Hepatitis%20b Patient Education

Hepatitis D

Partner Notification

• Partner notification for at-risk contacts

Patient Education

• Provide the patient with a detailed explanation of his condition
  
  • Emphasize the disease’s long-term implications (eg long-term medical therapy, continuous monitoring) for their and their partners’ health
  • Provide clear, accurate, written information
• Advise patients to avoid unprotected sexual intercourse

Acute Hepatitis B

Partner Notification

• Partner notification for at-risk contacts
  
  • Contact tracing should include any sexual contact (penetrative vaginal or anal or oral/anal) or needle-sharing partners within 2 weeks before onset of jaundice until the patient becomes negative for HBsAg
• All non-immune sexual and household contacts must be vaccinated

Patient Education

• Provide the patients with a detailed explanation of their condition
  
  • Emphasize the disease’s long-term implications for their and their partners’ health
  • Provide clear, accurate, written information
• Advise patients to avoid unprotected sexual intercourse, emphasize condom use
• Screen for other sexually-transmitted diseases in cases of sexually acquired hepatitis or if otherwise appropriate

Chronic Hepatitis B

Partner Notification

• Trace contacts as far back as any episode of jaundice or to the time when infection is thought to have been acquired
• All non-immune sexual and household contacts must be vaccinated

Patient Education

• Provide the patient with a detailed explanation of his condition
  
  • Emphasize the disease’s long-term implications (eg long-term medical therapy, continuous monitoring) for their and their partners’ health
  • Provide clear, accurate, written information
• Abstinence or limited use of alcohol to prevent further liver injury
• Counseling regarding prevention of transmission of HBV
  
  • Sexual transmission: Protected sexual intercourse ie condom use
  • Perinatal transmission: Hepatitis B immune globulin (HBIg) and hepatitis B vaccine at delivery for babies of HBV-infected mothers
  • Inadvertent transmission via environmental contamination from a blood spill