Prevention Of Hepatitis A And B
Hepatitis B vaccine gives a high degree of protection and should be used particularly in those at special risk of infection who are not already immune, as evidenced by low anti – HBs titres in the blood. Risk groups include the following.
- Parenteral drug users.
- Homosexual (male).
- Newborn of infected mothers.(Hepatitis B Vaccine has been I included in WHO Expanded.
- Regular sexual partners.
- Patients on chronic haemodialysis.
- Medical/nursing Personnel
- Dentists.
- Surgeon/Obstetricians.
- Accident and emergency departments.
- Intensive care.
- Liver units.
- Endoscopy units.
- Oncology units.
- Laboratory staff handling blood.
- Disposable syringes/needles should be used for administration of injections. Used syringes / needles must be destroyed so that these are not recycled! reused.
- Soiled articles of the affected patient should be washed immediately and blood stained clothes be autoclaved.
- Laboratory personnel to wear rubber gloves and apron and avoid contact with blood.
- Ensure that used razor/blade is not applied to you by the barber.
- Ensure that sterilized syringes are used for piercing of ears, nose by the professionals.
- Avoid human biteing. Affected patient should have their own nail cutter. Do not use each other tooth! hair brush, blade, towel, etc.
- Common pins must not be held in the mouth.
- Use bleach on the blood stains.
- PI’0gn0SiS. Full recovery occurs in 90% - 95% of adults following acute HBV infection. The remaining 5-10% develop chronic infection. Most patients with chronic infection develop Cirrhosis and Cancer of liver after many years.