Hepatitis A
Red flags
Consider urgent referral to Emergency for patients with the following:
- Severely abnormal LFTs
- Signs of hepatic decompensation
- Altered conscious level
- GI bleeding (haematemesis, melaena)
- Abnormal INR
- Ascites/oedema
- Persistent vomiting with dehydration not responding to standard anti emetic drugs
Most cases of hepatitis A will not require referral to a specialist and can be managed at home with monitoring for liver function and observing for any more serious features of liver disease. Rarely, patients can develop fulminant hepatic failure due to necrosis of the liver. This is a life threatening condition and if suspected (see red flags) patients should be immediately referred via Emergency.
Other important information for referring practitioners
Lifestyle changes
- Encourage healthy nutrition and rest
- Advice re infectivity and mode of transmission (faecal-oral)
- Avoid alcohol
- Advise regarding safe doses of paracetamol if to be used for fever etc
Medical management
- Monitor LFT and general condition
- Provide education regarding disease infectivity and red flags
- Offer Hepatitis A immunisation/gamma globulin to close contacts
Referral requirements
A referral may be rejected without the following information.
Send referral
Hotline: 1300 364 938
Fax: 1300 364 952
Electronic: eReferral system
Mail: Metro North Central Patient Intake
Aspley Community Centre
776 Zillmere Road
ASPLEY QLD 4034
Health pathways
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