Management of Hepatitis B

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.