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VIRAL HEPATITIS
INTRODUCTION
1. Viral hepatitis refers to a group of infectious
diseases that affect the liver, causing
inflammation and potentially leading to various
liver-related health issues. These infections are
primarily caused by several different viruses,
each categorized by a specific letter (A, B, C, D,
and E), with each type having unique
characteristics and modes of transmission.
DEFINITION
Viral hepatitis is an infection that
causes liver inflammation and damage.
TYPES
1.Hepatitis A(HAV): Typically transmitted
through contaminated food or water, this
type of hepatitis usually results in acute
illness but rarely leads to chronic hepatitis.
 2.Hepatitis B (HBV): Transmitted through
contact with infected blood, sexual
contact, or from mother to child during
childbirth.
 3.Hepatitis C (HCV): Mainly spread through
contact with infected blood, often through
sharing needles or other drug paraphernalia
 4.Hepatitis D (HDV): A rare form that only
affects individuals with Hepatitis B and is
transmitted through contact with infected
blood or other body fluids.
 3.Hepatitis E (HEV): Often spread through
contaminated water, especially in areas
with poor sanitation.
EPIDERMOLOGICAL FACTORS
Agent
 ) RESERVOIR OF INFECTION: The human cases are the
only reservoir of infection.
 ) PERIOD OF INFECTIVITY: The risk of transmitting
HAV is greatest from 2 weeks before to 1 week after
the onset of jaundice.
 ) INFECTIVE MATERIAL: Mainly man’s faeces
 VIRUS EXCRETION: HAV is excreted in the faeces for
about 2 weeks before onset of jaundice and for up to
2 weeks thereafter.
 > Host factors

 a) AGE: Infection with HAV is more frequent among children than in
adults. However, people from all ages may be infected if susceptible.
 B) SEX: Both sexes are equally susceptible.
 C) IMMUNITY: Immunity after attack probably lasts for life.

 >Environmental factors:

 Cases may occur throughout the year.
 ■ In India the disease tends to be associated with periods of heavy rainfall.
Incubation period
10-50 days (usually 25 to 30 days).
MODE OF TRANSMISSION
a) FAECAL-ORAL ROUTE: Major route of transmission. –By contaminated water, food or milk.
B) PARENTERAL ROUTE (Rarely):
-By blood and blood products or by skin penetration through contaminated needles.
C) SEXUAL TRANSMISSION:
-May occur mainly among homosexual men because of oral-anal contact.
CLINICAL MANIFESTATION
 Pain in upper right quadrant
 Enlarged tender liver
 Fever
 Malaise and exhaustion
 Anorexia, nausea and vomiting
 Jaundice, skin and sclera, itching
 Dark urine, pale stools
 Severity of illness varies
COMPLICATIONS
 • Varices
 • Anemia
 Renal failure
 • Infection
 • Coagulopathy
 • Encephalopathy
 • Sepsis
RISK FACTORS
 1.Infected blood and blood product.
 2. Needle stick injury- health care worker
 3. Employment in medical or dental fields.
 4. Intravenous drug abuse.
 5. Un-protected sex, multiple sex partners.
 6. Having had surgery or history of transfusion-612
 7. Received a piercing or tattoo in unclean environment
 8. Contaminated water and food, Traveler (ora-fecal).
 9. Unknown
PATHOPHYSIOLOGY
LAB DIAGNOSIS
 Microbiological/ Serological tests
 Biochemical tests
 Histology and immunohistology
PREVENTION
 Get the vaccines for hepatitis A and
hepatitis B.
 Use protection during sexual contact
 Don’t share needles to take drugs.
 Practice good personal hygiene such as
thorough hand-washing with soap and
water.
 Don’t use an infected person’s personal
items.
VACCINATION
 There are two types of hepatitis A vaccine.
The first type, the single-dose hepatitis A
vaccine, is given as two shots, 6 months
apart, and both shots are needed for long-
term protection against hepatitis A. The
other type is a combination vaccine that
protects people against both hepatitis A
and hepatitis B.
TREATMENT
Supportive care,
Dietary food
Adequate rest and sleep
CONCLUSION
 Hepatitis is one of the main diseases of
concern in the dental office. These viruses
can be transferred by a single prick,
therefore proper preventive measures must
be adopted and a strict protocol to prevent
transmission.

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Viral hepatitis.pptx

  • 2. INTRODUCTION 1. Viral hepatitis refers to a group of infectious diseases that affect the liver, causing inflammation and potentially leading to various liver-related health issues. These infections are primarily caused by several different viruses, each categorized by a specific letter (A, B, C, D, and E), with each type having unique characteristics and modes of transmission.
  • 3. DEFINITION Viral hepatitis is an infection that causes liver inflammation and damage.
  • 4. TYPES 1.Hepatitis A(HAV): Typically transmitted through contaminated food or water, this type of hepatitis usually results in acute illness but rarely leads to chronic hepatitis.
  • 5.  2.Hepatitis B (HBV): Transmitted through contact with infected blood, sexual contact, or from mother to child during childbirth.
  • 6.  3.Hepatitis C (HCV): Mainly spread through contact with infected blood, often through sharing needles or other drug paraphernalia
  • 7.  4.Hepatitis D (HDV): A rare form that only affects individuals with Hepatitis B and is transmitted through contact with infected blood or other body fluids.
  • 8.  3.Hepatitis E (HEV): Often spread through contaminated water, especially in areas with poor sanitation.
  • 10. Agent  ) RESERVOIR OF INFECTION: The human cases are the only reservoir of infection.  ) PERIOD OF INFECTIVITY: The risk of transmitting HAV is greatest from 2 weeks before to 1 week after the onset of jaundice.  ) INFECTIVE MATERIAL: Mainly man’s faeces  VIRUS EXCRETION: HAV is excreted in the faeces for about 2 weeks before onset of jaundice and for up to 2 weeks thereafter.
  • 11.  > Host factors   a) AGE: Infection with HAV is more frequent among children than in adults. However, people from all ages may be infected if susceptible.  B) SEX: Both sexes are equally susceptible.  C) IMMUNITY: Immunity after attack probably lasts for life.   >Environmental factors:   Cases may occur throughout the year.  ■ In India the disease tends to be associated with periods of heavy rainfall.
  • 12. Incubation period 10-50 days (usually 25 to 30 days).
  • 13. MODE OF TRANSMISSION a) FAECAL-ORAL ROUTE: Major route of transmission. –By contaminated water, food or milk. B) PARENTERAL ROUTE (Rarely): -By blood and blood products or by skin penetration through contaminated needles. C) SEXUAL TRANSMISSION: -May occur mainly among homosexual men because of oral-anal contact.
  • 14. CLINICAL MANIFESTATION  Pain in upper right quadrant  Enlarged tender liver  Fever  Malaise and exhaustion  Anorexia, nausea and vomiting  Jaundice, skin and sclera, itching  Dark urine, pale stools  Severity of illness varies
  • 15. COMPLICATIONS  • Varices  • Anemia  Renal failure  • Infection  • Coagulopathy  • Encephalopathy  • Sepsis
  • 16. RISK FACTORS  1.Infected blood and blood product.  2. Needle stick injury- health care worker  3. Employment in medical or dental fields.  4. Intravenous drug abuse.  5. Un-protected sex, multiple sex partners.  6. Having had surgery or history of transfusion-612  7. Received a piercing or tattoo in unclean environment  8. Contaminated water and food, Traveler (ora-fecal).  9. Unknown
  • 18. LAB DIAGNOSIS  Microbiological/ Serological tests  Biochemical tests  Histology and immunohistology
  • 19. PREVENTION  Get the vaccines for hepatitis A and hepatitis B.  Use protection during sexual contact  Don’t share needles to take drugs.  Practice good personal hygiene such as thorough hand-washing with soap and water.  Don’t use an infected person’s personal items.
  • 20. VACCINATION  There are two types of hepatitis A vaccine. The first type, the single-dose hepatitis A vaccine, is given as two shots, 6 months apart, and both shots are needed for long- term protection against hepatitis A. The other type is a combination vaccine that protects people against both hepatitis A and hepatitis B.
  • 22. CONCLUSION  Hepatitis is one of the main diseases of concern in the dental office. These viruses can be transferred by a single prick, therefore proper preventive measures must be adopted and a strict protocol to prevent transmission.