Tag Archives: infections

What you need to know about Hepatitis A

If you’ve been listening to the news lately, you may have heard about the Hepatitis A outbreak in Kentucky. Over 300 people have been affected in an area that comprises several counties. Other states have also seen outbreaks. The source has yet to be confirmed, but some other recent outbreaks have been linked to tainted food.

Though it’s a highly contagious viral infection, Hepatitis A can be fairly easily prevented by getting vaccines and practicing good hygiene, like washing your hands.

There are several types of hepatitis. Here is a good article from the American Academy of Pediatrics that discusses Hepatitis A infections in children. According to the article, “Hepatitis symptoms tend to be similar from one virus type to another. Many of these symptoms are flu like, such as fever, nausea, vomiting, loss of appetite, and tiredness, sometimes with pain or tenderness of the liver in the right upper abdomen. A hepatitis infection is also associated with jaundice, a yellow discoloration of the skin and a yellowish color to the whites of the eyes. This is caused by inflammation and swelling of the liver with blockage and backup of bile (bilirubin) into the blood. This backup also usually causes the urine to turn dark orange and stools light yellow or clay colored. However, many children infected with the hepatitis virus have few if any symptoms, meaning you might not even know that your child is sick. In fact, the younger the child, the more likely she is to be symptom free. For example, among children infected with hepatitis A, only about 30% younger than 6 years have symptoms, and most of them are mild. Symptoms are more common in older children with hepatitis A, and they tend to last for several weeks.”

From the same article about how the virus is transmitted to children: “Hepatitis A is contracted when a child eats food or drinks water that is contaminated with the virus or has close contact with a person who is infected with the virus. Hepatitis A is present in the stool as early as 1 to 2 weeks before a person develops the illness. The infection can be spread in child care settings when caregivers do not wash their hands after changing the diaper of an infected baby or from infant to infant because most very young infants do not wash their hands or have their hands washed for them.”

Here’s the good news: Hepatitis A vaccines work! As a matter of fact, beginning with the 2018-19 school year, Kentucky will require all students K-12 to have received two doses of the Hepatitis A vaccine.

If your child is a patient at Georgetown Pediatrics and is at least one year old, we’ve already discussed this with you.

Are you unsure if your child’s vaccinations are up-to-date for the next school year? Give our office a call and we can access your vaccinations records.

Contact us if you’re concerned your child may have a Hepatitis A infection, or for all your other health care concerns.

To use or not to use antibiotics

So your child has been coughing and sneezing for a week, has a bit of fever, a little green mucous coming from the nose, and has missed school or childcare, which causes you to miss work.  You see the pediatrician to get a prescription for an antibiotic, but you walk out disappointed.  Why didn’t they prescribe what you wanted?

Since penicillin was first manufactured in the 1940s, antibiotics have been quite successful in treating bacterial infections, reducing the spread of disease, and saving many lives.  In the last few years, though, it’s been determined that overuse of antibiotics has led to the growth and spread of antibiotic-resistant bacterial infections.

Check out this article at USA Today.

Even so, your child’s pediatrician will not shy from using antibiotics when they are warranted.  Here’s the thing:  antibiotics are completely ineffective against colds or other viruses.  Your child may sometimes feel better after taking antibiotics, simply because the virus began to subside on its own as the body fights back.

Research continues to create new antiviral drugs that will work against viruses (with much success in the area of influenza).  In the meantime, don’t forget that antibiotics work only in the fight against bacterial infections, and also with some funguses and parasites.  And if you do take an antibiotic, MAKE SURE YOU TAKE ALL THAT ARE PRESCRIBED.  Stopping the course just because you feel better can lead to drug-resistant infections later on.

Corinne, age 5

Corinne, age 5

 

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