Acute hepatitis assessment
Clinically assess and refer hospital if acutely unwell
Tests to assess severity - LFTs, clotting, hepatitis serology (HAV IgM, HBsAg, HCV antibodies / antigen RNA, HEV)
Inform UKHSA for contact tracing
Which asymptomatic patients should be tested for HAV?
If immune status unknown and not definitely completed vaccination course.
Who to offer HAV vaccine to ?
MSM
PWID
HBV / HCV +
HIV +