Anti-HBV prophylaxis was not given, and the levels of hepatitis B viral markers including serum HBsAg, HBsAb, and HBcAb; and hepatitis C antibody level, were routinely checked prior to surgery, as were antihuman immunodeficiency virus antibody levels, and cytomegalovirus titer and antiviral antibody levels. All patients were managed using a defined protocol. Hepatitis B viral markers including serum HBsAg, HBsAb, HBeAg, and hepatitis B envelop antibody were measured, using electrochemiluminescence immunoassays, at every follow-up visit to our outpatient Department. Such visits were made every month during the first year after surgery; every 2 months from years 2-5 after surgery; and every 3 months thereafter. Serum HBV DNA levels were measured every 6 months after surgery using the
branched DNA assay (Siemens Healthcare Diagnostics, Eschborn, Germany; lower limit of detection: 2,000 copies/mL) prior to May 2006 and, thereafter, a highly sensitive
real-time PCR assay (Abbott, Chicago, IL, USA; lower limit of detection: 34 copies/mL). If
de novo hepatitis B infection developed, patients were treated with antiviral agents such as entecavir, with or without HBIG. Liver function tests (AST and ALT levels), the hepatitis B profile, HBV DNA level, and evaluation of drug-induced HBV mutations, were performed after treatment to evaluate the efficacy of treatment.
Han J.H., Kim D.G., Na G.H., Kim E.Y., Lee S.H., Hong T.H., You Y.K., Choi J.Y, & Yoon S.K. (2015). De novo hepatitis B virus infection developing after liver transplantation using a graft positive for hepatitis B core antibody. Annals of Surgical Treatment and Research, 89(3), 145-150.