Hepatitis C secondary prevention: Difference between revisions
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{{Hepatitis C}} | {{Hepatitis C}} | ||
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==Overview== | |||
Patients who are diagnosed with chronic hepatitis C require vaccination against other hepatitis viruses, limiting of alcohol intake, and evaluation for other comorbid conditions in order to limit further hepatic damage. Patients should be instructed on how to avoid HCV transmission to others. | |||
==Secondary Prevention== | ==Secondary Prevention== | ||
Patients who are diagnosed with chronic hepatitis C require specific measures to limit further hepatic damage, and avoid progression to cirrhosis. Important measures include: | Patients who are diagnosed with chronic hepatitis C require specific measures to limit further hepatic damage, and avoid progression to cirrhosis. ''Important measures include:'' | ||
* Assessment of alcohol intake for all patients with HCV infection and advising limitation of alcohol | * Assessment of alcohol intake for all patients with HCV infection and advising limitation of alcohol | ||
* Behavioural alcohol reduction intervention in patients with moderate to high alcohol intake | * Behavioural alcohol reduction intervention in patients with moderate to high alcohol intake | ||
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* Immunization against other hepatitis viruses([[hepatitis A]] and [[hepatitis B]]) is highly recommended<ref name="aasld2014">AASLD/IDSA/IAS–USA. Recommendations for testing, managing, and treating hepatitis C. http://www.hcvguidelines.org. Accessed July 27, 2014.</ref><br> | * Immunization against other hepatitis viruses([[hepatitis A]] and [[hepatitis B]]) is highly recommended<ref name="aasld2014">AASLD/IDSA/IAS–USA. Recommendations for testing, managing, and treating hepatitis C. http://www.hcvguidelines.org. Accessed July 27, 2014.</ref><br> | ||
Precautions to prevent transmission to other individuals include:<ref name="who">World Health Organization (WHO) 2014. Guidelines for the screening, care and treatment of persons with hepatitis C infection.http://www.who.int/hiv/pub/hepatitis/hepatitis-c-guidelines/en/. Accessed online on July 24,2014.</ref> | ''Precautions to prevent transmission to other individuals include'':<ref name="who">World Health Organization (WHO) 2014. Guidelines for the screening, care and treatment of persons with hepatitis C infection.http://www.who.int/hiv/pub/hepatitis/hepatitis-c-guidelines/en/. Accessed online on July 24,2014.</ref> | ||
* Covering completely any cut or wound with a waterproof dressing would help in reduction of transmission of the virus | * Covering completely any cut or wound with a waterproof dressing would help in reduction of transmission of the virus | ||
* Ensuring that the injecting equipment is not shared | * Ensuring that the injecting equipment is not shared | ||
Revision as of 06:27, 28 July 2014
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Hepatitis C |
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Treatment |
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Hepatitis C secondary prevention On the Web |
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American Roentgen Ray Society Images of Hepatitis C secondary prevention |
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Risk calculators and risk factors for Hepatitis C secondary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Patients who are diagnosed with chronic hepatitis C require vaccination against other hepatitis viruses, limiting of alcohol intake, and evaluation for other comorbid conditions in order to limit further hepatic damage. Patients should be instructed on how to avoid HCV transmission to others.
Secondary Prevention
Patients who are diagnosed with chronic hepatitis C require specific measures to limit further hepatic damage, and avoid progression to cirrhosis. Important measures include:
- Assessment of alcohol intake for all patients with HCV infection and advising limitation of alcohol
- Behavioural alcohol reduction intervention in patients with moderate to high alcohol intake
- Maintaining a well balanced diet that is low in fat
- Evaluation for other conditions that may accelerate liver fibrosis, including HBV and HIV infections
- Immunization against other hepatitis viruses(hepatitis A and hepatitis B) is highly recommended[1]
Precautions to prevent transmission to other individuals include:[2]
- Covering completely any cut or wound with a waterproof dressing would help in reduction of transmission of the virus
- Ensuring that the injecting equipment is not shared
- Avoiding blood or organ donation
- Not sharing personal items such as toothbrushes or razors
- Engaging in protected intercourse whenever possible
There are no CDC recommendations to restrict a health care worker who is infected with HCV. The risk of transmission from an infected health care worker to a patient appears to be very low. All health care personnel, including those who are HCV positive, should follow strict aseptic technique and Standard Precautions, including appropriate hand hygiene, use of protective barriers, and safe injection practices.
References
- ↑ AASLD/IDSA/IAS–USA. Recommendations for testing, managing, and treating hepatitis C. http://www.hcvguidelines.org. Accessed July 27, 2014.
- ↑ World Health Organization (WHO) 2014. Guidelines for the screening, care and treatment of persons with hepatitis C infection.http://www.who.int/hiv/pub/hepatitis/hepatitis-c-guidelines/en/. Accessed online on July 24,2014.