The Curbsiders Internal Medicine Podcast #440 Hepatitis B with Dr. Arthur Kim
14 snips
May 20, 2024 
Dr. Arthur Kim shares insights on Hepatitis B screening, vaccination, treatment, and counseling. Topics include interpreting test results, chronic HBV infection stages, preventing transmission, antiviral treatment, and screening for hepatocellular carcinoma.
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Hepatitis B Triple Test Use
- Use the triple test: surface antigen, surface antibody, and core antibody to interpret hepatitis B status.
- Surface antigen shows infection, surface antibody shows immunity, and core antibody shows exposure.
Order Testing Before Vaccination
- When vaccinating and testing hepatitis B simultaneously, always test first then vaccinate.
- Vaccinating first can cause false positive surface antigen tests due to vaccine antigen leaking in blood.
Hepatitis B Vaccination Options
- Use traditional three-dose hepatitis B vaccine for most but consider newer adjuvanted vaccines for immunocompromised or non-responders.
- New vaccines can achieve higher antibody levels with fewer doses, improving response in vulnerable groups.