{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T15:04:16Z","timestamp":1789916656217,"version":"4.0.1"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,3,15]],"date-time":"2021-03-15T00:00:00Z","timestamp":1615766400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Viral Hepatitis"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Hepatitis B virus (HBV) is a highly infectious bloodborne virus, which remains endemic in large geographic areas and represents a major global healthcare challenge. HBV transmission from healthcare workers, who perform exposure prone procedures (EPP), to patients is a recognized transmission risk, which varies widely globally. Although the risk is small in developed countries, it increases significantly in high\u2010prevalent, low\u2010resource countries, representing a major challenge to these healthcare systems and underlining the necessity for robust guidance to be in place. The HBV landscape has evolved as a result of global vaccination programs, implementation of standard precautions and the advent of new generation antiviral agents (3rd generation nucleos(t)ide analogues). In light of the progress in the field, the UK Advisory Panel for Healthcare Workers Infected with Bloodborne Viruses (UKAP) recently issued updated guidance, which essentially removes past barriers, restricting healthcare workers from performing EPPs solely on the basis of HBV DNA level, regardless of hepatitis B \u2018e\u2019 antigen and\/or treatment status. Although the current recommendations remain conservative compared to those of other developed healthcare systems, UK practice is now in line with other high\u2010income countries, while ensuring patient safety remains paramount, without unduly restricting HCWs from clinical practice. The current article presents the latest UKAP guidance, considers its implications for HCWs and compares it with the guidance from major international scientific societies and governing bodies.<\/jats:p>","DOI":"10.1111\/jvh.13494","type":"journal-article","created":{"date-parts":[[2021,3,5]],"date-time":"2021-03-05T07:00:35Z","timestamp":1614927635000},"page":"976-981","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Clinical and occupational health management of healthcare workers living with chronic hepatitis B: UK policy and international comparisons"],"prefix":"10.1111","volume":"28","author":[{"given":"Grace E.","family":"Dolman","sequence":"first","affiliation":[{"name":"Barts Liver Centre Immunobiology Blizard Institute Barts and The London School of Medicine and Dentistry Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2637-3847","authenticated-orcid":false,"given":"Apostolos","family":"Koffas","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology General University Hospital of Larisa  Larisa Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Phipps","sequence":"additional","affiliation":[{"name":"Blood Safety Hepatitis STI and HIV Division National Infection Service Public Health England  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick T.F.","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Barts Liver Centre Immunobiology Blizard Institute Barts and The London School of Medicine and Dentistry Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,15]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"PHE.Integrated guidance on health clearance of healthcare workers and the management of healthcare workers living with bloodborne viruses (hepatitis B hepatitis C and HIV). London.2020."},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.4254\/wjh.v7.i3.488"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-97-3-367"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1386-6532(03)00087-8"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2017.03.021"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jvh.12613"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2017.11.039"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.2307\/30142367"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1997.00440430083010"},{"key":"e_1_2_12_11_1","unstructured":"Communicable Disease Network Australia (CDNA).Australian national guidelines for the management of healthcare workers living with blood borne viruses and healthcare workers who perform exposure prone procedures at risk of exposure to blood borne viruses https:\/\/www1.health.gov.au\/internet\/main\/publishing.nsf\/Content\/cda\u2010cdna\u2010bloodborne.htm; 2018 [accessed 18 October 2020]."},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis869"},{"issue":"3","key":"e_1_2_12_13_1","first-page":"1","article-title":"Updated CDC recommendations for the management of hepatitis B virus\u2010infected health\u2010care providers and students","volume":"61","author":"Holmberg SD","year":"2012","journal-title":"MMWR Recomm Rep"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2020.458"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.antiviral.2003.08.014"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.2006.032334"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.03.001"},{"key":"e_1_2_12_18_1","unstructured":"WHO.Global Health Sector Strategy on Viral Hepatitis 2016\u20132021: Towards ending viral hepatitis.2016."},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jegh.2016.04.003"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiph.2012.02.005"},{"issue":"5","key":"e_1_2_12_21_1","doi-asserted-by":"crossref","first-page":"337","DOI":"10.7196\/SAMJ.6452","article-title":"South African guideline for the management of chronic hepatitis B: 2013","volume":"103","author":"Spearman CW","year":"2013","journal-title":"S Afr Med J"}],"container-title":["Journal of Viral Hepatitis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jvh.13494","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jvh.13494","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jvh.13494","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T17:13:55Z","timestamp":1693415635000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jvh.13494"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,15]]},"references-count":20,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1111\/jvh.13494"],"URL":"https:\/\/doi.org\/10.1111\/jvh.13494","archive":["Portico"],"relation":{},"ISSN":["1352-0504","1365-2893"],"issn-type":[{"value":"1352-0504","type":"print"},{"value":"1365-2893","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,15]]},"assertion":[{"value":"2020-11-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}