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There is no treatment of the infection, so you are advised to rest and proper diet rich in protein and low fat, until the levels of transaminases in the blood drop. It should drink plenty of fluids and avoid certain medications that cause liver toxicity (pain relievers, tranquilizers, etc.).. The treatment of an infection of Hepatitis A virus is based on general measures and the active and passive immunoprophylaxis.

Hygienic control – Dietary

1. Control and treatment of water and food for human consumption, waste disposal or waste properly, strict adherence to personal hygiene (washing hands, utensils individualize treatment). It must take steps to control the focus epidemiological and health education to all individuals in the community.

2. Diet: No diet or shortens disease improves clinical periods, has not demonstrated the need or calorie protein diets, such theories were discarded, the decrease in fat intake only take place if there is nausea. The diet is normal and not excessive in quantity, as you feel like the patient and depending on their take or not to vomit.

3. Rest: Bed rest is indicated while the patient is symptomatic, returning to normal activity when symptoms disappear. In the asymptomatic phase must not limit physical activity, early ambulation does not delay recovery or chronic causes.

4. Alcohol: Your intake should be prohibited in acute disease and in convalescence to full normalization of biochemistry due to liver toxicity involving this substance and may be superimposed to the harm caused by the virus. The total prohibition after the first months is unnecessary periods of abstinence is recommended between 30 to 180 days.

5. Medications: hepatotoxic drugs should be abolished and the use of other drugs only be permitted where necessary or essential. Analgesics can be used, preferably, the generous dose paracetamol and except those which can induce hepatotoxicity as NSAIDs. The dose of drugs that are metabolized in the liver is reduced and oral contraceptives should be discontinued. In case that involves the use of antibiotics for sepsis have preferred those with renal excretion if their function is good.

6. The use of steroids has been discussed but in general it is argued that their use does not shorten the course of the disease or help to cure and elsewhere in the fulminant hepatitis bring no benefit, however its use is justified cholestasis prolonged.

IInmunoprofilaxis:

Can be passive immunoprophylaxis with immunoglobulin or active management by vaccines.

7. “If you have had hepatitis A can become sick?

Once you have been infected with hepatitis A can not get again. Having had the disease produces lifelong immunity from future HAV infection.

8. When a person can infect others?

Infected people can transmit the virus during a period from two weeks before symptoms become evident until about a week after the jaundice, which is approximately three to four weeks in total.

After suffering acute hepatitis A, people become immune, ie can not re-infected with HAV.

9. What should people with hepatitis A to avoid infecting others?

• Wash hands thoroughly with soap after using the toilet.
• Do not prepare food or drinks for others.
• Do not share food with others.
• Avoid anal sexual activity until they have recovered.
• People who handle food or drinks, caregivers or health workers must report their occupation to the doctor and not return to work until a week after the onset of jaundice. (24)

10. Who should be vaccinated against Hepatitis A?

When vaccine is available, priority groups for vaccination are:

• food handlers.
• Household Workers physically and mentally disabled and special schools.
• Health workers.
• Workers’ sanitation and community services.
• Staff and children from nurseries.
• High-performance athletes, diplomats and young people when traveling to areas of high endemicity.
• Military.
• People who have casual sex and unprotected.
• Users of intravenous drugs.