Hepatitis C

Question 1

Who gets Hep C?

Answer 1

Blood-blood transfusion 
Sex 
PWIDs 
No vaccination available 
Chronic infection

Question 2

How is hep C diagnosed?

Answer 2

• Test for IgG antibody to Hep C virus (if +ve then there is a past/active infection)
• Test for Hep C RNA by PCR
• If positive there is active infection

Question 3

How is Hep C treated?

Answer 3

No vaccination so limit risk exposure

Question 4

Treating chronic hep C infection?

Answer 4

Treat ASAP
12 Different antivirals
Peg interferon + ribavarin +/- telaprevir

Question 5

Prognosis of Hep C?

Answer 5

Chronic infection can develop to cirrhosis, chronic liver failure, and cancer (no way back from chronic infection)

Question 6

Presentation of Hep C?

Answer 6

Acute infection: as per Hep A (mild)

Chronic: As per chronic liver disease