How do you get viral hepatitis?

Written by Xiong Hong Hai
Infectious Disease
Updated on November 10, 2024
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Viral hepatitis is primarily due to infection by certain hepatitis viruses. Different types of viral hepatitis have different modes of transmission and routes of spread, and their outcomes and prognoses also vary. Hepatitis A and E are mainly transmitted through the digestive tract and the fecal-oral route, typically from consuming food or water contaminated with hepatitis A or E viruses. Hepatitis B and C, on the other hand, are mainly transmitted through blood, perinatal transmission, and sexual contact, with infection from casual contact being rare.

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Written by Ye Xi Yong
Infectious Diseases
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How is chronic viral hepatitis treated?

Chronic viral hepatitis is most commonly found in chronic hepatitis B and C, both of which have long disease courses and complex treatments, and some cases may even lead to lifelong infection. The key to their treatment actually lies in the timely initiation of standardized antiviral therapy. For hepatitis B, the antiviral treatment mainly includes interferon and nucleoside analogues, while the antiviral treatment for hepatitis C can also use interferon, as well as direct-acting antiviral drugs. The treatment for both diseases involves timely, standardized, and complete courses of antiviral therapy.

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Written by Xiong Hong Hai
Infectious Disease
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Is viral hepatitis transmitted through saliva?

Regarding the question of whether viral hepatitis can be transmitted through saliva, it depends on the actual situation. Some types of viral hepatitis that are transmitted through the fecal-oral route in the digestive tract might also be transmitted through saliva, such as Hepatitis A and Hepatitis E, which are acute viral hepatitis transmitted through the fecal-oral route. Generally, saliva is considered contagious in these cases. However, for Hepatitis B, Hepatitis C, and Hepatitis D, these types of viral hepatitis are not generally transmitted through the digestive tract, and therefore, saliva is not considered contagious.

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Written by Ye Xi Yong
Infectious Diseases
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How to prevent viral hepatitis

Viral hepatitis is a class of diseases that specifically includes five types: hepatitis A, hepatitis B, hepatitis C, hepatitis D, and hepatitis E. Each type has a different mode of transmission, hence the prevention methods vary for each. Specifically, hepatitis A and E are transmitted via the fecal-oral route, meaning the disease is mainly spread through consuming water and cold foods contaminated with the viruses, and foods that have not been fully cooked, leading to infection. Hepatitis B and C, on the other hand, are mainly transmitted through blood and sexual contact. Prevention of hepatitis B and C involves avoiding contact with blood products from infected individuals and unsafe sexual practices.

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Written by Ye Xi Yong
Infectious Diseases
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How to test for viral hepatitis?

Viral hepatitis is primarily caused by hepatitis A, B, C, D, and E viruses. However, its diagnosis is mainly confirmed through blood tests by examining serological results. It is generally difficult to differentiate clinically because conditions like hepatitis A and E have very similar clinical manifestations. Similarly, hepatitis B and C can show similar symptoms during certain stages of the disease. Therefore, the examination of viral hepatitis primarily involves blood tests for serological studies of the hepatitis virus.

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Written by Ye Xi Yong
Infectious Diseases
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How is viral hepatitis treated?

Viral hepatitis is divided into acute and chronic types. Acute viral hepatitis is commonly seen in hepatitis A and E. If the condition is mild, it can heal on its own without treatment. However, if the condition is severe, liver protection treatment can be administered in a hospital. Chronic viral hepatitis is most commonly seen in chronic hepatitis B and C. These conditions have relatively long disease courses, and some may even carry the virus for a lifetime. The key to their treatment plans is timely antiviral therapy. Antiviral treatment for hepatitis B mainly includes interferon and nucleoside analogs. Hepatitis C can also be treated with interferon, in addition to direct-acting antiviral drugs for hepatitis C.