MARTIN S. FAVERO, Ph.D.; JAMES E. MAYNARD, M.D., Ph.D.; RONALD T. LEGER, M.S.; DONALD R. GRAHAM, M.D.; RICHARD E. DIXON, M.D.
FAVERO MS, MAYNARD JE, LEGER RT, GRAHAM DR, DIXON RE. Guidelines for the Care of Patients Hospitalized with Viral Hepatitis. Ann Intern Med. 1979;91:872-876. doi: 10.7326/0003-4819-91-6-872
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Published: Ann Intern Med. 1979;91(6):872-876.
For years patients hospitalized with viral hepatitis have been placed in two categories of isolation—enteric precautions and blood precautions. This strategy was based on the inability to differentiate between hepatitis A and B and on the assumption that feces and blood from patients with either type might be infective. It is now known that patients with hepatitis A do not pose a problem of disease transmission through direct contact with blood, and although blood of patients with hepatitis B may be infective, the virus is not transmitted via feces. The enteric route is the principal mode of transmission for hepatitis A, but maximal levels of hepatitis A virus excretion occur before the onset of jaundice. Non-A, non-B hepatitis is similar epidemiologically to hepatitis B. Thus, the major thrust for caring for patients hospitalized with viral hepatitis is toward blood precautions; the same precautions used when handling feces, urine, and excretions from all other hospitalized patients are appropriate for patients admitted with a diagnosis of hepatitis A.
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Gastroenterology/Hepatology, Infectious Disease, Liver Disease, Viral Hepatitis.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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