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Question
Hello doctor,
I am 47 years old male. I have been infected with hepatitis B virus for more than 10 years. On 11/11/2020, I went to the doctor with the following test results: HBsAg: POS S/CO 1698, HBeAg: NEG S/CO 0.317, Anti HCV: NEG S/CO 0.035, ALT: 52.73, AST: 39.77 , GGT: 55.44. Taqman HBV DNA Molecular Biology: <_ 250 <_ 2.4 Log10. The doctor asked me if I need to take anti-viral drugs for chronic hepatitis B? Thank you doctor.
Vo Phong Van (1989)
Answer
Hello,
To the question: “Does chronic hepatitis B need to take antiviral drugs? The doctor's answer is as follows:
According to the results you provided, HBsAg positive corresponds to chronic hepatitis B. A negative HBeAg means that even though you are infected with the hepatitis B virus, the virus is in a stable state, not replicating. HBV-DNA measures a subthreshold load.
Anti-HCV negative means you are not co-infected with hepatitis C virus. ALT is slightly elevated (normal limit: <50), but not twice the upper limit of normal. AST is in the normal range. As such, you are generally in the dormant stage of chronic hepatitis B infection. With the current tests you provide, your hepatitis B infection does not meet the criteria for antiviral treatment.
If you still have questions about how to treat chronic hepatitis B, you can go to the hospitals of Vinmec Health System to be examined and consulted by a doctor. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
Answered by Doctor Nguyen Thi Thuy Hang - Doctor of Microbiology - Laboratory Department - Vinmec Times City International General Hospital.
