Hepatitis: causas, síntomas, diagnóstico y prevención

HEPATITIS DR. J. CARLOS ALFREDO ESPINOSA RUBIO DEPARTAMENTO DE PEDIATRÍA

Objetivo ,[object Object],[object Object]

[object Object],[object Object]

VIRUS CAPACES DE PRODUCIR HEPATITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ESTADIOS CLÍNICOS ,[object Object],Fuente: Snyder JD, Pickering LK. Hepatitis A through E. En: Nelson Textbook of pediatrics. Berhman RE, Kliegman RM, Ann MA editor 15 th , philadelphia:W.B. Saunders company: 909-11. Periodo de incubación 15 a 45 días (21 días) A Co-infección= igual a la hepatitis B Sobreinfección = 2 a 8 semanas D 15 a 60 días (40 días) E 15 a 150 días (50 días) C 30 a 180 días (70 días) B Periodo de incubación Hepatitis

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ESTADIOS CLÍNICOS Fase P reictérica.

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ESTADIOS CLÍNICOS P rúrito D olor abdominal Acolia C oluria Ictericia P érdida de peso H epato y esplenomegalia FASE DE CONVALECENCIA FASE ICTERICA .

HALLAZGOS DE LABORATORIO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HEPATITIS A ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS A

[object Object],HEPATITIS A ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS A

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS A

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS A

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS A

[object Object],HEPATITIS A Pediatrics Volume 98, Number 6 , December, 1996, p.1207-21 . No esta incluida en el esquema nacional de vacunaciòn. Se recomienda aplicarla: dos dosis a partir del 1 año de edad, a los 0 y 6 meses.

[object Object],[object Object],[object Object],[object Object],HEPATITIS A

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS B

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS B

HEPATITIS B DISTRIBUCI Ó N GEOGR Á FICA DE LA INFECCI Ó N CRÓNICA POR VIRUS DE LA HEPATITIS B ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS B Am J of Preventive Medicine; Vol. 10, 1994. Pags. 45-52.

[object Object],[object Object],[object Object],[object Object],HEPATITIS B

[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS B

HEPATITIS B DIAGNOSTICO SEROLOGICO

HEPATITIS B RECOMENDACIONES POST-EXPOSICION

[object Object],HEPATITIS B http://www.cdc.gov/ncidod/diseases/hepatitis/b/v40rr13.htm Se aplican tres dosis a los 0, 2 y 6 meses de edad. Incluida en el esquema nacional de vacunación .

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS B Moyer L.A., Masr E.E., Am J of Preventive Med, Vol. 10, 1994, Pags. 45-52

[object Object],[object Object],[object Object],HEPATITIS C CAPSIDE ENVOLTURA PROTEASA/ELICASA RNA-DEPENDIETE DE PROTEINA RNA POLIMERASA CORE E1 E2 NS2 NS3 NS4 NS5 3´ 5´ C22 33c c-10D REGION HIPERVARIABLE REGION HIPERVARIABLE

[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS C

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS C

HEPATITIS C PRUEBAS DIAGNOSTICAS THE LANCET, VOL. 351; ENERO 31, 1998. PAGS. 351-55.

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS C

HEPATITIS C ,[object Object],[object Object],[object Object],[object Object],[object Object],MAYO CLIN PROC, VOL. 73, ABRIL 1998, PAGS. 355-361

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS D

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS D

[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS D

HEPATITIS E ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HEPATITIS E

LACTANCIA MATERNA CON VHA UNA VEZ QUE LOS S Í NTOMAS CLÍNICOS HAYAN DESAPARECIDO, EL LACTANTE NO CORRE RIESGO. EL RIESGO DE INFECTAR AL LACTANTE ES ALTO EN MADRES PORTADORAS DEL HBsAg. EN LAS OTRAS FORMAS DE HEPATITIS EL RIESGO ES DESCONOCIDO.

Hepatitis: causas, síntomas, diagnóstico y prevención

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Hepatitis: causas, síntomas, diagnóstico y prevención