Husband has mild COVID-19, other tests are normal, what should we do?

Patient's question:

My husband had a careful check in June and found a minor second positive. In January, he had a thorough check of liver function, which was normal, and the ultrasound was also good. But the viral DNA was 1.2e3. Is it serious? Does he need antiviral treatment?

Doctor's answer:

Dear Consultee,
Hepatitis B is a chronic infectious disease that is primarily spread through sexual contact, blood, and mother-to-child transmission. Based on your situation, it is likely that your condition is stable.
Recommendation: Generally, if the hepatitis B DNA level is higher than 1000, it is considered negative. In your case, with a level around 1200, there should not be a significant issue. You can wait and see, and perform periodic follow-up tests. If any abnormalities are detected, medication can be used for treatment.

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