Hepatitis A Flashcards
How is Hepatitis A transmitted?
through oral-fecal route
What is average incubation period?
28 days
What test do we look for with acute hepatitis A?
Anti-HAV (IgM) for acute illness
What test do we look for with resolved hepatitis A?
Total anti-HAV (IgG and IgM) for recovery
Who do we vaccinate for hepatitis A and B virus?
Sexual and household contacts
Health care workers, first responders
Diabetics
Risk groups: STD clinics, HIV counseling/testing sites, correctional facilities, drug treatment clinics
How many doses of hepatitis A vaccine do you need?
2 doses
What are side effects usually seen after hepatitis A vaccine?
soreness at injection site (50%), headache (15%)
How soon do we need to treat a person with Postexposure Prophylaxis of hepatitis A?
within 2 weeks of exposure
What do we give an individual exposed to hepatitis A who is less than 40 years old?
over 18 months and under age 40, in good health: hepatitis A vaccine
What do we give an individual exposed to hepatitis A who is more than 40 years old?
if under 18 months and over 40, health problems: immune globulin (passive protection)
What do we give an individual exposed to hepatitis A who is in a high risk group?
both vaccine and immunoglobulin.
What are some signs/symptoms that can be seen in children with hepatitis A infection?
Preicteric phase
Fever, nausea, vomiting, digestive complaints, abdominal complaints
Jaundice phase
Occurs after preicteric phase
Urine darkens and stools become clay-colored
Diarrhea in infants, constipation in older children