Retrospective Study
Copyright ©The Author(s) 2016.
World J Gastroenterol. Nov 21, 2016; 22(43): 9571-9585
Published online Nov 21, 2016. doi: 10.3748/wjg.v22.i43.9571
Table 2 Antiviral prophylaxis before and after liver transplantation for hepatitis B virus reinfection
Patients with high risk of HBV reinfection[HBV-DNA ≥ 105 copies/mL or HBeAg(+)]Patients with low risk of HBV reinfection[HBV-DNA < 105 copies/mL or HBeAg(-)]
Pre-LT: nucleoside analogues, qd 2-4 wPre-LT: nucleoside analogues, qd 0-2 w
Intraoperative: HBIG 4000 IU, ivIntraoperative: HBIG 2000 IU, iv
Post-LT: HBIG 1000 IU, iv, qd, 1-7 dPost-LT: HBIG 1000 IU, iv, qd, 1-7d
After 7 d, HBIG 1000 IU, iv, once a week; or HBIG 400 IU, im, qd or qod or twice a week. Adjust frequency of HBIG administration to reach target therapeutic concentrationAfter 7 d, HBIG 1000 IU, iv, once a week; or HBIG 400 IU, im, qd or qod or twice a week. Adjust frequency of HBIG administration to reach target therapeutic concentration
Target therapeutic concentration post-LTTarget therapeutic concentration post-LT
≤ 6 mo post-LT: anti-HBs titer ≥ 500 IU/L ≤ 6 mo post-LT: anti-HBs titer ≥ 300 IU/L
6-12 mo post-LT: anti-HBs titer ≥ 200 IU/L6-12 mo post-LT: anti-HBs titer ≥ 200 IU/L
≥ 12 mo post-LT: anti-HBs titer ≥ 100 IU/L≥ 12 mo post-LT: anti-HBs titer ≥ 100 IU/L