Hepatitis C

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1
Disease Classification
Acute or Chronic Hepatitis C
2
Causative Agent
Hepatitis C Virus
3
GTKYCA
Envelope, Spherical virion 50nm, (+) single stranded RNA virus 9600b, 7 genotypes, 8 protien coding genes
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Epidemiology: Reservoir
Humans
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Epidemiology: POE
Compromised skin or mucosa
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Epidemiology: MOT
Person to person via contaminated body fluids (blood); sharing items contaminated with blood; viability of virus outside of host is 3 weeks; mother to baby (birth)
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Symptoms
80% asymptomatic; acute- same as hep B. latency same as hep B
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Complications
80% chronic infection (asymptomatic or suffer general fatigue or depression); liver cirrhosis (10-20% w/in 20yrs); liver cancer (20x risk for those with cirrhosis); liver failure
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Prevention
practice universal precautions, avoid exposure to contaminated fluids
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Treatment
Direct Acting Antivirals (DAAs), Interferon (IFN), Avoid alcohol consumption
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