screening for hepatitis B

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Indications

  • people born in high-prevalence regions of the world
    • Africa (except Egypt & Morroco)
    • Asia (except Japan, India, Indonesia Israel, Afghhanistan, Iran, Iraq, Lebanon, Malaysia, Nepal)
    • some countries in Eastern Europe (Russia, Romania, Belarus, Moldova, Bulgaria, Albania)
    • some countries in South America (Ecuador, Peru)
    • Caribbean (Haiti, Dominican Republic, Jamaica)
    • other (Turkey, Belize, Cyprus, Italy, New Zealand)
  • US-born children of parents from high-prevalence regions of the world (present in draft)
  • immunosuppressed patients
  • hemodialysis for ESRD[3]
  • high-risk sexual behavior (men who have sex with men)
  • injection drug use
  • incarceration
  • household contacts of HBV-infected patients
  • sexual contacts of patients with HBV[3]
  • blood donors & tissue donors
  • pregnant women[2]
  • infants born to HBV-infected mothers[3]
  • people with hepatitis C
  • elevated serum ALT
  • CDC: one time screening for all adults
  • USPSTF: high risk individuals

* screening guidelines apply even if previously given hepatitis B vaccine

More general terms

References

  1. USPSTF Issues Draft Recommendations on Hepatitis B Screening Physician's First Watch, Feb 11, 2014 David G. Fairchild, MD, MPH, Editor-in-Chief Massachusetts Medical Society http://www.jwatch.org
    LeFevre ML et al Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. Published online 27 May 2014 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24863637 <Internet> http://annals.org/article.aspx?articleid=1874740
    Chou R et al Screening for Hepatitis B Virus Infection in Adolescents and Adults: A Systematic Review to Update the U.S. Preventive Services Task Force Recommendation. Ann Intern Med. Published online 27 May 2014 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24861032 <Internet> http://annals.org/article.aspx?articleid=1874741
    Rajbhandari R and Chung RT Screening for Hepatitis B Virus Infection: A Public Health Imperative. Ann Intern Med. Published online 27 May 2014 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24861100 <Internet> http://annals.org/article.aspx?articleid=1874742
    US Preventive Services Task Force Screening for Hepatitis B Virus Infection in Adolescents and Adults. US Preventive Services Task Force Recommendation Statement. JAMA. 2020;324(23):2415-2422 PMID: https://www.ncbi.nlm.nih.gov/pubmed/33320230 https://jamanetwork.com/journals/jama/fullarticle/2774056
    Chou R, Blazina T, Bougatsos Cet al Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults. Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2020;324(23):2423-2436 PMID: https://www.ncbi.nlm.nih.gov/pubmed/33320229 https://jamanetwork.com/journals/jama/fullarticle/2774055
    Hwang JP, Lok AS. USPSTF 2020 Hepatitis B Screening Recommendation. Evidence to Broaden Screening and Strengthen Linkage to Care. JAMA. 2020;324(23):2380-2382 PMID: https://www.ncbi.nlm.nih.gov/pubmed/33320206 https://jamanetwork.com/journals/jama/fullarticle/2774030
  2. 2.0 2.1 Kubo A et al Prevention of Vertical Transmission of Hepatitis B: An Observational Study. Ann Intern Med. Published online 27 May 2014. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24862434 <Internet> http://annals.org/article.aspx?articleid=1876817
    U.S. Preventive Services Task Force (USPSTF) Draft Recommendation Statement Hepatitis B Virus Infection in Pregnant Women: Screening. https://www.uspreventiveservicestaskforce.org/Page/Document/draft-recommendation-statement/hepatitis-b-virus-infection-in-pregnant-women-screening
  3. 3.0 3.1 3.2 3.3 Abara WE, Qaseem A, Schillie S et al Hepatitis B Vaccination, Screening, and Linkage to Care: Best Practice Advice From the American College of Physicians and the Centers for Disease Control and Prevention. Ann Intern Med. Nov 21, 2017 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/29159414 <Internet> http://annals.org/aim/fullarticle/2664089/hepatitis-b-vaccination-screening-linkage-care-best-practice-advice-from