Exam4 pt 2 Flashcards
What communities have a higher rate of HepA?
alaska natives, american indians
What is the recommended schedule for HepA vax for children and adolescents
3 doses, at 0, 1, and 6-12 mo
What is the recommended schedule for HepA fax for adults
0, 6-12 mo
How long can HepA live outside of the body?
Can live outside the body for months, depending on the enviornment
How is HepA inactivated?
heating to 185 degrees for 1 min
Can HepA be present in cooked food?
yes if exposed after vooking
What inactivated HepA in the water supply?
adequate chlorination
How soon after exposure should a person exposed to HepA be vaccinated in order to be protected?
within 14 days
What is the source of Hep B?
blood, blood derived body fluids
What is the route of transmission for HepB?
percutaneous permucosal
Is HepB chronic?
yes
How is HepB prevented?
pre/post exposure immunixation
What family is HepB in?
Hepadnaviridae, mammilan genus
What is the structure of HepB
enveloped icosahedrol
What is the genome of HepB like
ds and ss DNA together
What proteins are in HepB virion
reverse transriptase, DNA pol, RNase
What type of hepatitis does HepB cause?
Serum hepatitis
How is HepB transmitted?
sexual, parenteral, perinatal
Which Hep is associated with liver cancer?
HepB, HepC
What types of vaccines are available for HepB
Serum derived and recombinant produced vaccine
what is the replication cycle of HepB
DNA, ccDNA, pregenome RNA, RNA?DNA to genomic ssDNA/dsDNA
What are the infection outcomes of acute HepB
subclinical, iceteric heptitis
What are the chronic infection outcomes for HepB
asymptomatic, chronic persisent hepatitis, chronic active hepatitis (hepatocellular carcinoma)
What is the incubation period of HepB
60-90 days
Who with a Hepb infection tends to be jaundice?
those older than 5
Which Hep threatens to wipe out two amazon tribes?
HepB
Where is the highest concentration of HepB found in body fluids?
high in blood, serum ,and wounds
Which body fluids have a moderate amount of HepB
semen, vagianl fluid, saliva
What is the elimination strategy for HepB?
prevent perinatal HBV transmission, routine vac, fax children in high risk groups,
What drug may be effective for HepB?
AIDS drugs
What plant was GMOed to produce Hep B vaccine?
carrots
What is the source of Hep C infections
blood, blood derived fluids
What is the route of transmission for Hep C?
percutaneous permucosal
is HepC chronic?
yes
how do you prevent HepC?
blood donor screening, risk behavior modification
What is the most common blood borne infection in the US
HepC
What fam is HepC in?
flaviviridae, hepacivurs genus
What is the morphology of HepC
eneloped icosahedral
What is the genome of HepC
+ssRNA
How is HepC trasnmsitted?
blood transfusion, IV drugs, sex