What indicators are checked for viral hepatitis?

Written by Zhang Jian Kang
Infectious Disease
Updated on October 29, 2024
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For viral hepatitis, the primary index to check is liver function. If there are obvious abnormalities in liver function, further clarification is needed to determine what caused these liver function abnormalities. The most common pathogens include Hepatitis A, B, C, E, D, and non-A non-E, etc. Typical hospitals carry out tests for Hepatitis A, B, C, and E. Hepatitis A and E are acute hepatitis; if IgM antibodies are positive, it can indicate a recent infection. However, if IgG antibodies are positive, their significance is not very substantial. If Hepatitis B or C causes the liver damage, further tests such as HBV-DNA, HCV-RNA, etc., need to be conducted to clarify the cause of the liver condition. Additionally, regular follow-up exams like ultrasound and AFP are required.

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Written by Xiong Hong Hai
Infectious Disease
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What are the indicators for viral hepatitis testing?

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 test for viral hepatitis?

Viral hepatitis is primarily caused by hepatitis A, B, C, D, and E viruses. However, its diagnosis is mainly confirmed through blood tests by examining serological results. It is generally difficult to differentiate clinically because conditions like hepatitis A and E have very similar clinical manifestations. Similarly, hepatitis B and C can show similar symptoms during certain stages of the disease. Therefore, the examination of viral hepatitis primarily involves blood tests for serological studies of the hepatitis virus.

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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 Xiong Hong Hai
Infectious Disease
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Can you smoke with viral hepatitis?

Patients with viral hepatitis should not smoke or drink alcohol. They need to rest well, ensure sufficient sleep, eat light and easily digestible foods, and avoid overly greasy, irritating, or moldy foods. The variety of food should be abundant and nutritionally balanced, with meals distributed reasonably. Moreover, treatment should be tailored according to the type of viral hepatitis, aiming to eliminate the cause of the disease and strengthen liver protection and enzyme reduction. Different types of viral hepatitis require different treatment approaches; for example, hepatitis B and C may need antiviral treatment, whereas hepatitis A and E mainly require enhanced liver protection and enzyme reduction treatments.

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Written by Zhang Jian Kang
Infectious Disease
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How is viral hepatitis transmitted?

Viral hepatitis comes in many types, with its main pathogens including hepatitis A, B, C, D, E, and others. Each type targets different transmission pathways; for example, hepatitis A and E are primarily transmitted via the digestive tract. They can spread through fecal-oral transmission, and ingesting contaminated food can lead to the dissemination of hepatitis A or E. For hepatitis B, the main transmission routes include mother-to-child transmission, blood and body fluid transmission, and close personal contact can also lead to the transmission of hepatitis B. As for hepatitis C, the primary transmission method is through transfusion of blood or blood products, and patients on dialysis are a high-risk group for hepatitis C infection.