Question

A 6-year-old child in a remote community attends with jaundice 3 weeks after a known hepatitis A case in the household. The child has not been vaccinated previously. Regarding household contacts who are not yet symptomatic, what is the most appropriate preventive strategy?

Accepted Answer

Immediate hepatitis A vaccination of susceptible close contacts

Answer

No action; hepatitis A has no preventive measures

Answer

Start long-term antiviral therapy in all contacts

Answer

Screening only; vaccinate only if liver enzymes rise

Answer

Prophylactic antibiotics for all contacts

Practice question

A 6-year-old child in a remote community attends with jaundice 3 weeks after a known hepatitis A case in the household. The child has not been vaccinated previously. Regarding household contacts who are not yet symptomatic, what is the most appropriate preventive strategy?