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ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 36 Issue 1
Jan.  2020
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Comments on “2019 Chinese practice guideline for the prevention and treatment of hepatitis B virus mother-to-child transmission”

DOI: 10.3969/j.issn.1001-5256.2020.01.013
  • Received Date: 2019-12-02
  • Published Date: 2020-01-20
  • 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.

     

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  • [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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