good day..sir may i ask about the hepatitis b ...my question is why the non reactive hepatitis b is always failed if taking a medical result for work.the dr. said no meds for it but it can transmit to another.
Hi, not quite sure about what you are asking but it may be regarding 1 of 2 things:
If it is response to hepatitis B vaccine? It is true that up to one third of people may not develop antibodies after vaccination against hepatitis B. Usually we would repeat the vaccine series and have found that using a higher (double) dose produces better antibody levels. Also repeating vaccination after HIV is suppressed and CD4 counts increased may yield better results
The other possibility may be PreCore mutant hepatitis B in which certain parts of heptitis B (e Antigen) are not found in the blood, but a erson may have hepatitis B (detectable by viral load or DNA levels) and have evidence of liver disease. Hepatitis B can be transmitted under these conditions. Treatment with tenofovir + either lamivudine or emtricitabine as part of HIV combination may help suppress the hep B as well.