SUMMARY

Primary care providers can help prevent HBV infection and transmission by providing vaccination and identifying infected or exposed individuals for evaluation. All providers should counsel their HBV patients on measures to prevent progression of liver damage and transmission to others. Providers should monitor patients with acute or chronic hepatitis B infection for possible disease progression and/or complications. Unless they are experienced in managing patients with hepatitis B, providers should refer those with severe, protracted acute or active chronic hepatitis B, other liver disease, and/or a serious comorbidity to a specialist.