@article {108,
	title = {Liver transplant from Anti-HBc-positive, HBsAg-negative donor into HBsAg-negative recipient: is it safe? A systematic review of the literature},
	journal = {Clinical Transplantation},
	volume = {24},
	year = {2010},
	month = {2010},
	pages = {735 - 746},
	abstract = {Abstract: Introduction:  After liver transplant (LT) from Anti-HBc+/HBsAg- donors into HBsAg- recipients, transmission of hepatitis B virus (HBV) may occur (de novo HBV infection). This study analyzes the incidence of de novo HBV infection in HBsAg- recipients of Anti-HBc+/HBsAg- LT with respect to: (i) the recipients{\textquoteright} HBV serology and (ii) the type of preventive therapy adopted. Methods:  A systematic review of the literature using the electronic database Medline. Results:  Five hundred and fifty-two LT in 36 articles were selected. Lamivudine, Hepatitis B immune globulin (HBIG), revaccination, and combined therapies were employed in multiple strategies as preventive interventions. Na{\"\i}ve recipients had a high risk of de novo HBV infection, with smaller incidences when HBIG and lamivudine were used, either alone or in association. Vaccinated recipients or those with isolated hepatitis B core antibodies (Anti-HBc) and previous HBV infection had lower risks of viral transmission, additionally reduced by any prophylaxis adoption. Discussion:  LT from Anti-HBc+/HBsAg- donors into HBsAg- recipients is apparently safe, as long as the recipient is vaccinated or presents an isolated Anti-HBc or previous HBV infection and some prophylaxis is employed. Currently lamivudine seems the best alternative; other nucleoside analogs and revaccination strategies should be considered in future studies. Follow-up and preventive therapies should be maintained for five yr or preferably throughout the recipients{\textquoteright} life span.},
	keywords = {* expanded donor pool, * hepatitis B virus, * liver transplant, * prophylaxis, * serology},
	author = {Avelino-Silva, VI, D'Albuquerque LAC, Bonazzi PR, Song ATW, Miraglia JL, de Brito Neves A,Abdala E.}
}
