HEPATITIS A VIRUS EVENTS IN HEPATITIS A VIRUS
- Slides: 13
HEPATITIS A VIRUS
EVENTS IN HEPATITIS A VIRUS INFECTION Clinical illness Infection ALT Response Ig. M Ig. G Viremia HAV in stool 0 1 2 3 4 5 6 Week 7 8 9 10 11 12 13
CONCENTRATION OF HEPATITIS A VIRUS IN VARIOUS BODY FLUIDS Body Fluids Feces Serum Saliva Urine 100 102 104 106 Infectious Doses per m. L Source: Viral Hepatitis and Liver Disease 1984; 9 -22 J Infect Dis 1989; 160: 887 -890 108 1010
HEPATITIS A INCIDENCE UNITED STATES AND NATIVE AMERICANS 1990 -2001 Vaccine Licensed Native American United States Source: NNDSS, CDC ACIP Recommendation
GEOGRAPHIC DISTRIBUTION OF HEPATITIS A VIRUS INFECTION
Hepatitis B Virus
Acute Hepatitis B Virus Infection with Typical Recovery Serologic Course Symptoms anti-HBe HBe. Ag Total anti-HBc Titer HBs. Ag 0 4 8 anti-HBs Ig. M anti-HBc 12 16 20 24 28 32 36 Weeks after 52 100
Progression to Chronic Hepatitis B Virus Infection Typical Serologic Course Acute (6 months) Chronic (Years) HBe. Ag anti-HBe HBs. Ag Total anti. HBc Titer Ig. M anti-HBc 0 4 8 12 16 20 24 28 32 36 Weeks after Exposure 52 Years
Geographic Distribution of Chronic HBV Infection HBs. Ag Prevalence ³ 8% - High 2 -7% - Intermediate <2% - Low
Cases per 100, 000 Population 80 Estimated Incidence of Acute Hepatitis B United States, 1978 -1995 HBs. Ag Vaccine licensed 70 60 Infant screening of pregnant immunizatio n women recommended recommend ed OSHA Rule enacted 50 Adolescent immunizatio n recommend ed 40 30 20 10 0 * Decline among homosexual injecting men & drug users HCWs 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 * Provisional date Year
Serologic Pattern of Acute HCV Infection with Recovery anti. HCV Symptoms +/- Titer HCV RNA ALT Normal 0 1 2 3 4 Months 5 6 1 2 3 Years Time after Exposure 4
Serologic Pattern of Acute HCV Infection with Progression to Chronic Infection anti. HCV Symptoms +/- Titer HCV RNA ALT Normal 0 1 2 3 4 Months 5 6 1 2 3 Years Time after Exposure 4
Posttransfusion Hepatitis C All volunteer donors HBs. Ag Donor Screening for HIV Risk Factors Anti-HIV ALT/Anti-HBc Anti-HCV Improved HCV Tests Adapted from HJ Alter and Tobler and Busch, Clin Chem 1997
- Mutually exclusive events vs not mutually exclusive events
- Gonorrhea symptoms
- Chronic pancreatitis nursing care plan
- Vena portal hepar
- Diet hepatic encephalopathy
- Hepatitis types chart
- Hepatitis c symptoms in men
- Nursing care plan of cancer patients ppt
- Hep b mode of transmission
- Hepatitis a b c
- Colestasis
- Hepatitis
- Std refers to *
- Score simplificado hepatitis autoinmune