Chronic viral hepatitis(CVH) is a chronic inflammatory reaction of the liver due to either hepatitis B (HBV), hepatitis c (HCV) or hepatitis d (HDV) , occurring over more than 3 to 6 months. Chronic viral hepatitis is the main cause of chronic liver disease, cirrhosis and hepato cellular cancer (Porth, p962). According to a media report on “the rising burden of chronic liver disease a high price to pay ";liver disease affects more than 6 million Australians and costs the government $50.7 annually. Marriott (2013) stated that chronic viral hepatitis is still referred to as the silent epidemic due to lack or low levels of risk awareness. The manifestations and changes that occur in the liver and treatment options will be further explored to provide awareness of the condition.
Aetiology
The most common cause of chronic viral hepatitis is hepatitis b and hepatitis c, delta virus with hepatitis b can cause CVH (LeMore et al, p716). As evidence shows in patients transplanted for idiopathic fulminant hepatitis develop CVH through they are still to discover the viruses.
Risk factors
Clients who are at high risk of acquiring chronic viral hepatitis are listed below
Risk factors for suspected chronic viral hepatitis (British Columbia Medical Association 2012)
High risk sexual activity or sexual partner with viral hepatitis
Immigration from hepatitis b and or c endemic countries
Recipient of unscreened blood products
Children born to mothers with chronic hepatitis B or C infection
Tattoos and body piercing
History of incarceration
HVI or other sexually transmitted infections
Household with an infected person especially if personal items like razors, nail clippers or tooth brushes are shared
Haemodialysis
Pathophysiology
The liv...
... middle of paper ...
...ons of HBV and HCV end up with cirrhosis which develops to hepatocellular carcinoma therefore they should be vaccinated (LeMone et al, p719).
Health promotion and education
The clients with CVH may experience anxiety, social isolation therefore they may be need for referral to support services or counselling centres and they should be informed about telephone help lines and community organisations ( ) . Patients experience nausea and may have intolerance to some food and drinks and therefore need to be educated about the importance of high protein diet .Nurses need to stress the importance of infection control that is hand washing and use of condoms Skin integrity should be maintained due to presence of rashes and itchiness which affect body image (LeMone et al,p721).Alcohol and smoking decrease response to treatment therefore should be avoided(Amanetal,2012).
been previously touched by an infected person, will transmit the disease to the healthy person who
HAV is known to be an infectious disease that usually occurs in children and young adults .The disease is usually transmitted from person to person through contaminated food, liquids or oral fecal route. An example would be when someone is carrying the virus and doesn’t wash their hands after using the restroom and then puts food in their mouth. HAV is most common in developing countries because of the living conditions and inadequate water, poor sewage facilities and sanitary conditions. The highest HAV levels in the world are from India,” Earlier reports suggest that India is hyperendemic for HAV infection2,4-6 with very high infection rates,” (Sowmyanarayanan). Most HAV are without severe complications, “Virus HAV infection rarely causes fulminant hepatic failure in people…,” (Vento,p.1) . The symptoms for HAV are high fever, nausea, vomiting and jaundice...
Hepatitis B is a DNA viral infection that causes damage and inflammation to the liver. It was first discovered in 1965 by Dr. Baruch Blumberg. The HBV virus is very contagious and is even thought to be the most serious form of viral hepatitis and the most common viral infection on Earth. “HBV is 100 times more infectious than HIV.” (Green, 2002, pg. 7) The virus can survive for about one week outside the body on a dry surface. According to Green (2002, pg. 7), “One in twenty Americans has been infected with the virus at some point in their lives.” Between the ages of 15-39 is when 75% of new HBV infections occur, according to Green (2002, pg.8).
The signs and symptoms of blood borne pathogens vary based on the type of disease it is and the ability of a person’s immune system to fight it off. In most cases hepatitis B does not need to be treated and the body can fight it off on its own. However a long-term infection can develop in some people that can cause liver damage. There is a vaccination available to prevent acquiring the disease. The signs and symptoms for hepatitis C are usually mild. It can take two weeks to six months after contact before signs begin to show, or there may not be any symptoms at all. Hepatitis C typically becomes is a long-term infection and after many years will cause liver ...
This literature review will analyze and critically explore four studies that have been conducted on hand hygiene compliance rates by Healthcare workers (HCWs). Firstly, it will look at compliance rates for HCWs in the intensive care units (ICU) and then explore the different factors that contribute to low hand hygiene compliance. Hospital Acquired infections (HAI) or Nosocomial Infections appear worldwide, affecting both developed and poor countries. HAIs represent a major source of morbidity and mortality, especially for patients in the ICU (Hugonnet, Perneger, & Pittet, 2002). Hand hygiene can be defined as any method that destroys or removes microorganisms on hands (Centers for Disease Control and Prevention, 2009). According to the World Health Organization (2002), a HAI can be defined as an infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission. The hands of HCWs transmit majority of the endemic infections. As
Hepatitis A is a usually short acting virus that occurs in humans and monkeys. It is caused by the Hepatovirus and the species is Hepatitis A Virus. There are two major ways in which Hepatitis A can be transmitted. One way is from person to person. This transmission occurs when the fecal matter of an infected person gets ingested by another person. Other ways Hepatitis A can be transmitted from person to person are through direct contact with an infected person, such as sexual contact, and sharing of needles for intravenous drug use. Hepatitis A can also be transmitted through coming in contact with contaminated food or water. Also foods that are uncooked or undercooked and have been contaminated with Hepatitis A can transmit the virus. (Bennett,
Hepatitis A is an acute infection of the liver that travels through your bloodstream and gastrointestinal tract (2). It is transmitted person to person through fecal contamination. Ingesting contaminated food and water is the main source, this usually occurs when an infected food handler prepares food without appropriate hand hygiene (3). Outbreaks are fairly common in institutions, prisons and military forces. An early infection of Hepatitis A can mimic the flu with symptoms such as being febrile, lethargy, nausea, anorexia, abdominal discomfort and eventually causing severe jaundice (1). This virus can progress and cause liver failure and even death if not treated promptly (3).
Thesis statement:It should be mandatory for hcw to receive vaccination, because it will increase patient safety by prevent spread of the infection and it is also cost effective.
The primary cause of hepatic cirrhosis in the United States is long-term alcoholism. Men respond differently than women to alcohol. With women one or two drinks a day can cause them liver damage. Men can consume two to five drinks a day and be ok. One drink a day can create liver scarring. So like everything else in life it varies, it might affect everyone differently. The individual who drinks alcohol on a daily basis, or more often then others have a higher risk of developing cirrhosis. Hepatic cirrhosis has also been linked to serious liver infections such as hepatitis B and hepatitis C. Patients who are HIV positive have died from developing cirrhosis through the hepatitis virus. Other causes of cirrhosis come from reactions to prescribed medications, injuries to the liver, exposure to toxic substances, and episodes of heart failure with liver congestion. Obt...
There is a disease spreading out in the world called Hepatitis C. It affects the liver and may cause the liver to fail. This disease is caused by a virus called Hepatitis C virus which is also known as HCV. About 32,000 people are affected with this disease per year only in the United States area. Some It’s a disease with many symptoms and many causes. of these symptoms are easy bruising, upset stomach and fever. These are just some of the many symptoms that come from the virus. Hepatitis Cs nature of the causative agent is determined by many things. The biological data of this disease is filled so much information. It is estimated that over 180 million people have gotten Hepatitis C and it is growing.
HBV infection is complex and affects a large population worldwide. The discovery of the Australia antigen (HBsAg) in 1965 by Blumberg et al. (1965) set the stage for rapid progress in understanding and counteracting the disease (qtd in Zuckerman et al. 210). Liver function tests help in estimating the extent of damage caused to the liver during HBV infection. Diagnosis is done by detecting viral specific antigens in the serum. Both active and passive immunization options exist for disease prophylaxis. However, it is always best to practice caution over the parenteral, sexual and other routes of transmission of the disease for effective disease prevention and prophylaxis.
This case study is about Abdul Chidiac, a 51 year old male, married with 4 children. He had a medical history of hypertension, hypercholesterolaemia and cirrhosis with two admissions in the last six months. He is a smoker and drinks beer, 5-6 bottles per day. As Carithers & McClain (2010) explained the patient’s medical history is another indicator of the risk for cirrhosis; the progression to cirrhosis is adaptable and may take time over weeks or many years. Cirrhosis is a liver disease characterized by permanent scarring of the liver that interferes with its normal functions including alcoholism. Most people who drink large amounts of alcohol cause harm to the liver in some way (Heidelbaugh & Bruderly, 2006). The cause of cirrhosis is not yet known, but the connection between cirrhosis and excessive alcohol ingestion is established (Jenkins & Johnson, 2010). Common causes of cirrhosis include: alcohol abuse, hepatitis B infection, hepatitis C infection and non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (Schuppan & Afdhal, 2008).
Martin, M., Fulford, M., & Preston, T. (2009). Infection Control for the Dental Team. London: Quintessence Publishing Co.
Liver cancer is abnormal cell growth on or within the liver. Liver cancer is either starts in the liver (called primary liver cancer) or it spreads to the liver (called metastatic liver cancer). Metastatic liver cancer is more common in United States and Western Europe, while primary liver cancer is common in third world nations. Liver cancer is the third most commonly diagnosed cancer in the world. In the United States, it affects twice as many men as women; the average diagnosis age for liver cancer is 67.
Health and Human Services. Pincock, T., Bernstein, P., Warthman, S. & Holst, E. (2012). Bundling Hand Hygiene interventions and measurement to decrease healthcare-associated infections. American Journal Of Infection Control, pp. 113-117.