What are the indicators for viral hepatitis testing?

Written by Xiong Hong Hai
Infectious Disease
Updated on September 12, 2024
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Viral hepatitis can be confirmed for infection through tests such as hepatitis B "two and a half pairs," hepatitis A antibodies, hepatitis C antibodies, and hepatitis E antibodies. By using the hepatitis B "two and a half pairs" test to look for the hepatitis B surface antigen, if the surface antigen is positive, it indicates infection with the hepatitis B virus. The hepatitis A antibody test primarily assesses for hepatitis A antibody IGM; if this is positive, it suggests an active infection. Through the hepatitis C antibody test, if positive, further testing for hepatitis C virus RNA can be conducted. The hepatitis E antibody test mainly looks at hepatitis E antibody IGM, and the interpretation should be based on the specific circumstances.

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Written by Ye Xi Yong
Infectious Diseases
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How to prevent viral hepatitis

For Hepatitis A and E, the main mode of transmission is fecal-oral, thus the key to prevention is to prevent fecal-oral transmission by enhancing protection of water sources and food, such as personal hygiene and improved management of feces. Hepatitis B, C, and D are mainly transmitted through blood and bodily fluids. Therefore, to prevent these types of hepatitis, it is necessary to avoid unsafe sexual practices with infected individuals, avoid contact with their blood, and for mothers with hepatitis B, antiviral treatment is necessary to prevent transmission to newborns.

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Written by Xiong Hong Hai
Infectious Disease
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Is viral hepatitis contagious?

Viral hepatitis is contagious, with different types of viral hepatitis transmitted in different ways. The common types of viral hepatitis include Hepatitis A, B, C, D, and E. Hepatitis A and E are acute self-limiting liver diseases, which are contagious during the symptomatic phase and also during the incubation period, primarily transmitted through the fecal-oral route via the digestive tract. Therefore, for those infected with Hepatitis A or E, gastrointestinal isolation and symptomatic treatment are required. Hepatitis B and C are transmitted through blood, sexual contact, and from mother to child, with general contact not leading to infection.

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Written by Ye Xi Yong
Infectious Diseases
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What are the symptoms of viral hepatitis?

The clinical manifestations of viral hepatitis primarily include impaired liver function, characterized by fatigue, nausea, loss of appetite, vomiting, fever, abdominal pain, etc. Some patients with viral hepatitis may also exhibit jaundice of the skin and sclera, dark urine, and itchy skin. Additionally, a majority of patients may only experience a decrease in energy without other symptoms.

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Written by Xiong Hong Hai
Infectious Disease
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Is viral hepatitis airborne?

Viral hepatitis cannot be transmitted through the air, and different types of viral hepatitis are transmitted through different routes and have different clinical symptoms. The characteristics of the disease vary; for example, hepatitis A and hepatitis E are primarily transmitted through the digestive tract, via the fecal-oral route. This typically occurs after consuming food or water contaminated with hepatitis A or E virus. Hepatitis B and hepatitis C viruses are mainly transmitted through blood, sexual contact, and from mother to child, with mother-to-child transmission being the most significant route.

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Written by Ye Xi Yong
Infectious Diseases
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How to treat viral hepatitis

Viral hepatitis is caused by various viruses, primarily affecting the liver and characterized as an infectious disease. Clinically, the main symptoms include loss of appetite, nausea, abdominal discomfort, pain in the liver area, and fatigue. Some patients may also experience jaundice and fever. Common causes include five types of hepatitis viruses: Type A, B, C, D, and E. Generally, hepatitis B and C can lead to chronic hepatitis. Acute hepatitis is primarily treated symptomatically, while chronic conditions like hepatitis B and C usually require antiviral treatment.