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Published in: Current Hepatology Reports 3/2020

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

Prevention and Management of HBV in Organ Transplantation

Authors: Stela Celaj, Josh Levitsky

Published in: Current Hepatology Reports | Issue 3/2020

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Abstract

Purpose of Review

Hepatitis B (HBV) infection and reactivation have a significant impact on solid organ transplantation. This review summarizes past significant studies and new findings in the field, and presents the latest recommendations for HBV management in solid organ transplant population.

Recent Findings

Significant advances in antiviral therapy have resulted in improved graft outcomes and have notably reduced the need for prophylaxis with hepatitis B immunoglobin. Emerging treatment avenues such as immunotherapies and small molecules inhibitors are being developed with the intent of eradicating HBV infection.

Summary

Substantial suppression of HBV is obtained with the current antiviral prophylaxis in transplant patients. This has allowed for safely expanding the donor pool to HBcAb-positive grafts with good outcomes. Novel therapies are showing a promising future for achieving functional cure for HBV.
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Metadata
Title
Prevention and Management of HBV in Organ Transplantation
Authors
Stela Celaj
Josh Levitsky
Publication date
01-09-2020
Publisher
Springer US
Published in
Current Hepatology Reports / Issue 3/2020
Electronic ISSN: 2195-9595
DOI
https://doi.org/10.1007/s11901-020-00537-7

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