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Suggest Treatment For HBV Infection With Serum Bilirubin 1.2 Mg.
Sir, I am 35 Years serving and married person, would like to take a treatment from your hospital for HBV infection from last one month. HBs Ag +ve during evaluation for anorexia. Doesn't take alcohol, smoking, No Jaundice, blood tranfusion or surgery and other side habbits etc till date. Blood reports are as under :- Serum Bilirubin 1.2 mg, Bilirubin(D)- 0.8 mg, Hb 16.9g%, S Albumin 4.6g%, Bilirubin (ID)-0.4 mg, AST/ALT - 142/158 on 12 Dec 11 Presently 50/60 after taking Tab UDCA 300 mg - BD, HCV- -ve, HBeAg- -ve, HBV DNA-25 IU/ml, USG Abdomen - Liver normal sie, moderate steatosis presnet, PV/Spleen, Lipid Profile, Blood Sugar, Thyroid are normal. Hb Alc - 5.4%. Blood HB -15.6 gm, TLC-8800, DLC* Noutrophils-56, Eosinophils-06, Lmphocytes - 37, wt - 65 kgs. Spouse ABsAg is -ve.
Tue, 9 Sep 2014
Hello,
Hbsag positivity, firstly there should be universal precautions taken and the family should be screened and depending on the positivity of hbsag in the family (vaccination to b given if negative, evaluate further if positive ), since u have no active disease at present and viral load is very low with normal liver span treatment need not be initiated, we can wait and keep re screening for LFT/ PT/Inr every 3 months, Usg abdomen and HBV DNA (quantitative analysis ) every 6 months and treatment can b thought of on the result bases.
Hbsag positivity, firstly there should be universal precautions taken and the family should be screened and depending on the positivity of hbsag in the family (vaccination to b given if negative, evaluate further if positive ), since u have no active disease at present and viral load is very low with normal liver span treatment need not be initiated, we can wait and keep re screening for LFT/ PT/Inr every 3 months, Usg abdomen and HBV DNA (quantitative analysis ) every 6 months and treatment can b thought of on the result bases.
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