There is no benefit from rest, diet, or vitamin supplements. Recent studies have
demonstrated that a combination of interferon (Intron-A) and ribavirin
(Rebetol), two antiviral agents, is effective in producing improvement in
patients with hepatitis C and in treating relapse.D. HEPATITIS D VIRUS (HDV)
Hepatitis D (delta agent) occurs in some cases of hepatitis B. Because the virus
requires hepatitis B surface antigen for its replication, only individuals with
hepatitis B are at risk for hepatitis D. Anti-delta antibodies in the presence of
HBAg on testing confirm the diagnosis. It is also common among IV/injection
drug users, hemodialysis patients, and recipients of multiple blood transfusions.
Sexual contact with those with hepatitis B is considered to be an important
mode of transmission of hepatitis B and D.E. HEPATITIS E VIRUS (HEV )
Hepatitis E is believed to be transmitted by the fecal– oral route, principally
through contaminated water in areas with poor sanitation. The incubation period
is variable, estimated to range between 15 and 65 days. In general, hepatitis E
resembles hepatitis A. It has a self-limiting course with an abrupt onset.
Jaundice is nearly always present. Chronic forms do not develop.