00:01 Let’s talk about management of hepatitis B. 00:04 We have interferons for hepatitis B. 00:07 We have peginterferon, we have interferon alpha. 00:10 That's important. 00:11 Please memorize the alpha for hepatitis B. 00:14 And limited duration of therapy, high side effect burden is what you’re worried about, especially with interferons. 00:23 Management continues and we have antiviral drugs such as Lamivudine, resistance oftentimes seen. 00:31 We have Entecavir, Adefovir, Tenofovir. 00:36 Stop there. 00:37 You'll notice, we have the suffix, -vir, -vir, -vir. 00:41 Your focus should be on viral hepatitis, specifically B. 00:46 And we have -vir, virus. 00:51 And you have the Telbivudine, usually indefinite therapy. 00:56 But the only thing is you’re worried about resistance in this patient with hepatitis B. 01:00 Antiviral drugs that you want to be familiar with. 01:05 Obviously, your focus should also be on prevention. 01:09 Let’s begin the vaccination. 01:10 The vaccination therapy and the regimen is something that you want to be very familiar with coming off of immunology. 01:17 If you're not, it will be a good time to go back and make sure that you take a look at vaccination regimen for hepatitis B, specifically, please, perinatal exposure, universal vaccination for all children. 01:31 Now, whatever your personal belief would be on vaccination, at this point, you keep that to yourself. 01:37 I highly recommend that because on the boards and on your wards, you’re absolutely mandated to give vaccination. 01:44 Is that clear? Once you get into practice, you do what you want. 01:47 But at this point, please learn how to play the game. 01:50 Healthcare workers, hemodialysis patients, homosexuals, IV drug abusers, persons with recent exposure and patients with chronic liver disease. 01:59 This is your population in which you need to make sure that you prevent hepatitis B from developing.
The lecture Management of Hepatitis B by Carlo Raj, MD is from the course Cirrhosis – Liver Diseases.
Which of the following medications is NOT useful in the treatment of hepatitis B?
Which of the following populations do NOT qualify for hepatitis B vaccination?
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Excellent class. It help me so much to separate what is really important, from what it's not. Very clear