Use
- Use the triple test: surface antigen, surface antibody, and core antibody to interpret hepatitis B status.
- Surface antigen shows infection, surface antibody shows immunity, and core antibody shows exposure.
Order Testing Before Vaccination
- When vaccinating and testing hepatitis B simultaneously, always test first then vaccinate.
- Vaccinating first can cause false positive surface antigen tests due to vaccine antigen leaking in blood.