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Real-Time Polymerase Chain Reaction-Based Detection and Quantification of Hepatitis B Virus DNA
Published on: December 15, 2023
Clinical progress note: Hepatitis B
Yarlini Vipulanandan1, Claudette Poole1
1Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Insights
Hepatitis B vaccination significantly reduced infections in infants and globally. Continued understanding of hepatitis B virus (HBV) is crucial due to vaccine hesitancy.
Area of Science:
- Hepatology
- Infectious Diseases
- Vaccinology
Background:
- Hepatitis B virus (HBV) causes acute and chronic liver disease globally.
- Infant HBV infection leads to chronic disease, cirrhosis, and liver cancer in 90% of cases.
- Universal infant vaccination has drastically cut perinatal transmission in the US and HBV incidence in Asia.
Purpose of the Study:
- To underscore the importance of understanding hepatitis B epidemiology, transmission, screening, and prevention.
- To inform pediatric health care providers amidst evolving vaccine guidance and rising hesitancy.
Main Methods:
- Epidemiological review of hepatitis B virus (HBV) infection.
- Analysis of vaccination impact on HBV incidence and transmission.
- Assessment of current challenges in hepatitis B prevention.
Main Results:
- Universal infant vaccination programs have led to significant reductions in hepatitis B transmission.
- Hepatitis B vaccination is a cornerstone of preventing chronic liver disease and hepatocellular carcinoma.
- Vaccine hesitancy poses a threat to sustained control of hepatitis B.
Conclusions:
- Despite successes, ongoing vigilance and education on hepatitis B virus (HBV) are essential.
- Pediatric health care providers must remain informed about HBV epidemiology and prevention strategies.
- Addressing vaccine hesitancy is critical to maintaining progress against hepatitis B.
Abstract:
Hepatitis B virus is a well-known infectious etiology of acute and chronic liver disease worldwide. Notably, 90% of children infected with hepatitis B in infancy develop chronic infection and subsequent progressive liver disease, including cirrhosis and hepatocellular carcinoma. Significant reduction in perinatal transmission in the United States (US) was seen after implementation of universal infant vaccination 30 years ago, as well as dramatic reductions in HBV incidence across Asia, coinciding with widespread hepatitis B vaccination. However, with ongoing changes to federal vaccine guidance and a steady rise in vaccine hesitancy, a comprehensive understanding of the epidemiology, transmission, screening, and prevention of hepatitis B remains important for pediatric health care providers.
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