Treatment

How is viral hepatitis treated?

  • Hepatitis A: no specific treatment

Hepatitis A is a disease that usually resolves spontaneously and provides immunity. In most healthy people, the body eliminates HAV without medical treatment and the virus does not cause a serious illness. Deaths from HAV are rare.

  • Hepatitis B: antiviral treatment 

There is no specific treatment for an acute HBV infection. As with an HAV infection, most healthy adults can eliminate HBV from their body without medication. Depending on their symptoms, people may be administered a supporting treatment. Depending on the case of chronic hepatitis B, treatments are available that can delay or reduce the development of complications, such as cirrhosis or liver cancer, and improve survival.

  • Hepatitis C: antiviral treatment

Unlike HBV, a large proportion of people who are infected with HCV develop chronic hepatitis. There is a high likelihood of complications in this group (liver cirrhosis or liver cancer). For a few years, a very effective treatment has been available, which can cure chronic hepatitis C in more than 95% of cases.

  • Hepatitis E: no specific treatment

As with hepatitis A, hepatitis E generally resolves spontaneously. In most healthy people, the body eliminates HEV without medical treatment and the virus does not cause a serious illness. In patients with underlying conditions, the virus can remain present for longer than 6 months in exceptional cases, and targeted treatment is recommended in very specific cases. Deaths from HEV occur rarely.

In collaboration with the Cliniques universitaires Saint-Luc, Sciensano houses the National reference centre for hepatitis A, B, C, D and E, which analyses strains of the hepatitis virus. Sciensano also performs epidemiological surveillance on viral forms of hepatitis in Belgium and controls the quality of the vaccines.

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