Jiao Chengsong, deputy chief physician of the Department of Infectious Diseases, Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, PhD in liver disease at the Fourth Military Medical University, postdoctoral fellow in molecular v

Jiao Chengsong

Deputy Chief Physician, Department of Infectious Diseases, Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology

Fourth Military Medical UniversityHepatology Major PhD, postdoctoral fellow in molecular virology, Academy of Military Medical Sciences.

has been engaged in internal medicine and infectious diseases for 28 years since 1982. He has worked in the 546th Hospital of the People's Liberation Army, the Second Military Medical University, the Fourth Military Medical University, the Academy of Military Medical Sciences, and the Wuhan General Office of the Guangzhou Military Region. Hospital and Tongji Hospital , thus accumulating rich clinical experience.

is good at the diagnosis and treatment of various liver diseases, unexplained fever and other difficult and complicated diseases.

Text of the interview

A liver friend asked: I have a minor triple positive of hepatitis B and have been taking tenofovir (TDF) for more than two years. What should I do now that my employer requires me to take the new crown vaccine?

Answer: Patients with chronic liver disease (including patients with chronic viral hepatitis and various non-infectious chronic liver diseases) can get the COVID-19 vaccine if their liver function is normal or basically normal and they have no other contraindications to vaccination. No need to stop taking medication.

Liver friend asked: Doctor, hello, I have been suffering from chronic hepatitis B for many years and have been taking antiviral treatment. Now I am pregnant. I have replaced the drug with tenofovir (TDF) one year before pregnancy. I continue to take tenofovir (TDF) while pregnant. Fuwei (TDF), can I breastfeed in this case?

Answer: Studies have shown that persistent hypoviremia increases the risk of disease progression, such as fibrosis, cirrhosis, and even progression to HCC. Based on your current situation, you can continue to choose spleen shrinking and anti-cirrhosis drugs, but you cannot stop taking antiviral drugs without authorization. It is recommended to consult a specialist and adjust the treatment plan according to the actual situation. Hepatitis B vaccine booster shots are available.