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Course # 94992 • Viral Hepatitis

Overview

Liver failure is a primary cause of mortality and morbidity in the United States. Chronic viral hepatitis is the leading cause of liver failure in this country and throughout the world. Six separate viral species, some with numerous subspecies, have been designated as the hepatitis viruses and are identified by the letters A, B, C, D, E, and G. Some of these viruses are associated with only acute liver disease while others are more commonly identified as causes of chronic liver disease. The classification, clinical presentation, and management of viral hepatitis are discussed. Emphasis is given to hepatitis C, now a treatable disorder and the most common cause of chronic hepatitis leading to cirrhosis, hepatocellular carcinoma, and the need for liver transplantation.

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Education Category: Infection Control / Internal Medicine

Release Date: 03/01/2018

Expiration Date: 02/28/2021

Audience

This course is designed for physicians, nurses, and allied staff in all specialties.

Accreditations/Approvals

In support of improving patient care, NetCE is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. NetCE is approved to offer continuing education through the Florida Board of Nursing Home Administrators, Provider #50-2405. NetCE is approved by the California Nursing Home Administrator Program as a provider of continuing education. Provider number 1622. NetCE is accredited by the International Association for Continuing Education and Training (IACET). NetCE complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, NetCE is authorized to issue the IACET CEU.

Designations of Credit

This activity was planned by and for the healthcare team, and learners will receive 5 Interprofessional Continuing Education (IPCE) credit(s) for learning and change. NetCE designates this enduring material for a maximum of 5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. NetCE designates this continuing education activity for 5 ANCC contact hour(s). NetCE designates this continuing education activity for 3 pharmacotherapeutic/pharmacology contact hour(s). NetCE designates this continuing education activity for 6 hours for Alabama nurses. Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 5 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Completion of this course constitutes permission to share the completion data with ACCME. This activity has been designated for 5 Lifelong Learning (Part II) credits for the American Board of Pathology Continuing Certification Program. This home study course is approved by the Florida Board of Nursing Home Administrators for 5 credit hour(s). This course is approved by the California Nursing Home Administrator Program for 5 hour(s) of continuing education credit - NHAP#1622005-6087/P. California NHAs may only obtain a maximum of 10 hours per course. AACN Synergy CERP Category A. NetCE is authorized by IACET to offer 0.5 CEU(s) for this program.

Individual State Nursing Approvals

In addition to states that accept ANCC, NetCE is approved as a provider of continuing education in nursing by: Alabama, Provider #ABNP0353, (valid through November 21, 2017); California, BRN Provider #CEP9784; California, LVN Provider #V10662; California, PT Provider #V10842; District of Columbia, Provider #50-2405; Florida, Provider #50-2405; Georgia, Provider #50-2405; Iowa, Provider #295; Kentucky, Provider #7-0054 through 12/31/2019; South Carolina, Provider #50-2405.

Special Approvals

This activity is designed to comply with the requirements of California Assembly Bill 1195, Cultural and Linguistic Competency.

Course Objective

The purpose of this course is to provide healthcare professionals with a review of normal liver structure and function, common liver function tests used to assess liver disease, and an overview of the current diagnosis and management of primary viral hepatitis.

Learning Objectives

Upon completion of this course, you should be able to:

  1. Outline the structure and function of the liver.
  2. Describe the common laboratory measures of liver function and select the appropriate tests to assess the nature and degree of hepatic injury in the patient who presents with hepatitis.
  3. Describe the classification of the various hepatitis viruses.
  4. Discuss the epidemiology, management, and prevention of hepatitis A and E.
  5. Identify the appropriate approach to diagnosis and management of hepatitis B and D, including a strategy for using selective serologic testing.
  6. Design a best practice approach to clinical staging and management of chronic hepatitis C infection.
  7. Discuss the current options for, and efficacy of, directed antiviral therapy of chronic hepatitis C.
  8. Educate patients on the role of liver transplantation in the treatment of end-stage liver disease, including benefits, limitations, and patient selection.

Faculty

Kalynn Matisco, ARNP, PhD, received an Associate Degree in Nursing from Wallace College in Dothan, Alabama, her BSN from Troy State University, her Masters and Doctoral degrees from University of Alabama at Birmingham, and her Nurse Practitioner education at the University of South Alabama. Dr. Matisco has practiced in a variety of settings, including obstetrics, medical-surgical, dialysis, critical care, nursing education, nursing research, and, most recently, infectious disease. She retired from the University of Florida Division of Infectious Disease and Global Medicine in 2018 and now practices in volunteer settings.

Faculty Disclosure

Contributing faculty, Kalynn Matisco, ARNP, PhD, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Division Planners

John V. Jurica, MD, MPH

Jane C. Norman, RN, MSN, CNE, PhD

Division Planners Disclosure

The division planners have disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

About the Sponsor

The purpose of NetCE is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare.

Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice.

Disclosure Statement

It is the policy of NetCE not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.

Technical Requirements

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