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USPSTF 2019 recommends screening for hepatitis B infection in pregnant women (A recommendation)
Clinical Question
Should primary care clinicians screen for hepatitis B virus infection in pregnant women?
Bottom line
In this updated 2019 review, the U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen for hepatitis B virus (HBV) in pregnant women at their first prenatal visit (A recommendation). This recommendation reaffirms the 2009 USPSTF recommendation statement. 2c
Reference
Study design: Practice guideline
Funding: Government
Setting: Population-based
Synopsis
The task force previously found adequate evidence that available HBV serologic tests are highly accurate in diagnosing HBV infection. In addition, current interventions—including vaccination of all infants against HBV infection and providing postexposure prophylaxis with hepatitis B immune globulin at birth to infants of mothers infected with HBV—are effective for preventing perinatal transmission and subsequent chronic HBV infection. Although no studies were found that directly evaluated HBV screening vs no screening, observational studies have shown that, over time, perinatal transmission has decreased among women and infants enrolled in screening and case management. The task force found no evidence of direct harm from screening. The Centers for Disease Control, the American College of Obstetricians and Gynecologists, and the American Academy of Family Physicians recommend screening for HBV infection in pregnant women at their first prenatal visit.
Reviewer
David C. Slawson, MD
Professor and Vice Chair of Family Medicine for Education and Scholarship
Atrium Health
Professor of Family Medicine, UNC Chapel Hill
Charlotte, NC
Comments
American Academy of Family Physician recommends screening on HBV
Dear Respected Team-CMA-Canada,
Thank you dear respected Team for your all kinds of cooperation to me .
I have read the above discussions on HBV infection towards well coming SCREENING. SCREENING is very important due to patients/clients HBV infection in pregnant duration/times.
We should observe it with great mind..
Good Heath to global patients/clients.
Respectfully.
Dr.Muhammad Arif Rana.
Global Family Doctor (LDM-224)-WONCA at SIG Based in Manikganj-Bangladesh.
Health Professional-52698- MDS-USA.
International Resident Member-SRPC- Canada.
International Resident Member(IMG)-CMAID-680777-CMA-Canada.
Email;muhammadarifrana3@gmail.com
Manikganj-Bangladesh.
Date : October 16-2019-Wednesday.02:58 PM.
(With heartiest wishes and Respectfully)