Pediatric knowledge about acute viral hepatitis

Abstract

Knowledge about hepatotropic viruses is crucial for pediatricians because of the high prevalence of viral hepatitis during childhood. The multiplicity of hepatotropic viruses, the spectrum of acute and chronic infections, and the sequels of viral hepatitis result in a need for physicians to better understand the clinical and epidemiological context of patients with viral hepatitis, as well as the importance of prevention measures for hepatitis. A descriptive cross-sectional study was made of pediatrician's knowledge about viral hepatitis, through questionnaires to 574 pediatricians, with no obligation of identification. The pediatricians were recruited among those who attended a national Congress of Pediatrics in Brasília, Brazil. Among these pediatricians, 50.1% frequently treated cases of hepatitis, and 74.7% indicated that they had knowledge of the existence of five hepatotropic viruses; 14.5% knew about at least four types of hepatitis complications, while only 7.7% and 4.3% were able to correctly diagnose viral hepatitis A and B, respectively. Many (28.4%) did not know how to treat the patients adequately. Only 37.5% had already recommended vaccination against hepatitis B. Only 50.2% of the pediatricians had been vaccinated against hepatitis B. We concluded that it is crucial to make pediatricians more knowledgeable about viral hepatitis, through continued education programs, especially emphasizing prevention procedures.

Epidemiology of viral hepatitis in the Republic of Congo: review

“…Viral hepatitis is caused by five types of viruses (A, B, C, D and E) that are transmitted differently [ 1 ]. Type A and E are transmitted through food and water [ 2 ].…”

Epidemiological and serological aspects of hepatitis A among children and teenagers in the city of Santos: a cross-sectional study

“…Considering that young adults are more susceptible to the infection and that disease severity for this age range is high, healthcare professionals need to be aware of the prevalence of viral hepatitis A in order to identify, evaluate and control epidemics and calculate the impact of vaccination programs. [9][10][11][12] It is worth emphasizing that some studies have showed that vaccination against hepatitis A is capable of preventing disease dissemination during an outbreak, and also of protecting patients' household contacts. 13 In Brazil, there have been few prevalence studies on population samples representative of hepatitis A.…”

Chronic hepatitis B: current epidemiology in the Americas and implications for management

“… Results of survey of Brazilian physicians on hepatitis B. Adapted with permission from Franca et al [110]. …”

“…A survey of 574 paediatricians in Brazil attending a National Congress of Pediatrics in Brasilia revealed that only 4% were able to correctly diagnose hepatitis B, 28% were not familiar with treatment for hepatitis B and only 38% advocated vaccination against hepatitis B to their patients ( Fig. 4) [110].…”