Abstract
This article describes 14 cases of donor-derived hepatitis B virus infection in liver transplant recipients despite the donors having had negative testing for hepatitis B prior to organ procurement. The majority of the involved donors were also seropositive for hepatitis C and had a history of injection drug use. This report underscores the need for serial posttransplant hepatitis B testing of recipients, even when initial donor and recipient testing is negative, and the importance of pretransplant hepatitis B vaccination in transplant candidates.
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