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Hepatitis B related dilemmas in the renal unit
Author(s) -
Holt Stephen G.,
Locarnini Stephen,
Sasadeusz Joe
Publication year - 2021
Publication title -
nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.752
H-Index - 61
eISSN - 1440-1797
pISSN - 1320-5358
DOI - 10.1111/nep.13815
Subject(s) - medicine , confusion , infectivity , occult , hepatitis b virus , isolation (microbiology) , dialysis , intensive care medicine , serology , virology , hepatitis b , immunology , virus , antibody , pathology , bioinformatics , alternative medicine , psychoanalysis , biology , psychology
Abstract Testing for hepatitis B in dialysis patients is routine, but newer and more sensitive detection methods mean that there is sometimes confusion around viral loads and occult infection. There are frequently difficult choices surrounding isolation and treatment. Here we describe the use of HBV serology and DNA testing in decisions around patients with end‐stage renal disease. We also suggest isolation decisions based on our current understanding of the virus and its infectivity.