Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective

Yıl: 2023 Cilt: 4 Sayı: 1 Sayfa Aralığı: 3 - 6 Metin Dili: İngilizce DOI: 10.14744/hf.2022.2022.0030 İndeks Tarihi: 04-06-2023

Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective

Öz:
Background and Aim: Prevention of hepatitis B virus (HBV) reinfection is important for long-term outcomes following liver transplantation (LT). Hepatitis B immunoglobulin (HBIG) is used among recipients who have (i) native HBV disease, (ii) hepatitis B core antibody positivity (HBcAb positivity), or (iii) received HBcAb positive organs. Nucleos(t)ide analogue (NA) monotherapy is emerging for treating patients in this setting. There is no generalized consensus on the ideal dosage of HBIG. The aim of this study was to evaluate the efficacy of low-dose HBIG (1560 international unit [IU]) for post-LT HBV prevention. Materials and Methods: HBcAb positive patients who received either HBcAb positive or hepatitis B core antibody negative (HBcAb negative) organs and HBcAb negative patients who received HBcAb positive organs between January 2016 and December 2020 were reviewed. Pre-LT HBV serologies were collected. HBV-prophylaxis strategy included NA with/ without HBIG. HBV recurrence was defined as HBV deoxyribonucleic acid (DNA) positivity during the 1-year, post-LT follow-up. No HBV surface antibody titers were followed. Results: A total of 103 patients with a median age of 60 years participated in the study. Hepatitis C virus was the most common etiology. Thirty-seven HBcAb negative recipients and 11 HBcAb positive recipients with unde- tectable HBV DNA received HBcAb positive organs and underwent pro- phylaxis with 4 doses of low-dose HBIG and NA. None of the recipients in our cohort had a recurrence of HBV at 1 year. Conclusion: Low-dose HBIG (1560 IU) × 4 days and NA, for HBcAb positive recipients and HBcAb positive donors, appear to be effective in preventing HBV reinfection during the post-LT period. Further trials are needed to confirm this observation.
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APA Edwards D, Lin J, Toman L, Gurakar M, Pustavoitau A, Kohli R, Wesson R, Ottmann S, Dao D, Gurakar A, Kim A (2023). Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective. , 3 - 6. 10.14744/hf.2022.2022.0030
Chicago Edwards Diep,Lin Jessica,Toman Lindsey,Gurakar Merve,Pustavoitau Aliaksei,Kohli Ruhail,Wesson Russell,Ottmann Shane,Dao Doan,Gurakar Ahmet,Kim Ahyoung Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective. (2023): 3 - 6. 10.14744/hf.2022.2022.0030
MLA Edwards Diep,Lin Jessica,Toman Lindsey,Gurakar Merve,Pustavoitau Aliaksei,Kohli Ruhail,Wesson Russell,Ottmann Shane,Dao Doan,Gurakar Ahmet,Kim Ahyoung Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective. , 2023, ss.3 - 6. 10.14744/hf.2022.2022.0030
AMA Edwards D,Lin J,Toman L,Gurakar M,Pustavoitau A,Kohli R,Wesson R,Ottmann S,Dao D,Gurakar A,Kim A Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective. . 2023; 3 - 6. 10.14744/hf.2022.2022.0030
Vancouver Edwards D,Lin J,Toman L,Gurakar M,Pustavoitau A,Kohli R,Wesson R,Ottmann S,Dao D,Gurakar A,Kim A Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective. . 2023; 3 - 6. 10.14744/hf.2022.2022.0030
IEEE Edwards D,Lin J,Toman L,Gurakar M,Pustavoitau A,Kohli R,Wesson R,Ottmann S,Dao D,Gurakar A,Kim A "Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective." , ss.3 - 6, 2023. 10.14744/hf.2022.2022.0030
ISNAD Edwards, Diep vd. "Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective". (2023), 3-6. https://doi.org/10.14744/hf.2022.2022.0030
APA Edwards D, Lin J, Toman L, Gurakar M, Pustavoitau A, Kohli R, Wesson R, Ottmann S, Dao D, Gurakar A, Kim A (2023). Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective. Hepatology forum, 4(1), 3 - 6. 10.14744/hf.2022.2022.0030
Chicago Edwards Diep,Lin Jessica,Toman Lindsey,Gurakar Merve,Pustavoitau Aliaksei,Kohli Ruhail,Wesson Russell,Ottmann Shane,Dao Doan,Gurakar Ahmet,Kim Ahyoung Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective. Hepatology forum 4, no.1 (2023): 3 - 6. 10.14744/hf.2022.2022.0030
MLA Edwards Diep,Lin Jessica,Toman Lindsey,Gurakar Merve,Pustavoitau Aliaksei,Kohli Ruhail,Wesson Russell,Ottmann Shane,Dao Doan,Gurakar Ahmet,Kim Ahyoung Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective. Hepatology forum, vol.4, no.1, 2023, ss.3 - 6. 10.14744/hf.2022.2022.0030
AMA Edwards D,Lin J,Toman L,Gurakar M,Pustavoitau A,Kohli R,Wesson R,Ottmann S,Dao D,Gurakar A,Kim A Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective. Hepatology forum. 2023; 4(1): 3 - 6. 10.14744/hf.2022.2022.0030
Vancouver Edwards D,Lin J,Toman L,Gurakar M,Pustavoitau A,Kohli R,Wesson R,Ottmann S,Dao D,Gurakar A,Kim A Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective. Hepatology forum. 2023; 4(1): 3 - 6. 10.14744/hf.2022.2022.0030
IEEE Edwards D,Lin J,Toman L,Gurakar M,Pustavoitau A,Kohli R,Wesson R,Ottmann S,Dao D,Gurakar A,Kim A "Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective." Hepatology forum, 4, ss.3 - 6, 2023. 10.14744/hf.2022.2022.0030
ISNAD Edwards, Diep vd. "Role of lower dose hepatitis B immune globulin prophylaxis in liver transplantation: A single center perspective". Hepatology forum 4/1 (2023), 3-6. https://doi.org/10.14744/hf.2022.2022.0030