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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 1999 February;158(1):1-4
Clinical and epidemiological remarks on viral hepatitis type A epidemic
Pellicanò S. 1, Calzone R. 2, Dattola O. L. 1, Mandica D. 2, Ciliberto E. 3, Terra L. 1
1 Regione Calabria - Azienda Sanitaria Locale n. 5, Ospedale «S. Giovanni di Dio» - Crotone, Divisione «Malattie Infettive»;
2 Regione Calabria - Azienda Sanitaria Locale n. 5, Ospedale «S. Giovanni di Dio» - Crotone, Dietista;
3 Regione Calabria - Azienda Sanitaria Locale n. 5, Ospedale «S. Giovanni di Dio» - Crotone, Servizio di Endoscopia Digestiva
Background. An increase of cases of acute viral hepatitis type A has been observed in Italy in the last years. In 1996 there was an epidemic at Crotone. Objective of this work was to evaluate data of an epidemic of acute viral hepatitis type A from the clinic-epidemiologic point of view and the possibility of an efficacious prophylaxis.
Methods. Data of 71 patients admitted in our Department from June to October 1996 were evaluated. Diagnosis was based on positivity of HAV-IgM.
Results. 63% of these patients was resident in town. Male (61%) and 11-20 years old were the sex and age most interested. Mean of hospital stay was 11.69 days. Dietologic anamnesis showed in 99% of patients the ingestion of mussels. In 4 cases more component of a family group were involved. A form with protracted course, rarely described in Italy, was observed.
Therapy was medical, with glucose solutions and live protector, and dietologic with diets of 1400-1600-1800-2200 calories.
Conclusions. Stress is laid on the low incidence of acute viral hepatitis type A until to the previous year. On the basis of this increase in Italy, a valid prophylaxis, hygienic and dietetic precautions, and a program of active immunization are suggested.