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Treatment of hepatitis A in children
Last reviewed: 04.07.2025
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Treatment of hepatitis A is best done at home. Restrictions in the motor regime should depend on the severity of the symptoms of intoxication, the patient's well-being and the severity of the disease. In erased, anicteric and, in most cases, mild forms, the regime can be semi-bed rest from the first days of the icteric period. In moderate and especially severe forms, bed rest is prescribed for the entire period of intoxication - usually during the first 3-5 days of the icteric period.
To remove intoxication, intravenous administration of 1.5% reamberin solution, isotonic solution of mixed succinic acid salt and basic electrolytes is indicated. As intoxication disappears, children are transferred to semi-bed rest. The criteria for expanding the regime are improved well-being and appetite, and a decrease in jaundice.
Children are exempted from physical education classes for 3-6 months, and from sports for 6-12 months. The increase in physical activity should be individualized and fully correspond to the course of the pathological process, the functional restoration of the liver, taking into account residual effects, age and premorbid background of the child.
The diet should be complete, high-calorie and, if possible, physiological. The ratio of proteins, fats and carbohydrates should be 1:1:4-5.
Outpatient observation
After the acute period of hepatitis A is over, all children are subject to mandatory dispensary observation. It is better to conduct the dispensary in a special room organized at the hospital. If it is impossible to organize such a room, the dispensary should be conducted by the local pediatrician in the children's clinic.
The first examination and examination of the child is carried out on the 45-60th day from the onset of the disease, the second - after 3 months. In the absence of residual effects, convalescents are removed from the register. If there are clinical or biochemical signs of incompleteness of the process, dispensary observation is carried out until complete recovery.
The medical examination of convalescents living in rural areas is carried out in the infectious disease departments of central district children's hospitals and in children's clinics.
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