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- Publisher Website: 10.1016/j.bpobgyn.2020.02.014
- Scopus: eid_2-s2.0-85082741117
- PMID: 32249130
- WOS: WOS:000579855200009
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Article: Hepatitis B – Vertical transmission and the prevention of mother-to-child transmission
Title | Hepatitis B – Vertical transmission and the prevention of mother-to-child transmission |
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Authors | |
Keywords | Antiviral treatment Hepatitis B virus Immunoprophylaxis failure Pregnancy Vaccination |
Issue Date | 2020 |
Publisher | Bailliere Tindall. The Journal's web site is located at http://www.elsevier.com/locate/bpobgyn |
Citation | Best Practice & Research: Clinical Obstetrics & Gynaecology, 2020, v. 68, p. 78-88 How to Cite? |
Abstract | Hepatitis B virus (HBV) infection is the commonest cause of chronic hepatitis, with an estimated global prevalence of 3.5%, and which leads to significant morbidity and mortality. Mother-to-child transmission (MTCT) during pregnancy is the leading form of transmission in endemic populations, and its interruption is thus crucial as the initial step in the elimination of HBV infection, notwithstanding the availability of potent antiviral medications. The risk of MTCT is dramatically reduced by timely neonatal HBV vaccination and the administration of hepatitis B immunoglobulin after birth in high-risk infants. Maternal HBV DNA quantification during pregnancy allows the assessment of the risk of newborn immunoprophylaxis failure (IF). Maternal antiviral treatment in highly viremic women can reduce the risk of IF. However, the optimal HBV DNA cutoff level for the initiation of antiviral treatment remains to be determined. |
Persistent Identifier | http://hdl.handle.net/10722/294196 |
ISSN | 2021 Impact Factor: 4.268 2020 SCImago Journal Rankings: 1.622 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Cheung, KW | - |
dc.contributor.author | Lao, TTH | - |
dc.date.accessioned | 2020-11-23T08:27:44Z | - |
dc.date.available | 2020-11-23T08:27:44Z | - |
dc.date.issued | 2020 | - |
dc.identifier.citation | Best Practice & Research: Clinical Obstetrics & Gynaecology, 2020, v. 68, p. 78-88 | - |
dc.identifier.issn | 1521-6934 | - |
dc.identifier.uri | http://hdl.handle.net/10722/294196 | - |
dc.description.abstract | Hepatitis B virus (HBV) infection is the commonest cause of chronic hepatitis, with an estimated global prevalence of 3.5%, and which leads to significant morbidity and mortality. Mother-to-child transmission (MTCT) during pregnancy is the leading form of transmission in endemic populations, and its interruption is thus crucial as the initial step in the elimination of HBV infection, notwithstanding the availability of potent antiviral medications. The risk of MTCT is dramatically reduced by timely neonatal HBV vaccination and the administration of hepatitis B immunoglobulin after birth in high-risk infants. Maternal HBV DNA quantification during pregnancy allows the assessment of the risk of newborn immunoprophylaxis failure (IF). Maternal antiviral treatment in highly viremic women can reduce the risk of IF. However, the optimal HBV DNA cutoff level for the initiation of antiviral treatment remains to be determined. | - |
dc.language | eng | - |
dc.publisher | Bailliere Tindall. The Journal's web site is located at http://www.elsevier.com/locate/bpobgyn | - |
dc.relation.ispartof | Best Practice & Research: Clinical Obstetrics & Gynaecology | - |
dc.subject | Antiviral treatment | - |
dc.subject | Hepatitis B virus | - |
dc.subject | Immunoprophylaxis failure | - |
dc.subject | Pregnancy | - |
dc.subject | Vaccination | - |
dc.title | Hepatitis B – Vertical transmission and the prevention of mother-to-child transmission | - |
dc.type | Article | - |
dc.identifier.email | Cheung, KW: kawang@hku.hk | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1016/j.bpobgyn.2020.02.014 | - |
dc.identifier.pmid | 32249130 | - |
dc.identifier.scopus | eid_2-s2.0-85082741117 | - |
dc.identifier.hkuros | 319504 | - |
dc.identifier.volume | 68 | - |
dc.identifier.spage | 78 | - |
dc.identifier.epage | 88 | - |
dc.identifier.isi | WOS:000579855200009 | - |
dc.publisher.place | United Kingdom | - |
dc.identifier.issnl | 1521-6934 | - |