Patient's question:
A positive result was detected in October, which is causing me great distress. I'm unsure if it was caused by sharing utensils, as we all eat dinner at the cafeteria.Doctor's answer:
The main routes of hepatitis B transmission include horizontal transmission (mother-to-child transmission, father-to-child transmission), blood transmission, iatrogenic transmission, and sexual transmission. Currently, you have hepatitis B with a small positive, and the infectivity is relatively low. If your liver function is normal and HBV-DNA is also normal, it does not interfere with marriage and childbirth. During the stable period of the disease, you can marry and have children, but you must take preventive measures to cut off the transmission. Your partner is definitely required to get the hepatitis B vaccine. You should pay attention to regular check-ups and closely monitor your condition. If the alanine aminotransferase (ALT) is below twice the normal upper limit and HBV-DNA is below 10 to the 4th power, antiviral treatment should be implemented. If it does not exceed this treatment indication, treatment is not necessary at this time.