对《中国乙型肝炎病毒母婴传播防治指南(2019年版)》的商榷

周乙华; 李彤; 庄辉

doi:10.3969/j.issn.1001-5256.2020.01.013

对《中国乙型肝炎病毒母婴传播防治指南(2019年版)》的商榷

DOI: 10.3969/j.issn.1001-5256.2020.01.013

1. 南京大学医学院附属鼓楼医院感染科
2. 北京大学基础医学院病原生物学系和感染病研究中心

详细信息

中图分类号: R714.251
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出版历程
- 收稿日期: 2019-12-02
- 出版日期: 2020-01-20

Comments on “2019 Chinese practice guideline for the prevention and treatment of hepatitis B virus mother-to-child transmission”

Department of Infectious Diseases,Nanjing Drum Tower Hospital,Nanjing University Medical School

摘要

摘要: 中华医学会感染病学分会和GRADE中国中心最近发布了《中国乙型肝炎病毒母婴传播防治指南(2019年版)》。该指南存在参考文献引用不当;对预防乙型肝炎病毒母婴传播的部分关键策略缺乏推荐意见;部分推荐意见证据不足或缺乏证据等问题。本着学术争鸣原则,本文对该指南提出一些管见,愿与作者和读者商榷。
- 乙型肝炎病毒 /
- 母婴传播阻断 /
- 乙型肝炎疫苗 /
- 乙型肝炎免疫球蛋白 /
- 抗病毒药
Abstract: Recently,the Society of Infectious Diseases of Chinese Medical Association and Chinese GRADE Center jointly released the“2019 Chinese practice guideline for the prevention and treatment of hepatitis B virus mother-to-child transmission”. We concerned several issues in the Guideline,including the improper citation of some references,no recommendations for some key strategies for the prevention of hepatitis B virus mother-to-child transmission,insufficient or even lack of evidence for some recommendations and others. Based on the principle of academic contention,we present in this article our comments on the Guideline to discuss these issues with the Guideline's authors and readers.
- hepatitis B virus /
- blocking mother-to-child transmission /
- hepatitis B vaccine /
- hepatitis B immunoglobulin /
- antiviral agents

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参考文献(12)

[1] Chinese Society of Infectious Diseases,Chinese Medical Association; Chinese GRADE Center. Guidelines for the prevention and treatment of mother-to-child transmission of hepati-tis B virus in China(version 2019)[J]. Chin J Infect Dis,2019,37(7):388-396.(in Chinese)中华医学会感染病学分会，GRADE中国中心．中国乙型肝炎病毒母婴传播防治指南(2019年版)[J]．中华传染病杂志，2019,37(7):388-396.

[2] CUI FQ,ZHUANG H. Achievements and prospects for preventing mother-to-child transmission of hepatitis B virus in newborns in China[J]. Chin J Viral Dis,2019,9(5):321-326.(in Chinese)崔富强，庄辉．我国新生儿乙型肝炎母婴阻断成就和展望[J]．中国病毒病杂志，2019,9(5):321-326.

[3] TERRAULT NA,LOK ASF,MCMAHON BJ,et al. Update on prevention,diagnosis,and treatment of chronic hepatitis B:AASLD 2018 hepatitis B guidance[J]. Hepatology,2018,67(4):1560-1599.

[4] European Association for the Study of the Liver. EASL 2017clinical practice guidelines on the management of hepatitis B virus infection[J]. J Hepatol,2017,67(2):370-398.

[5] Society for Maternal-Fetal Medicine(SMFM),DIONNEODOM J,TITA AT,et al. Hepatitis B in pregnancy screening,treatment,and prevention of vertical transmission[J]. Am J Obstet Gynecol,2016,214(1):6-14.

[6] SARIN SK,KUMAR M,LAU GK,et al. Asian-Pacific clinical practice guidelines on the management of hepatitis B:A 2015update[J]. Hepatol Int,2016,10(1):1-98.

[7] Chinese Society of Hepatology and Chinese Society of Infectious Diseases,Chinese Medical Association. The guideline of prevention and treatment for chronic hepatitis B:A 2015 update[J]. Clin J Viral Dis,2015,5(6):401-424.(in Chinese)中华医学会肝病学分会，中华医学会感染病学分会．慢性乙型肝炎防治指南(2015年更新版)[J]．中国病毒病杂志，2015,5(6):401-424.

[8] PENG S,WAN Z,LIU T,et al. Cesarean section reduces the risk of early mother-to-child transmission of hepatitis B virus[J]. Dig Liver Dis,2018,50(10):1076-1080.

[9] CHEN HL,CAI JY,SONG YP,et al. Vaginal delivery and HBV mother to child transmission risk after immunoprophylaxis:A systematic review and a meta-analysis[J]. Midwifery,2019,74:116-125.

[10] WESTIN J,ALEMAN S,CASTEDAL M,et al. Management of hepatitis B virus infection,updated Swedish guidelines[J].Infect Dis(Lond),2020,52(1):1-22.

[11] ARORA A,SINGH SP,KUMAR A,et al. INASL position statements on prevention,diagnosis and management of hepatitis B virus infection in India:The Andaman statements[J]. J Clin Exp Hepatol,2018,8(1):58-80.

[12] CHIEN RN,KAO JH,PENG CY,et al. Taiwan consensus statement on the management of chronic hepatitis B[J]. J Formos Med Assoc,2019,118(1 Pt 1):7-38.

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