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Recommendations for Hepatitis B Immunoglobulin and Antiviral Prophylaxis Against Hepatitis B Recurrence After Liver Transplantation
Authors:Mesut Akarsu  Soner Onem  Ilker Turan  Gupse Adali  Meral Akdogan  Murat Akyildiz  Murat Aladag  Yasemin Balaban  Nilay Danis  Murat Dayangac  Genco Gencdal  Hale Gokcan  Elif Sertesen  Merve Gurakar  Murat Harputluoglu  Gokhan Kabacam  Sedat Karademir  Murat Kiyici  Ramazan Idilman  Zeki Karasu
Abstract:The combination of hepatitis B immunoglobulin and potent nucleos(t)ide analogs after liver transplantation is considered as the standard of care for prophylaxis against hepatitis B virus recurrence. However, the recommended doses, route of administration, and duration of HBIG administration remain unclear. Moreover, hepatitis B immunoglobulin-free prophylaxis with potent nucleos(t)ide analogs has shown promising disease outcomes in preventing hepatitis B virus recurrence. The current recommendations, produced by the Turkish Association for the Study of the Liver, Acute Liver Failure and Liver Transplantation Special Interest Group, suggest a reduced need for hepatitis B immunoglobulin administration with effective long-term suppression of hepatitis B virus replication using potent nucleos(t)ide analogs after liver transplantation.
Keywords:Hepatitis B   liver transplantation   recurrence
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