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Oral health care considerations for patients with viral hepatitis:

  • No special infection control measures are necessary beyond standard precautions.
  • All health care workers at risk of exposure to patients’ blood and saliva should be immunized against HBV.
  • Consult patient’s physician to determine the severity of liver damage.
  • For patients with liver disease, be aware of possible hemostatic abnormalities, as well as impaired drug metabolism.
  • Do not use acetaminophen or acetaminophen-containing medications in patients with severe liver disease.
  • Avoid the use of mouth rinses with a high alcohol content.
  • Check neutrophil count for patients treated with interferon. If the count is <1,000 cells/mm3, consider antibiotic prophylaxis.