Prophylaxis of hepatitis B infection in solid organ transplant recipients.

Abstract:

:Rates of transmission of hepatitis B virus (HBV) infection from organ donors with HBV markers to recipients along with reactivation of HBV during immunosuppression following transplantation have fallen significantly with the advent of hepatitis B immune globulin (HBIg) and effective antiviral therapy. Although the availability of potent antiviral agents and HBIg has highly impacted the survival rate of HBV-infected patients after transplantation, the high cost associated with this practice represents a major financial burden. The availability of potent antivirals with high genetic barrier to resistance and minimal side effects have made it possible to recommend an HBIg-free prophylactic regimen in selected patients with low viral burden prior to transplant. Significant developments over the last two decades in the understanding and treatment of HBV infection necessitate a re-appraisal of the guidelines for prophylaxis of HBV infection in solid organ transplant recipients.

authors

John S,Andersson KL,Kotton CN,Hertl M,Markmann JF,Cosimi AB,Chung RT

doi

10.1177/1756283X13487942

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

309-19

issue

4

eissn

1756-283X

issn

1756-2848

pii

10.1177_1756283X13487942

journal_volume

6

pub_type

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