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Management of Hepatitis B

by Carlo Raj, MD

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    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.


    About the Lecture

    The lecture Management of Hepatitis B by Carlo Raj, MD is from the course Cirrhosis – Liver Diseases.


    Included Quiz Questions

    1. Acyclovir
    2. Entecavir
    3. Adefovir
    4. Tenofovir
    5. Telbivudine
    1. Persons with a history of recent travel to endemic areas
    2. IV drug abusers
    3. Health care professionals
    4. Patients receiving hemodialysis
    5. Children with perinatal exposure

    Author of lecture Management of Hepatitis B

     Carlo Raj, MD

    Carlo Raj, MD


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    Very nice class!
    By Daniel C. on 27. November 2020 for Management of Hepatitis B

    Excellent class. It help me so much to separate what is really important, from what it's not. Very clear