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Hepatitis B immunoglobulin immunoprophylaxis for hepatitis B: High, low, or no dose? 1
Author(s) -
Gane Ed
Publication year - 2010
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.22151
Subject(s) - medicine , hepatitis b , antibody , liver transplantation , virology , immunoglobulin g , immunology , transplantation
Abstract Key Points 1. Transplantation for HBV‐related HCC is increasing in the West, whilst HBV‐relate liver failure is decreasing. 2. Combination lamivudine plus HBIG reduces the risk of HBV recurrence to less than 5%. 3. Low‐dose IM HBIG ihas similar efficacy and better cost effectiveness than high‐dose IV HBIG when combined with oral nucleos(t)ide therapy. 4. HBIG may be discontinued in low risk recipients (undetectable HBV DNA prior to transplant). 5. Combination of new potent antivirals without cross resistance may minimise the future need for post‐operative HBIG. Liver Transpl 16:S36‐S39, 2010. © 2010 AASLD.