Department of Medicine, Dentistry and Health Science, The University of Melbourne, Melbourne, Victoria, Australia.
Abu Dhabi Health Services Company (SEHA) Kidney Care, Abu Dhabi, UAE.
Nephrology (Carlton). 2021 Apr;26(4):287-293. doi: 10.1111/nep.13815. Epub 2020 Nov 12.
Testing for hepatitis B in dialysis patients is routine, but newer and more sensitive detection methods mean that there is sometimes confusion around viral loads and occult infection. There are frequently difficult choices surrounding isolation and treatment. Here we describe the use of HBV serology and DNA testing in decisions around patients with end-stage renal disease. We also suggest isolation decisions based on our current understanding of the virus and its infectivity.
对透析患者进行乙型肝炎检测是常规操作，但较新且更敏感的检测方法意味着病毒载量和隐匿性感染有时会令人困惑。在隔离和治疗方面，经常会面临困难的选择。在这里，我们描述了乙型肝炎病毒血清学和 DNA 检测在终末期肾病患者决策中的应用。我们还根据我们目前对病毒及其传染性的了解，提出了隔离决策建议。
