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Published in: Current Hepatology Reports 3/2020

01-09-2020 | Hepatitis B | Hepatitis B (JK Lim, Section Editor)

Point of Care Diagnostic Testing for Hepatitis B Virus

Authors: Kathy Jackson, Robert G. Gish

Published in: Current Hepatology Reports | Issue 3/2020

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Abstract

Purpose of Review

As we strive to reach the World Health Organization (WHO) goal of eliminating viral hepatitis as a public health threat by 2030, point of care tests (POCTs) will be important in low- to middle-income and developed countries. This review aims to investigate available POCT choices for hepatitis B virus (HBV) and to provide an algorithm for screening, assessing, and monitoring chronic HBV.

Recent Findings

There are 3 WHO pre-qualified rapid diagnostic assays for hepatitis B surface antigen (HBsAg) that are sensitive, specific, and reliable in screening for HBV: SD Bioline, Determine 2, and VIKIA. POCTs for other biomarkers are less reliable and sensitive but have some applicability. The Xpert® HBV Viral Load assay is sensitive and specific with a wide dynamic range.

Summary

While POCT for HBeAg and HBV antibodies require improvement, HBsAg POCT and the Xpert® HBV Viral Load assay are reliable and available now.
Literature
25.
go back to reference • Murayama A, Momose H, Yamada N, Hoshi Y, Muramatsu M, Wakita T, et al. Evaluation of in vitro screening and diagnostic kits for hepatitis B virus infection. J Clin Virol. 2019;117:37–42. https://doi.org/10.1016/j.jcv.2019.05.011Murayama et al – This manuscript compares the Determine HBsAg and the Determine 2 HBsAg sensitivities, which have not been published elsewhere to our knowledge. • Murayama A, Momose H, Yamada N, Hoshi Y, Muramatsu M, Wakita T, et al. Evaluation of in vitro screening and diagnostic kits for hepatitis B virus infection. J Clin Virol. 2019;117:37–42. https://​doi.​org/​10.​1016/​j.​jcv.​2019.​05.​011Murayama et al – This manuscript compares the Determine HBsAg and the Determine 2 HBsAg sensitivities, which have not been published elsewhere to our knowledge.
50.
go back to reference •• Abravanel F, Lhomme S, Tremeaux P, Migueres M, Harter A, Hasle C, et al. Performance of the Xpert HBV Viral Load assay versus the Aptima Quant assay for quantifying hepatitis B virus DNA. Diagn Microbiol Infect Dis. 2020;96(2):114946. https://doi.org/10.1016/j.diagmicrobio.2019.114946Abravanel et al – This study confirms the high sensitivity, reproducibility, reliability, and ease of use of the Xpert HBV DNA load assay. Implementation of this assay will greatly improve the diagnosis of hepatitis B, particularly in LMIC and at POC. •• Abravanel F, Lhomme S, Tremeaux P, Migueres M, Harter A, Hasle C, et al. Performance of the Xpert HBV Viral Load assay versus the Aptima Quant assay for quantifying hepatitis B virus DNA. Diagn Microbiol Infect Dis. 2020;96(2):114946. https://​doi.​org/​10.​1016/​j.​diagmicrobio.​2019.​114946Abravanel et al – This study confirms the high sensitivity, reproducibility, reliability, and ease of use of the Xpert HBV DNA load assay. Implementation of this assay will greatly improve the diagnosis of hepatitis B, particularly in LMIC and at POC.
51.
go back to reference • Jackson K, Holgate T, Tekoaua R, Nicholson S, Littlejohn M, Locarnini S. Evaluation of dried blood spots for hepatitis B and D serology and nucleic acid testing. J Med Virol. 2019. https://doi.org/10.1002/jmv.25485Jackson et al – This study demonstrates the applicability of dried blood spots for HBV serological and molecular testing and in particular HBV DNA viral loads. • Jackson K, Holgate T, Tekoaua R, Nicholson S, Littlejohn M, Locarnini S. Evaluation of dried blood spots for hepatitis B and D serology and nucleic acid testing. J Med Virol. 2019. https://​doi.​org/​10.​1002/​jmv.​25485Jackson et al – This study demonstrates the applicability of dried blood spots for HBV serological and molecular testing and in particular HBV DNA viral loads.
Metadata
Title
Point of Care Diagnostic Testing for Hepatitis B Virus
Authors
Kathy Jackson
Robert G. Gish
Publication date
01-09-2020
Publisher
Springer US
Keywords
Hepatitis B
Care
Published in
Current Hepatology Reports / Issue 3/2020
Electronic ISSN: 2195-9595
DOI
https://doi.org/10.1007/s11901-020-00531-z

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