Review
Copyright ©The Author(s) 2021.
World J Hepatol. Dec 27, 2021; 13(12): 1828-1849
Published online Dec 27, 2021. doi: 10.4254/wjh.v13.i12.1828
Table 2 Management of patients with inflammatory bowel disease undergoing immunosuppressive therapy according to hepatitis B status
Hepatitis B status
Indications
HBsAg positive/anti-HBc positive (chronic hepatitis B)Antiviral treatment (start 3-4 wk before and continue at least 12 mo after the immunosuppressive treatment)
HBsAg negative/anti-HBc positive (occult hepatitis B)Liver function tests monitoring every 2-3 mo
HBsAg negative/anti-HBc negative/anti-HBs negative (naïve for hepatitis B)Vaccination (indicated at diagnosis)
HBsAg negative/anti-HBc negative/anti-HBs positiveCheck previous hepatitis B vaccination. Dose hepatitis B virus-DNA if uncertainty