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Rationale:
- Persons who use alcohol during illness may increase damage to the liver.
- Persons unable to maintain adequate hydration and nutrition may need to be hospitalized.
- Some herbal and nutritional supplements may be harmful to the liver.
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Evidence:
- Thirty-four patients hospitalized for acute viral hepatitis were evaluated for acetaminophen use and disease severity. Use
of therapeutic doses of acetaminophen was associated with greater alterations of surrogate markers of severity of acute viral
hepatitis, especially hepatitis A (103).
- Some herbal and nutritional supplements may be harmful to the liver (104; 105).
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Comments:
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Brian J. McMahon, MD, MACP has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Catherine M. Dentinger, FNP, MS has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
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The information included herein should never be used as a substitute
for clinical judgment and does not represent an official position of
ACP. Because all PIER modules are updated regularly, printed web pages
or PDFs may rapidly become obsolete. Therefore, PIER users should
compare the date of the last update on the website with any printout
to ensure that the information being referred to is the most current
available.
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PIER is copyrighted (c) 2008 by the American College of Physicians,
190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.
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Hepatitis A
> Patient Education
