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Recommendations for the integral diagnosis of chronic viral hepatitis in a single analytical extraction

Abstract: The Spanish Society of Digestive Pathology (SEPD), the Spanish Association for the Study of the Liver (AEEH), the Spanish Society of Infections and Clinical Microbiology (SEIMC) and its Viral Hepatitis Study Group (GEHEP), and with the endorsement of the Alliance for the Elimination of Viral Hepatitis in Spain (AEHVE), have agreed on a document to carry out a comprehensive diagnosis of viral hepatitis (B, C and D), from a single blood sample; that is, a comprehensive diagnosis, in the hospital and/or at the point of care of the patient. We propose an algorithm, so that the positive result in a viral hepatitis serology (B, C and D), as well as human immunodeficiency virus (HIV), would trigger the analysis of the rest of the virus, including the viral load when necessary, in the same blood draw. In addition, we make two additional recommendations. First, the need to rule out a previous hepatitis A virus (VHA) infection, to proceed with its vaccination in cases where IgG-type studies against this virus are negative and the vaccine is indicated. Second, the determination of the HIV serology. Finally, in case of a positive result for any of the viruses analyzed, there must be an automated alerts and initiate epidemiological monitoring.

 Fuente: Gastroenterología y Hepatología, 2023, 46(2), 150-162

 Editorial: Elsevier

 Año de publicación: 2023

 Nº de páginas: 13

 Tipo de publicación: Artículo de Revista

 DOI: 10.1016/j.gastrohep.2022.09.009

 ISSN: 0210-5705

 Url de la publicación: https://doi.org/10.1016/j.gastrohep.2022.09.009

Autoría

JOAQUIN CABEZAS GONZALEZ

AGUILERA, ANTONIO

BERENGUER, MARINA

BUTI, MARÍA

FORNS, XAVIER

GARCÍA, FEDERICO

GARCÍA-SAMANIEGO, JAVIER

HERNÁNDEZ-GUERRA, MANUEL

JORQUERA, FRANCISCO

LAZARUS, JEFFREY V.

LENS, SABELA

MARTRÓ, ELISA

PINEDA JUAN ANTONIO

PRIETO, MARTÍN

RODRÍGUEZ-FRÍAS, FRANCISCO

RODRÍGUEZ, MANUEL

SERRA, MIGUEL ÁNGEL

TURNES, JUAN

DOMÍNGUEZ-HERNÁNDEZ, RAQUEL