By ULY CLINIC Staff,

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Hepatitis B

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Hepatitis B is a DNA virus, transmitted through parenteral, sexual, vertical transmission and sharing of contaminated needles and sharps. It is acute when it lasts less than six months and chronic when it persists more than 6 months.

Diagnostic Criteria

 

• Fever

• Jaundice

• Plus serological evidence of hepatitis B infection

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Investigations

• HBsAg

• HBV DNA PCR

• FBP

• Liver function tests (Bilirubin, ALT,AST, PT, PTT, INR, Serum Albumin)

• Abdominal ultra sound

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Treatment

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• Non-pharmacological treatment

• Encourage breastfeeding

• Ensure adequate fluid and calorie intake

  • Low fat diet

• Bed rest

 

Pharmacological treatment

• Give

 

Treatment is indicated to few eligible patients

 

Note:

• Refer children with serological evidence of Hepatitis B infection to the next level with adequate expertise and facility

• Immunization is recommended for all infants, Young children and adolescent who have not been vaccinated, Babies born to HBV positive mothers including at birth dose and Sexual partner of the HBV infected mother and other children in the family.

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Last updated on 13.09.2020

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References

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• Tanzanian Standard treatment guideline for children 2017 edition page 74-75