Subject(s)
Ambulatory Care Facilities/organization & administration , Hepatitis/nursing , Liver Cirrhosis/nursing , Liver Neoplasms/nursing , Nurse Practitioners/organization & administration , Practice Patterns, Nurses'/organization & administration , Telemedicine/organization & administration , Australia , Chronic Disease/nursing , Health Services Accessibility/organization & administration , Humans , Nurse's Role , Organizational Case Studies , Patient SatisfactionSubject(s)
Acquired Immunodeficiency Syndrome/epidemiology , Communicable Disease Control/organization & administration , HIV Infections/epidemiology , Hepatitis/epidemiology , Practice Guidelines as Topic , Acquired Immunodeficiency Syndrome/nursing , Adult , Female , HIV Infections/nursing , Health Education , Hepatitis/nursing , Humans , Male , Middle Aged , Nursing Research , Prevalence , Risk Assessment , United Kingdom/epidemiologyABSTRACT
Hepatitis A, also known as infectious hepatitis, remains one of the more commonly transmitted types of viral hepatitis in the United States. Given the high prevalence of this illness, clinicians need to be aware not only about the clinical manifestations of this disease, but also about the special considerations that must be taken into account for persons coinfected with HIV. Antiretroviral management during acute hepatitis infection may be complicated by elevations of serum liver enzyme tests as well as by severe manifestations of associated symptoms such as nausea and vomiting. This article provides a brief overview of the clinical course of HIV infection and includes recommendations for antiretroviral medication management during acute illness. Additionally, strategies for prevention of disease are presented, with a focus on the efficacy and use of hepatitis A vaccines in persons with HIV.
Subject(s)
HIV Infections/complications , Hepatitis/complications , Anti-HIV Agents/therapeutic use , Comorbidity , HIV Infections/drug therapy , Hepatitis/diagnosis , Hepatitis/nursing , Hepatitis/prevention & control , Humans , Infection Control/methods , Primary Prevention/methods , VaccinationSubject(s)
Hepatitis/complications , Sepsis/complications , Adolescent , Adult , Aged , Child , Female , Hepatitis/nursing , Humans , Male , Middle Aged , Sepsis/nursingSubject(s)
Hepatitis/diagnosis , Hepatitis/nursing , Hepatitis/immunology , Hepatitis A/diagnosis , Hepatitis A/nursing , Hepatitis A/immunology , Hepatitis B/diagnosis , Hepatitis B/nursing , Hepatitis B/immunology , Hepatitis/mortality , Hepatitis/parasitology , Hepatitis A/parasitology , Hepatitis B/mortality , Hepatitis B/parasitologySubject(s)
Hepatitis/nursing , Postnatal Care , Puerperal Disorders/nursing , Female , Humans , PregnancyABSTRACT
Se revisan 100 historias clínicas con diagnóstico clínico, bioquímico y anátomo-patológico de hepatitis aguda; de éstas, 12 casos evolucionan hacia una hepatonecrosis. Todos los casos recibieron igual atención de enfermería. De los 12 enfermos, 10 evolucionaron favorablemente, y fallecieron por insuficiencia hepática los dos restantes, a los 21 y 32 días respectivamente, ambos del sexo femenino. Las edades en nuestra casuística oscilaron entre 20 y 62 años. En los pacientes se observaron por enfermería cambios de la personalidad, como signo premonitorio de pérdida progresiva de la conciencia, hasta llegar al coma, intensificación del íctero, disminución progresiva de la diuresis y manifestaciones de sangramiento rectal. Se plantea que estas variables deben ser recogidas y anotadas cuidadosamente por el personal de enfermería que asiste a los enfermos que padecen de hepatitis aguda, con evolución posible o comprobada hacia una hepatonecrosis aguda
