Subspecialist consultation is generally not required. Fulminant hepatitis warrants care by a pediatric gastroenterologist and possibly an intensive care specialist. There are no specific dietary needs. Patients should be excluded from school or work for 1 week after onset of illness. Hospitalized patients who are in diapers or who are incontinent should have contact isolation for 1 week after onset of illness.
Activity can otherwise be as tolerated.
No specific medications are indicated. Inpatient care is not needed for most patients with HAV infection. Some patients may require hospitalization for intravenous rehydration. Once emesis subsides and the patient is able to tolerate oral fluids, discharge to home is appropriate. If elevations persist greater than 3 months, complications or additional diagnoses should be considered.