Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates

The natural history of chronic hepatitis B is characterized by different phases of infection, and patients may evolve from one phase to another or may revert to a previous phase. The hepatitis B e antigen (HBeAg)negative form is the predominant infection worldwide, which consists of individuals with...

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Main Authors: Ahmad Najib, Azmi,, Soek-Siam, Tan,, Rosmawati, Mohamed,
Format: Article
Language:English
Published: Baishideng Publishing Group Inc 2015
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Online Access:http://ddms.usim.edu.my/handle/123456789/8374
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spelling my.usim-83742017-02-23T07:18:31Z Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates Ahmad Najib, Azmi, Soek-Siam, Tan, Rosmawati, Mohamed, Chronic hepatitis B Hepatitis B e antigen-negative Treatment candidates Hepatitis B s antigen level Nucleos(t)ides analogues Pegylated interferon The natural history of chronic hepatitis B is characterized by different phases of infection, and patients may evolve from one phase to another or may revert to a previous phase. The hepatitis B e antigen (HBeAg)negative form is the predominant infection worldwide, which consists of individuals with a range of viral replication and liver disease severity. Although alanine transaminase (ALT) remains the most accessible test available to clinicians for monitoring the liver disease status, further evaluations are required for some patients to assess if treatment is warranted. Guidance from practice guidelines together with thorough investigations and classifications of patients ensure recognition of who needs which level of care. This article aims to assist physicians in the assessment of HBeAg-negative individuals using liver biopsy or non-invasive tools such as hepatitis B s antigen quantification and transient elastography in addition to ALT and hepatitis B virus DNA, to identify who will remain stable, who will reactivate or at risk of disease progression hence will benefit from timely initiation of anti-viral therapy. (C) 2014 Baishideng Publishing Group Inc. All rights reserved. 2015-06-15T07:44:20Z 2015-06-15T07:44:20Z 2014-01-01 Article 1007-9327 2219-2840 http://ddms.usim.edu.my/handle/123456789/8374 en Baishideng Publishing Group Inc
institution Universiti Sains Islam Malaysia
building USIM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universit Sains Islam i Malaysia
content_source USIM Institutional Repository
url_provider http://ddms.usim.edu.my/
language English
topic Chronic hepatitis B
Hepatitis B e antigen-negative
Treatment candidates
Hepatitis B s antigen level
Nucleos(t)ides analogues
Pegylated interferon
spellingShingle Chronic hepatitis B
Hepatitis B e antigen-negative
Treatment candidates
Hepatitis B s antigen level
Nucleos(t)ides analogues
Pegylated interferon
Ahmad Najib, Azmi,
Soek-Siam, Tan,
Rosmawati, Mohamed,
Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates
description The natural history of chronic hepatitis B is characterized by different phases of infection, and patients may evolve from one phase to another or may revert to a previous phase. The hepatitis B e antigen (HBeAg)negative form is the predominant infection worldwide, which consists of individuals with a range of viral replication and liver disease severity. Although alanine transaminase (ALT) remains the most accessible test available to clinicians for monitoring the liver disease status, further evaluations are required for some patients to assess if treatment is warranted. Guidance from practice guidelines together with thorough investigations and classifications of patients ensure recognition of who needs which level of care. This article aims to assist physicians in the assessment of HBeAg-negative individuals using liver biopsy or non-invasive tools such as hepatitis B s antigen quantification and transient elastography in addition to ALT and hepatitis B virus DNA, to identify who will remain stable, who will reactivate or at risk of disease progression hence will benefit from timely initiation of anti-viral therapy. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
format Article
author Ahmad Najib, Azmi,
Soek-Siam, Tan,
Rosmawati, Mohamed,
author_facet Ahmad Najib, Azmi,
Soek-Siam, Tan,
Rosmawati, Mohamed,
author_sort Ahmad Najib, Azmi,
title Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates
title_short Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates
title_full Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates
title_fullStr Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates
title_full_unstemmed Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates
title_sort practical approach in hepatitis b e antigen-negative individuals to identify treatment candidates
publisher Baishideng Publishing Group Inc
publishDate 2015
url http://ddms.usim.edu.my/handle/123456789/8374
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score 13.211869