Chronic hep B carrier and HIV infection
Sep 8, 2011
Hi, i just got diagnosed with HIV. I am a chronic hepatitis B carrier since birth. Is there any important points that i should take note of?
Response from Dr. McGovern
1. You should be tested for hepatitis A and C. If never exposed to hepatitis A, you should be vaccinated.
2. You should be tested for hepatitis B DNA to see if you are an active versus inactive carrier. You should also have testing for hepatitis e antigen.
3. If you have virus in your bloodstream, you should initiate antiretroviral therapy (ART) that includes drugs active against hepatitis B and HIV. Atripla would be an excellent choice because it includes tenofovir and emtricitabine, which are active against both viruses.
4. Your partner or partners should be vaccinated against hepatitis B if never exposed.
5. You should have regular ultrasounds of your liver and an alfa feto protein test about every six months.
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