Viral Hepatitis Flashcards
What is hepatitis?
Inflammation of the liver caused by infectious or non infectious diseases
What are the infectious dx that cause hepatitis?
Viral
Bacteria
What are the non infectious dx that cause hepatitis?
Drugs
Toxins
Alcohol
Hepatitis A belongs to which family?
Picornaviridae
Hepatitis b belongs to which family?
Hepadnaviridae
Hepatitis c belongs to which family?
Flaviviridae
Hepatitis d belong to which family?
Deltaviridae
Hepatitis E belongs to?
Hepeviridae or Caliciviridae
Hepatitis G belongs to?
Flaviviridae
What does HBV cause?
Polyartertis nodosa
Hepatocellular carcinoma
Infection with HBV is identified by the presence of which antigen?
HBsAg
There are 8 genotypes of HBV. Genotype A is found in?
India, Burundi
Genotype B is found in?
China, East Asia
Genotype C is found in?
China, Bangladesh
Genotype D is found in?
Iran, Tunisia
Genotype E is found in?
Senegal, Nigeria
Genotype F is found in?
Columbia, Venezuela
Genotype G is found in?
United States
If mother is positive for HBsAg and HBeAg, what happens to the infants?
70-90% of infants infected.
90% become chronic carriers.
If mother is positive for only HBsAg, what happens to infants?
<10% of infants infected.
90%become chronic carriers
Avg incubation period for hepatitis B is?
120days.
What are the serologic tests for HBV?
HBsAg test
Anti HBsAg
Anti Hbc
What are the approved drugs for hbv?
Interferon alpha 2b
Lamivudine
Entecavir
Adefovir
Telbivudine
Tenofovir
What is the epidemiology for Hcv?
200million infected globally
2.3 million people infected each year worldwide
What is the mode of transmission of Hcv?
Blood born virus with low risk of sexual transmission.
Transmission.. Nosocomial, genital mutilation, ritual sacrifice etc
What are the risk factors for Hcv?
Injection drug abuse.
Dental surgery
Therapeutic injection
Intravenous drug
What is the pathogenesis of Hcv?
They have a predilection for hepatocytes.
They reach the hepatocytes through the sinusoids.
Complex interactions on the surface of hepatocytes leads to endocytosis of viral particle aided by clarthin.
The rna is released into the cytoplasm.
Replication is dependent on liver specific microRNA 122.
What are the IPC measures for hepatitis treatment?
Vaccine for hav hbv and hev
Treatment of acute cases of Hcv
Avoid needle stick injury
Safe blood transfusion by proper screening of blood
Sterilisation of medical devices, equipment etc