%0 Journal Article
%9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES
%A Jourdain, Gonzague
%A Ngo-Giang-Huong, Nicole
%A Khamduang, W.
%T Current progress in the prevention of mother-to-child transmission of hepatitis B and resulting clinical and programmatic implications
%D 2019
%L fdi:010075690
%G ENG
%J Infection and Drug Resistance
%@ 1178-6973
%K hepatitis B ; mother-to-child transmission ; prevention ; antiviral ; resistance
%K MONDE ; THAILANDE ; CHINE
%M ISI:000467091700001
%P 977-987
%R 10.2147/idr.s171695
%U https://www.documentation.ird.fr/hor/fdi:010075690
%> https://horizon.documentation.ird.fr/exl-doc/pleins_textes/divers19-05/010075690.pdf
%V 12
%W Horizon (IRD)
%X There is currently no cure for hepatitis B chronic infections. Because new hepatitis B infections result mainly from perinatal transmission, preventing mother-to-child transmission is essential to reach by 2030 the goal of hepatitis B elimination set by the World Health Organization. The universal administration of hepatitis B vaccine to all infants, regardless of maternal status, starting with the birth dose, is the cornerstone of the strategy for elimination. Additional interventions, such as hepatitis B immune globulin administered to newborns and antiviral prophylaxis administered to hepatitis B infected pregnant women, may contribute to reaching the goal earlier. Hepatitis B immune globulin may remain out for reach of many pregnant women in low-and middle-income countries due to cost and logistic issues, but antivirals are cheap and do not require a cold chain for distribution. However, it has been observed that some viruses harbor mutations associated with escape from vaccine-elicited antibodies following immunization or administration of hepatitis B immune globulin. Also, resistance associated mutations have been described for several drugs used for treatment of hepatitis B infected patients as well as for the prevention of mother-to-child transmission. Whether these mutations have the potential to compromise the prevention of mother-to-child transmission or future treatment of the mother is a question of importance. We propose a review of important recent studies assessing tenofovir disoproxil fumarate for the prevention of mother-to-child transmission, and provides detailed information on the mutations possibly relevant in this setting.
%$ 052 ; 050