Hepatitis D primary prevention
Hepatitis D |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Varun Kumar, M.B.B.S. [2]
Prevention
Protection against hepatitis D among drug users can be accomplished by vaccinating against hepatitis B. Since HDV infection requires that the person be co-infected with HBV, vaccinating against hepatitis B also confers immunity to hepatitis D. Some 3 to 4 percent of healthy recipients have no response to the hepatitis B vaccine.
- Prompt recognition and treatment of hepatitis B infection can help prevent hepatitis D.
- Avoid intravenous drug abuse. If you use IV drugs, avoid sharing needles.
- A vaccine is available to prevent hepatitis B. It should be considered by people who are at high risk for hepatitis B infection.
Primary Prevention
- Hepatitis B vaccination
- HBV-HDV coinfection
- pre or post-exposure prophylaxis (hepatitis B immune globulin or vaccine) to prevent HBV infection
- HBV-HDV superinfection
- education to reduce risk behaviors among persons with chronic HBV infection [1]
A child with known hepatitis D should be excluded if he or she exhibits any of the following:[2]
- Weeping sores that cannot be covered
- Biting or scratching behavior
- A bleeding problem
- Generalized dermatitis that may produce wounds or weepy tissue fluids
- Unable to participate in routine activities, needs more care than can be provided by staff, or meets other
exclusion criteria, such as fever with behavioral change
The child can be readmitted to a group setting when skin sores are dry or covered, when the child is cleared to return by a health professional, or when the child is able to participate in activities.