{"id":10907,"date":"2019-02-04T09:00:11","date_gmt":"2019-02-04T08:00:11","guid":{"rendered":"https:\/\/asscat-hepatitis.org\/?p=10907"},"modified":"2019-02-04T09:00:11","modified_gmt":"2019-02-04T08:00:11","slug":"actualitzacio-de-les-guies-de-practica-clinica-del-virus-de-lhepatitis-b-per-part-del-col%c2%b7legi-america-de-metges-i-els-centres-pel-control-i-prevencio-de-malalties","status":"publish","type":"post","link":"https:\/\/asscat-hepatitis.org\/ca\/actualitzacio-de-les-guies-de-practica-clinica-del-virus-de-lhepatitis-b-per-part-del-col%c2%b7legi-america-de-metges-i-els-centres-pel-control-i-prevencio-de-malalties\/","title":{"rendered":"Actualitzaci\u00f3 de les guies de pr\u00e0ctica cl\u00ednica del virus de l\u2019hepatitis B per part del Col\u00b7legi Americ\u00e0 de Metges i els Centres pel Control i Prevenci\u00f3 de Malalties"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243; disabled_on=&#8221;off|off|off&#8221; _builder_version=&#8221;3.0.106&#8243; custom_margin=&#8221;|||&#8221; custom_padding=&#8221;0px||0px|&#8221; next_background_color=&#8221;#000000&#8243;][et_pb_row custom_padding=&#8221;0px||0px|&#8221; _builder_version=&#8221;3.0.106&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_post_title author=&#8221;off&#8221; date_format=&#8221;d\/m\/Y&#8221; comments=&#8221;off&#8221; featured_placement=&#8221;background&#8221; text_background=&#8221;on&#8221; text_bg_color=&#8221;#ffffff&#8221; module_class=&#8221;ac-post-title-section-0&#8243; _builder_version=&#8221;3.0.106&#8243; title_font=&#8221;Montserrat|600|||||||&#8221; title_text_color=&#8221;#2d2d2d&#8221; title_letter_spacing=&#8221;-1px&#8221; title_line_height=&#8221;1.2em&#8221; meta_font=&#8221;Open Sans||||||||&#8221; meta_text_color=&#8221;rgba(45,45,45,0.5)&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;|||&#8221; custom_padding=&#8221;|20px|20px|20px&#8221; title_text_align=&#8221;center&#8221; meta_font_size=&#8221;13px&#8221; meta_text_align=&#8221;center&#8221;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_post_title][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; specialty=&#8221;on&#8221; _builder_version=&#8221;3.0.106&#8243; custom_padding=&#8221;0px|||&#8221; prev_background_color=&#8221;#000000&#8243; next_background_color=&#8221;#000000&#8243;][et_pb_column type=&#8221;2_3&#8243; specialty_columns=&#8221;2&#8243;][et_pb_row_inner admin_label=&#8221;Fila&#8221; _builder_version=&#8221;3.0.106&#8243;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Contenido Entrada 1&#8243; ul_type=&#8221;square&#8221; module_class=&#8221;ac-posts-content&#8221; _builder_version=&#8221;3.0.106&#8243; text_orientation=&#8221;justified&#8221; background_layout=&#8221;light&#8221;]<\/p>\n<h3>Els metges han de vacunar contra la infecci\u00f3 cr\u00f2nica pel virus de l\u2019hepatitis B en tots els adults no vacunats que tenen risc de la infecci\u00f3, incloent als seg\u00fcents:<\/h3>\n<ul>\n<li>Adults amb risc d\u2019exposici\u00f3 sexual (parelles sexuals de persones positives per a l\u2019antigen de superf\u00edcie de l\u2019hepatitis B, persones sexualment actives que no estan en una relaci\u00f3 m\u00fatuament mon\u00f2gama, persones que busquen valoraci\u00f3 o tractament d\u2019una infecci\u00f3 de transmissi\u00f3 sexual i homes que tenen relacions sexuals amb homes).<\/li>\n<li>Adults amb risc d\u2019exposici\u00f3 percut\u00e0nia o de mucosa a la sang (adults que s\u00f3n usuaris recents o actius de drogues injectables; contactes dom\u00e8stics de persones positives per a l\u2019antigen de superf\u00edcie de l\u2019hepatitis B; residents i personal de centres per a persones amb discapacitats del desenvolupament; treballadors d\u2019atenci\u00f3 m\u00e8dica, presoners i treballadors de seguretat p\u00fablica amb risc d\u2019exposici\u00f3 a sang o l\u00edquids corporals contaminats amb sang.<\/li>\n<li>Adults amb hepatopatia cr\u00f2nica, el que inclou, per\u00f2 no es limita a, la infecci\u00f3 pel virus de l\u2019hepatitis C, cirrosi, esteatosi hep\u00e0tica, hepatopatia alcoh\u00f2lica, hepatitis autoimmune i xifres d\u2019alanina aminotransferasa o aspartat aminotransferasa majors del doble que el l\u00edmit superior del normal.<\/li>\n<li>Adults amb nefropatia en etapa terminal, inclosos els que reben atenci\u00f3 predi\u00e0lisi, hemodi\u00e0lisi, di\u00e0lisi peritoneal i di\u00e0lisi en el domicili.<\/li>\n<li>Adults amb infecci\u00f3 per VIH.<\/li>\n<li>Dones embarassades que tinguin risc d\u2019infecci\u00f3 pel virus de l\u2019hepatitis B durant l\u2019embar\u00e0s (per exemple, que tinguin m\u00e9s d\u2019una parella sexual durant els sis mesos previs, que s\u2019han avaluat o tractat d\u2019una infecci\u00f3 de transmissi\u00f3 sexual, \u00fas de drogues injectables recent o actual, o que tenen una parella sexual positiva per a l\u2019antigen de superf\u00edcie de l\u2019hepatitis B).<\/li>\n<li>Viatgers internacionals a regions amb nivells alts o intermedis d\u2019infecci\u00f3 end\u00e8mica pel virus de l\u2019hepatitis B.<\/li>\n<li>Qualsevol adult que desitgi protecci\u00f3 contra la infecci\u00f3 pel virus de l\u2019hepatitis B.<\/li>\n<\/ul>\n<p>Els metges han de realitzar cribratge (antigen de superf\u00edcie de l\u2019hepatitis B, antic\u00f2s contra l\u2019antigen central de l\u2019hepatitis B, i antic\u00f2s contra l\u2019antigen de superf\u00edcie de l\u2019hepatitis B) per a la infecci\u00f3 pel virus de l\u2019hepatitis B en persones amb alt risc, incloent a aquelles nascudes en pa\u00efsos amb una prevalen\u00e7a del virus de l\u2019hepatitis B de 2% o m\u00e9s alta, homes que tenen relacions sexuals amb homes, persones que s\u2019injecten drogues, individus amb infecci\u00f3 per VIH, contactes dom\u00e8stics i sexuals de persones infectades pel virus de l\u2019hepatitis B, persones que requereixen tractament immunosupressor, individus amb nefropatia en etapa terminal (inclosos els pacients en hemodi\u00e0lisi), donants de sang i de teixit, persones infectades pel virus de l\u2019hepatitis C, persones amb xifres elevades d\u2019alanina aminotransferasa (\u226519 UI\/l\u00a0per a les dones i \u226530 UI\/l pels homes), presoners, dones embarassades i lactants nascuts de mares infectades pel virus de l\u2019hepatitis B.<\/p>\n<p>Els metges han de proporcionar assessoria i tractament dirigit a l\u2019hepatitis B despr\u00e9s de les proves a tots els pacients en qui s\u2019identifiqui el virus de l\u2019hepatitis B (positius per a l\u2019antigen de superf\u00edcie de l\u2019hepatitis B) o han de remetre\u2019ls per aix\u00f2.<\/p>\n<p>&nbsp;<\/p>\n<p>Font: <a href=\"https:\/\/espanol.medscape.com\/verarticulo\/5902306_6\">espa\u00f1ol.medscape.com<\/a><\/p>\n<p>Refer\u00e8ncia:<\/p>\n<p>Abara WE, Qaseem A, Schillie S, McMahon BJ, y cols. Hepatitis B Vaccination, Screening, and Linkage to Care: Best Practice Advice From the American College of Physicians and the Centers for Disease Control and Prevention.\u00a0<em>Ann Intern Med.<\/em>\u00a05 Dic 2017;167(11):794-804. doi: 10.7326\/M17-1106. PMID: 29159414.\u00a0<a href=\"http:\/\/annals.org\/aim\/fullarticle\/2664089\/hepatitis-b-vaccination-screening-linkage-care-best-practice-advice-from\">Art\u00edculo<\/a><\/p>\n<p>Phillips D. Clinical Guideline on HBV Released by ACP, CDC.\u00a0<em>Medscape News<\/em>. Publicado el 21 de noviembre de 2017. Disponible en:\u00a0<a href=\"https:\/\/www.medscape.com\/viewarticle\/888975\">https:\/\/www.medscape.com\/viewarticle\/888975<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;Fila&#8221; custom_padding=&#8221;0px|||&#8221; _builder_version=&#8221;3.0.105&#8243; custom_margin=&#8221;|||&#8221;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_post_title admin_label=&#8221;Metadatos &#8211; Fecha \u00daltima actualizaci\u00f3n&#8221; title=&#8221;off&#8221; author=&#8221;off&#8221; date_format=&#8221;d\/m\/Y&#8221; categories=&#8221;off&#8221; comments=&#8221;off&#8221; featured_image=&#8221;off&#8221; _builder_version=&#8221;3.0.106&#8243; title_text_align=&#8221;left&#8221; meta_font=&#8221;Open Sans||||||||&#8221; meta_text_align=&#8221;left&#8221; meta_font_size=&#8221;13px&#8221; meta_text_color=&#8221;#0082ca&#8221; border_width_top=&#8221;1px&#8221; border_color_top=&#8221;#cccccc&#8221; custom_margin=&#8221;50px|||&#8221; custom_padding=&#8221;10px|||&#8221; custom_css_before=&#8221;content:%22\u00daltima actualizaci\u00f3n:%22;&#8221; global_module=&#8221;3449&#8243; saved_tabs=&#8221;all&#8221;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_post_title][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_sidebar orientation=&#8221;right&#8221; area=&#8221;et_pb_widget_area_8&#8243; module_class=&#8221;ac-posts-sidebar&#8221; _builder_version=&#8221;3.0.106&#8243; global_module=&#8221;3198&#8243; saved_tabs=&#8221;all&#8221;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_sidebar][\/et_pb_column][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; _builder_version=&#8221;3.0.106&#8243; custom_padding=&#8221;||0px|&#8221; prev_background_color=&#8221;#000000&#8243; module_class=&#8221;ac-post-section-share-rrss&#8221;][et_pb_row custom_padding=&#8221;||0px|&#8221; custom_margin=&#8221;|||&#8221; _builder_version=&#8221;3.0.105&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_divider color=&#8221;#e20611&#8243; show_divider=&#8221;on&#8221; divider_style=&#8221;ridge&#8221; _builder_version=&#8221;3.0.106&#8243; \/][et_pb_text _builder_version=&#8221;3.0.106&#8243; text_font=&#8221;Montserrat||||||||&#8221; text_text_color=&#8221;#e20611&#8243; text_orientation=&#8221;center&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;|||&#8221; background_layout=&#8221;light&#8221; disabled=&#8221;on&#8221;]<\/p>\n<h5>Desde aqu\u00ed puedes compartir esta publicaci\u00f3n. \u00a1Gracias!<\/h5>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n<!-- Begin Yuzo --><div class='yuzo_related_post style-1'  data-version='5.12.77'><!-- without result --><div class='yuzo_clearfixed yuzo__title yuzo__title'><h3>Related Post<\/h3><\/div>\n\t\t\t\t\t\t  <div class=\"relatedthumb \" style=\"width:125px;float:left;overflow:hidden;\">  \n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t  <a  href=\"https:\/\/asscat-hepatitis.org\/ca\/el-hospital-vall-dhebron-pioner-al-trasplantar-un-fetge-per-una-malaltia-rara\/\"  >\n\t\t\t\t\t\t\t\t\t  <div class=\"yuzo-img-wrap \" style=\"width: 125px;height:90px;\">\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<div class=\"yuzo-img\" style=\"background:url('https:\/\/asscat-hepatitis.org\/wp-content\/uploads\/vall-hebron-1-150x150.jpg') 50% 50% no-repeat;width: 125px;height:90px;margin-bottom: 5px;background-size: cover; 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