Hepatitis b is a viral infection that attacks the liver and can cause both acute and chronic disease. Acute infection may cause nonspecific symptoms, such as fatigue, poor appetite, nausea, vomiting, abdominal pain, lowgrade fever, jaundice, and dark urine. Hepatitis b easl guidelines easlthe home of hepatology. Hepatitis b virus hbv infects more than 300 million people worldwide and is a common cause of liver disease and liver cancer. Hepatitis b virus hbv infection remains a global public health problem with changing epidemiology due to several factors including vaccination policies and migration. Hbv, a member of the hepadnaviridae family, is a small dna virus with unusual features similar to retroviruses.
Summary hepatitis b virus hbv infection remains a global public health. The likelihood that a person develops a chronic infection depends on the age at which someone becomes infected. The serious liver complications of chronic hepatitis b can be prevented if the disease is detected and treated in its early stages. Hbsag diagnostic kits in the detection of hepatitis b virus mutation within a determinant. Hepatitis b is a serious liver infection caused by the hepatitis b virus hbv and is spread through exposure to infected blood or body fluids.
Hepatitis b virus hbv infection is an important public health problem in canada. Aasld on the treatment of chronic hepatitis b chb virus hbv infection in adults and children. Therefore, the easl guidelines for hepatitis b presents updated recommendations for the optimal management of hbv infection. Hepatitis b can be a serious liver disease that results from infection with the hepatitis b virus.
In keeping with evolving evidence and understanding of hbv pathogenesis, the canadian association for the study of liver disease periodically publishes hbv management guidelines. Chronic hepatitis b is treated with antiviral medication that reduces the viral load on the body, and allows the immune system to keep infection in check. Although an estimated 1 million persons in the united states are chronically infected with hepatitis b virus, the prevalence of hepatitis b has declined since the implementation of. Introduction viral hepatitis, refers to infections that affect the liver and are caused by viruses. A imunizacao ativa utilizando as modernas vacinas recombinantes constitui, na atualidade, a arma mais importante no combate a infeccao pelo virus da hepatite b. In the united states, the two most common methods of transmission are intravenous drug use and sexual intercourse. Unlike previous aasld practice guidelines, this guideline was developed in compliance with the institute of medicine standards for trustworthy practice guidelines and uses the. Easl 2017 clinical practice guidelines on the management. Viral hepatitis is a leading cause of death in the world, which is comparable to that of hiv, tuberculosis and malaria.
Hepatitis b virus structure, epidemiology, symptoms, pathogenesis, diagnosis, treatment and vaccines. Hepatitis b virus is transmitted in blood and secretions. Geralmente dividese a hepatite b em uma fase replicativa multiplicacao do virus, inicial, na fase aguda, e outra nao replicativa, correspondente a cura ou fase cronica figura 1. Aasld guidelines for treatment of chronic hepatitis b. These are the first world health organization who guidelines for the prevention, care and treatment of persons living with chronic hepatitis b chb infection, and complement similar recently published guidance by who on the prevention, care and treatment of infection due to the hepatitis c virus hcv. Not only does viral hepatitis carry a high morbidity, but it also stresses medical resources and can have severe economic consequences. Hbv replicates through an rna intermediate and can integrate into the host genome. Up to 90% of infants infected with the hepatitis b virus will develop a chronic infection. The only way to know if you have hepatitis b is to get tested. Cirrhosis and hepatocellular carcinoma, which are the sequelae of chronic hepatitis b and c, accounted for more than 90% of all hepatitis b and c related deaths. Hepatitis b symptoms, treatment, vaccination southern. The main medications used in the treatment of chronic. Assim, o diagnostico da hepatite b baseiase nas mudancas na relacao entre virus e hospedeiro.
Hepatite b importancia do tratamento e da carga viral. Of the many viral causes of human hepatitis few are of greater global importance than hepatitis b virus hbv. Who guidelines for the prevention, care and treatment of. It is a major public health issue in the united states and worldwide.