Title : How I Manage Low-Level Viremia in Patients Receiving HBV Therapy
link : How I Manage Low-Level Viremia in Patients Receiving HBV Therapy
How I Manage Low-Level Viremia in Patients Receiving HBV Therapy
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How I Manage Low-Level Viremia in Patients Receiving HBV Therapy
Robert S. Brown, Jr., MD, MPFrequently, we see patients with test results reporting detectable but not quantifiable HBV levels, and I do not worry about these patients. In fact, many of these nonquantifiable readings are likely false positives.
However, I become concerned if the low-level viremia is quantifiable, even though this finding is much rarer in my practice. Although during the last 5 years the clinical community shifted from frequent use of combination therapy to monotherapy with entecavir or tenofovir even with intermittent low-level viremia, recent data indicate that quantifiable low-level viremia may be associated with worse outcomes, particularly in patients with cirrhosis....
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