Page 242 - Learnwell EVS
P. 242
al hepatitis

Treatment

– R est, hy d ratio n, no sp ecial d iet.
– D rug therap y fo r sy m p to m atic treatm ent ( analgesics, antip y retics, antid iarrh o eals,

antiem etics etc.) d uring th e acute p h ase is co ntra- ind icated as it m ay aggravate
sy m p to m s and the evo lutio n o f hep atitis. C o rtico stero id s are no t ind icated .

Vaccination

O nly against hep atitis A and B . V accinatio n against hep atitis B is includ ed in the E P I o f
so m e co untries.

IM vaccinatio n against hep atitis B :

– Standard schedule

• N ewbo rns, infants

In co untries where p erinatal infectio n is co m m o n: o ne injectio n after birth, then at 6

and 1 4 week s

W here p erinatal infectio n is less co m m o n: o ne injectio n at 6 , 1 0 and 1 4 week s

• C hild ren, ad o lescents, ad ults injectio n 5 m o nths after the
S ched ule 0 -1 -6 : 2 injectio ns 4 week s ap art, thernd a 3
2nd injectio n

– Accelerated schedule, when rap id p ro tectio n is required (im m inent d ep arture in highly
end em ic areas, p o st-exp o sure p ro p hy laxis)

S ch ed ule D 0 - D 7 - D 2 1 : 3 injectio ns ad m inistered d uring th e sam e m o nth , th en a
4th injectio n o ne y ear after thest 1 injectio n

200
   237   238   239   240   241   242   243   244   245   246   247