Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor
To the Editor.—The Centers for Disease
Control and Prevention (CDC) offered 6 recommendations for follow-up protocol
of health care workers after occupational exposure to hepatitis C virus (HCV).1 However, the CDC also should consider immediate
vaccination against hepatitis A virus as part of these follow-up recommendations.
As the article pointed out, at least 85% of patients with HCV develop
chronic liver disease. Patients with chronic liver disease may experience
grave consequences if they become infected with other liver diseases, such
as hepatitis A. In fact, patients with chronic liver disease infected with
hepatitis A are at increased risk for fulminant hepatitis, which may lead
to liver failure or even death.
Koff RS. Should Health Care Workers Exposed to Hepatitis C Routinely Receive Hepatitis A Vaccine?. JAMA. 1998;279(3):195. doi:10.1001/jama.279.3.193