Hepatitis A - General Care
- Provide the patient w/ a detailed explanation of his condition
- Provide clear, accurate, written information
- Patients must avoid food handling & unprotected sexual intercourse until they become noninfectious because transmission of hepatitis A is mainly by the oral-fecal route
- Screen for other sexually transmitted diseases (STDs) in cases of sexually acquired hepatitis or if otherwise appropriate
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Hepatitis B - General Care
Acute Hepatitis B
- Provide the patient w/ a detailed explanation of his condition
- Emphasize the disease’s long-term implications for their & their partners’ health
- Provide clear, accurate, written information
- Advise patients to avoid unprotected sexual intercourse, emphasize condom use
- Screen for other STDs in cases of sexually acquired hepatitis or if otherwise appropriate
Chronic Hepatitis B
- Provide the patient w/ a detailed explanation of his condition
- Emphasize the disease’s long-term implications for their & their partners’ health
- Provide clear, accurate, written information
- Abstinence or limited use of alcohol to prevent further liver injury
- Counseling regarding prevention of transmission of HBV
- Sexual transmission: Protected sexual intercourse ie condom use
- Perinatal transmission: Hepatitis B immune globulin (HBIG) & hepatitis B vaccine at delivery for babies of HBV-infected mothers
- Inadvertent transmission via environmental contamination from a blood spill
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Hepatitis C - General Care
- Provide the patient w/ a detailed explanation of his condition
- Emphasize the disease’s long-term implications for their & their partners’ health
- Provide clear, accurate, written information
- Advise patient not to donate blood, semen or organs
- Advise patient to avoid sharing items of personal hygiene eg toothbrushes, shaving equipment
- Counsel patient to stop using illicit drugs
- Advise patient regarding sexual transmission
- HCV is not considered to be a sexually transmitted disease, but sexual promiscuity, HIV & herpes simplex virus (HSV-2) co-infections are associated w/ sexual transmission of hepatitis C
- Avoid unprotected sex during menstruation
- Advise patient regarding the potential deleterious effect of alcohol esp in association w/ development of HCC, progression of liver fibrosis & increase in HCV replication
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Hepatitis D - General Care
- Provide the patient w/ a detailed explanation of his condition
- Emphasize the disease’s long-term implications for their & their partners’ health
- Provide clear, accurate, written information
- Advise patients to avoid unprotected sexual intercourse
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Hepatitis E - General Care
- Provide the patient w/ a detailed explanation of his condition
- Provide clear, accurate, written information
- Patients must avoid food handling & unprotected sexual intercourse until they become noninfectious because transmission of hepatitis A is mainly by the oral-fecal route
- Screen for other sexually transmitted diseases (STDs) in cases of sexually acquired hepatitis or if otherwise appropriate
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