Hepatitis%20a%20-and-%20e Treatment
General Care
Supportive Care
- Consider hospitalization if there is vomiting, dehydration, signs of hepatic decompensation
- Screen for other sexually-transmitted diseases (STDs) in cases of sexually-acquired hepatitis or if otherwise appropriate
Hepatitis A
- Supportive therapy is recommended; treatment for nausea and diarrhea should be given
Hepatitis E
- Hepatitis E is a self-limiting disease and supportive therapy may be offered
- Patients with severe acute hepatitis E or HEV-associated liver failure, or immunocompromised patients with chronic HEV may benefit from antiviral drugs (eg Ribavirin)
- For immunocompromised patients with chronic HEV with persistent HEV detected by HEV RNA serum/stool testing after 12 weeks of Ribavirin treatment, additional 3 months monotherapy with Ribavirin may be considered
- Pegylated interferon-α is a treatment option for liver transplant patients unresponsive to Ribavirin monotherapy