Hepatitis



Hepatitis















Table 54-1 Viral Hepatitis: Important Characteristics



























































































































Characteristic


Type A


Type B


Type C


Type D


Type E


Mode of transmission


Water-borne
Fecal-oral
Venereal


Perinatal
Blood/skin
Venereal


Venereal
Blood/skin


Venereal
Blood


Water-borne
Fecal-oral


Incubation period (range in days) average


15 to 42


42 to 160


14 to 160


28 to 49


14 to 56


30


90


50


35


40


Onset


Abrupt


Insidious


Insidious


Insidious


Abrupt


Symptoms



Fever


Common


Uncommon


Uncommon


Common


Common



Nausea/vomiting


Common


Common


Common


Common


Common



Jaundice


More common in adults than children


Occasionally


Uncommon


Common


Common


Outcome



Severity


Mild


Moderate


Mild


Moderate to Severe


Severe



Fulminating hepatitis


>.5%


<1%


Rare


3% to 4% with coinfection with hepatitis B


.3% to 3% 20% in pregnant women


Mortality rate


Low (<1%)


Low (1% to 3%)


Low (2%)


High (5%)


Moderate; high with pregnancy


Chronic hepatitis


No


Yes (5% to 10%)


Yes (80%)


<5% with coinfection 80% with superinfection


No


Carrier state


No


Yes (1 million in United States)


Yes


Yes


No


Relapse


Yes


Yes


Persistent


Unknown


Unknown


Carcinoma


No


Yes (25% to 40%)


Yes (25% to 30%)


No increase above that for hepatitis B


Unknown but not likely


Develop cirrhosis


No


40%


30%


Yes, with superinfection


No










Table 54-2 Clinical Manifestations of Hepatitis









Prodromal phase: viral symptoms such as nausea, vomiting, malaise, anorexia, low-grade fever, headache; 2 weeks after exposure to virus, which ends with the onset of jaundice


Icteric phase: jaundice, dark tea-colored urine or clay-colored stools, hepatomegaly and right upper quadrant pain; begins 1-2 weeks after prodromal phase and lasts up to 6 weeks


Recovery phase: resolution of jaundice approximately 6-8 weeks after exposure; liver may remain enlarged for up to 3 months

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Oct 21, 2016 | Posted by in NURSING | Comments Off on Hepatitis

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