What are the transmission routes of?

Patient's question:

Check the two pairs of half are positive for the second and fifth items, i.e., hepatitis B surface antibody and core antibody are positive, which means there are antibodies. Six months later, I got the second dose of the vaccine. But I am still very worried because I am taking care of the baby myself. I pay close attention to my daily life, and often wash my hands in the freezing winter, even washing them until they break the skin. Whenever my hands get broken, I wear disposable gloves to hold the baby, which is very troublesome. My husband often comforts me, saying that daily life will never lead to infection, especially since the baby has antibodies. But I am still very worried, fearing that I might be negligent and pass it on to him. Hello, am I mentally ill? How should I touch the baby in daily life?

Doctor's answer:

The main route of transmission for hepatitis B is blood transmission. In general, close contact in daily life can lead to infection, so it's best to be cautious. However, transmissibility depends on your DNA copy number—the higher the copy number, the stronger the transmissibility. The lower the copy number, the less transmissible it is. In theory, close contact makes infection more likely, but in real-life situations, the possibility of transmission through general contact is not very high; blood infection is the main concern. For patients, if the condition of chronic hepatitis B with high viral load (HBeAg positive) is severe, immediate symptomatic treatment and appropriate medication are necessary, otherwise it may lead to a recurrence of chronic hepatitis B. Additionally, patients need to maintain a proper diet and stay in a positive mood.

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