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Hepatitis A - Overview

Nombres alternativos

Hepatitis viral; Hepatitis infecciosa

Definición:

Es la inflamación (irritación e hinchazón) del hígado por el virus de la hepatitis A.

Ver también:

Causas:

El virus de la hepatitis A se encuentra sobre todo en las heces y la sangre de una persona infectada aproximadamente de 15 a 45 días antes de que se presenten los síntomas y durante la primera semana de la enfermedad.

Usted puede contraer la hepatitis A si:

  • Come o bebe alimentos o agua que han sido contaminados por heces (materia fecal) que contienen el virus (frutas, verduras, mariscos, hielo y agua son fuentes comunes del virus de la hepatitis A)
  • Entra en contacto con las heces o la sangre de una persona que en el momento tiene la enfermedad
  • Una persona con hepatitis A no se lava las manos apropiadamente después de ir al baño y toca otros objetos o alimentos
  • Participa en prácticas sexuales que implican contacto oral y anal

Cada año, se reportan aproximadamente 3,600 casos de hepatitis A. Debido a que no todas las personas tienen síntomas con la infección por hepatitis A, muchas más personas están infectadas de las que se reportan o diagnostican.

Los factores de riesgo son, entre otros:

  • Viajes internacionales, especialmente a Asia, Sur o Centroamérica
  • Consumo de drogas intravenosas
  • Vivir en internados o centros de rehabilitación
  • Trabajar en las industrias de atención médica, alimentos o manejo de aguas residuales

Otras infecciones comunes por el virus de la hepatitis son la hepatitis B y la hepatitis C, pero la hepatitis A es la menos grave y la más leve de estas enfermedades. Las otras infecciones de hepatitis pueden convertirse en enfermedades crónicas, pero no la hepatitis A.

  • Reviewed last on: 11/23/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Advisory Committee for Immunization Practices (ACIP) Centers for Disease Control and Prevention (CDC). Recommended immunization schedules for children, adolescents, and adults -- United States, 2010 (accessed November 9, 2010).

Advisory Committee for Immunization Practices (ACIP) Centers for Disease Control and Prevention (CDC) Update: Prevention of hepatitis A after exposure to hepatitis A virus and in international travelers. Updated recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep. 2007;56:1080-1084.

Hoofnagle JH. Acute viral hepatitis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 151.

Sjogren MH, Cheatham JG. Hepatitis A. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 77.

Victor JC, Monto AS, Surdina TY, Suleimenova SZ, Vaughan G, Nainan OV, Favorov MO, Margolis HS, Bell BP. Hepatitis A vaccine versus immune globulin for postexposure prophylaxis. N Engl J Med. 2007;357:1685-1694.

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