Hepatits Flashcards
HBV
Serum
IgM anti-HAV
Recent HAV infection
Dane particle
Another name for HBV
Etiologic agent for hepatitis B
HbsAg
Surface marker in acute disease and carrier state
anti-HBs
Indicates:
Active immunity to HBV (past infection)
Passive immunity from HBIG
Immune response from HB vaccine
HbeAg
Hepatitis B e antigen
High infectivity
anti-Hbe
Low titer HBV (low degree infectivity)
anti-HBc
antibody to hepatitis B core antigen
indicates prior HBV infection
IgM anti-HBc
IgM class antibody to hepatitis B indicates recent HBc infection
HBV-DNA
DNA of HBV
detected by nucleic acid amplification
HAV transmission
fecal-oral route
waterborne and food-borne
blood
HAV fecal-oral route of transmission
most common transmission
through close contact in unsanitary conditions
HAV waterborne and food-borne transmission
epidemics may occur when sanitation is inadequate.
contaminated water
infected food handlers
HAV blood transmission
earliest days of active disease the blood contains transient hepatitis A viruses
transmission by blood transfusion is rare
HAV incubation
15-50 (or 45?) with an average of 30 days
HBV transmission
blood and other body fluids
perinatal transmission
HBV transmission: blood and other body fluids
nearly all body fluids carry virus, but only blood, saliva, semen, and vaginal fluids have been shown to be infectious
HBV viruses have been found in
gingival sulcus fluid menstrual blood tears urine perspiration nasopharyngeal secretions
HBV transmission by percutaneous and permucosal exposure
percutaneous (intravenous, intramuscular, subcutaneous)
accidents w/ needle stick or other sharp instruments
perinatal exposure
contaminated needles
sexual exposure
infection from blood transfusion & blood products (rare b/c all donors are screened)
HBV transmission by perinatal transmission
pregnancy: transmission of virus to fetus can occur & newborn exposed during birth
infant infected @ high risk for chronic infection liver disease or liver cancer
HBV incubation
45-180 days
HCV incubation
14-180 days or 1-6 months
HCV transmission
percutaneous exposure (contaminated needles or syringes, plasma derivatives, transfusion, accidental needle stick)
has been demonstrated in saliva
nonpercutaneous route include sexual transmission and perinatal exposure
HDV transmission
direct exposure to contaminated blood and serous body fluids
contaminated needle and syringes
sexual contacts
perinatal transfers
HEV incubation
15-60 days
HEV transmission
contaminated water
person-to-person by fecal-oral route