Recommendations for Hepatitis B Immunoglobulin and Antiviral Prophylaxis Against Hepatitis B Recurrence After Liver Transplantation

Turk J Gastroenterol. 2021 Sep;32(9):712-719. doi: 10.5152/tjg.2021.21608.

Abstract

The combination of hepatitis B immunoglobulin and potent nucleos(t)ide analogs after liver transplantation is considered as the standard of care for prophylaxis against hepatitis B virus recurrence. However, the recommended doses, route of administration, and duration of HBIG administration remain unclear. Moreover, hepatitis B immunoglobulin-free prophylaxis with potent nucleos(t)ide analogs has shown promising disease outcomes in preventing hepatitis B virus recurrence. The current recommendations, produced by the Turkish Association for the Study of the Liver, Acute Liver Failure and Liver Transplantation Special Interest Group, suggest a reduced need for hepatitis B immunoglobulin administration with effective long-term suppression of hepatitis B virus replication using potent nucleos(t) ide analogs after liver transplantation.

MeSH terms

  • Antiviral Agents* / therapeutic use
  • Hepatitis B* / prevention & control
  • Humans
  • Immunoglobulins* / administration & dosage
  • Liver Transplantation*
  • Recurrence

Substances

  • Antiviral Agents
  • Immunoglobulins
  • hepatitis B hyperimmune globulin

Grants and funding

The authors declared that this study has received no financial support.