Patient discussions

Physicians should advise patients to wash their hands thoroughly after nappy changing and defecation, and disposal of sanitary wastes. Careful food-handling practices, particularly of fresh produce and shellfish, are of utmost importance. Patients at high risk for acquiring hepatitis A virus (HAV) infection should be advised about immunisation: for example, travellers to certain countries, injection drug users, men who have sex with men, persons receiving clotting factor concentrates, and individuals with chronic liver disease. Patients should avoid excessive paracetamol and alcohol intake.[2][18] Children should not return to school or day care until at least 1 week after onset of the illness.[1]

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