Hepatitis vaccination in patients with chronic liver diseases
Journal | Volume 63 - 2000 |
Issue | Fasc.1 - Expert Point of View |
Author(s) | P.P. Michielsen, P. Van Damme |
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(1) Division of Gastroenterology and Hepatology; (2) Division of Epidemiology and Community Medicine, Centre for the Evaluation of Vaccination, WHO Collaborating Centre for Prevention and Control of Viral Hepatitis Faculty of Medicine, University of Antwerp, Belgium. |
Infection with the hepatitis A virus (HAV) results in a self-limited disease, which does not become chronic. When acquired in adulthood, serious morbidity and even mortality can occur. Hepatitis B virus (HBV) infection, in contrast, can result in chronic carriership in 5-10% of infected adult patients. Hepatitis C virus (HCV) infection leads to chronicity in a majority of patients. Inactivated hepatitis A vaccine and recombinant hepatitis B (HB) vaccine have been extensively studied and shown to be safe and efficacious in preventing infection. In recent years, several studies investigated the outcome of HAV or HBV infection in patients with chronic liver disease (CLD) and the rationale of vaccinating these patients against HAV and HBV was discussed. |
© Acta Gastro-Enterologica Belgica. |