APASL clinical practice guideline on hepatitis B reactivation related to the use of immunosuppressive therapy.
APASL
Guideline
Hepatitis B reactivation
Immunosuppressive therapy
Journal
Hepatology international
ISSN: 1936-0541
Titre abrégé: Hepatol Int
Pays: United States
ID NLM: 101304009
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
29
03
2021
accepted:
20
07
2021
pubmed:
25
8
2021
medline:
26
11
2021
entrez:
24
8
2021
Statut:
ppublish
Résumé
Hepatitis B reactivation related to the use of immunosuppressive therapy remains a major cause of liver-related morbidity and mortality in hepatitis B endemic Asia-Pacific region. This clinical practice guidelines aim to assist clinicians in all disciplines involved in the use of immunosuppressive therapy to effectively prevent and manage hepatitis B reactivation. All publications related to hepatitis B reactivation with the use of immunosuppressive therapy since 1975 were reviewed. Advice from key opinion leaders in member countries/administrative regions of Asian-Pacific Association for the study of the liver was collected and synchronized. Immunosuppressive therapy was risk-stratified according to its reported rate of hepatitis B reactivation. We recommend the necessity to screen all patients for hepatitis B prior to the initiation of immunosuppressive therapy and to administer pre-emptive nucleos(t)ide analogues to those patients with a substantial risk of hepatitis and acute-on-chronic liver failure due to hepatitis B reactivation.
Sections du résumé
BACKGROUND & AIM
OBJECTIVE
Hepatitis B reactivation related to the use of immunosuppressive therapy remains a major cause of liver-related morbidity and mortality in hepatitis B endemic Asia-Pacific region. This clinical practice guidelines aim to assist clinicians in all disciplines involved in the use of immunosuppressive therapy to effectively prevent and manage hepatitis B reactivation.
METHODS
METHODS
All publications related to hepatitis B reactivation with the use of immunosuppressive therapy since 1975 were reviewed. Advice from key opinion leaders in member countries/administrative regions of Asian-Pacific Association for the study of the liver was collected and synchronized. Immunosuppressive therapy was risk-stratified according to its reported rate of hepatitis B reactivation.
RECOMMENDATIONS
CONCLUSIONS
We recommend the necessity to screen all patients for hepatitis B prior to the initiation of immunosuppressive therapy and to administer pre-emptive nucleos(t)ide analogues to those patients with a substantial risk of hepatitis and acute-on-chronic liver failure due to hepatitis B reactivation.
Identifiants
pubmed: 34427860
doi: 10.1007/s12072-021-10239-x
pii: 10.1007/s12072-021-10239-x
pmc: PMC8382940
doi:
Substances chimiques
Antiviral Agents
0
Hepatitis B Surface Antigens
0
Immunosuppressive Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1031-1048Commentaires et corrections
Type : ErratumIn
Type : CommentIn
Informations de copyright
© 2021. Asian Pacific Association for the Study of the Liver.
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