2201. Prevalence of Hepatitis C in Adults Presenting to Emergency Departments in a Large Hospital System in Texas
Session: Poster Abstract Session: Hepatitis A, B, and C
Saturday, October 6, 2018
Room: S Poster Hall
  • 2201. Prevalence of Hepatitis C in Adults Presenting to Emergency Departments in a Large Hospital System in Texas.pdf (111.5 kB)
  • Background: Hepatitis C is a chronic life threatening disease which is curable. However, ~60% of Hep C infected individuals are unaware of their infection status. The majority of Hep C has been documented in baby boomers (born 1946-1965; PMID:22895429)

    Methods: Prospective case study of adults presenting to the Emergency Departments (EDs) of a large not for profit hospital system in the Houston, Texas area. Adults presenting between 3/2013 and 10/2016 were eligible for testing for antibody to Hep C (Gilead).

    Results: Over the 3.5 years study, 8,159 patients presenting to 9 participating EDs in the Houston, Texas region were screened for Hep C. There were 744 (10.0%) individuals found positive. Prevalence of Hep C by testing ED ranged from 4.0% to 13.7% (p<0.001) and males (11.8%) were significantly (p<0.001) more frequently positive than females (6.6%). When parsed by age categories; individuals born before 1946 (3.8% Hep C positive) had a significantly lower (p<0.001) prevalence of Hep C than cohorts born between 1946 and 1965 (9.6%+) or after 1965 (9.2%+).

    Conclusion: Hep C is prevalent in adult patients presenting to EDs in the Houston, Texas region. The 10% Hep C positivity rate is similar to that found (11.6%) in another Gulf state, Alabama (PMID: 26611776). Our findings differ in that prevalence in individuals born after 1965 was as high as that for baby boomers.

    Samuel Prater, MD1, Gilhen Rodriguez, MD2, Pam Green, RN3, Gloria P. Heresi, MD2, James R. Murphy, PhD2 and James McCarthy, MD1, (1)‚ó¶Emergency Medicine, UT Medical School Houston, Houston, TX, (2)Pediatric Infectious Diseases, University of Texas McGovern Medical School, Houston, TX, (3)UT Medical School Houston, Houston, TX


    S. Prater, None

    G. Rodriguez, None

    P. Green, None

    G. P. Heresi, None

    J. R. Murphy, None

    J. McCarthy, Gilead: Research Contractor , Research support .

    Findings in the abstracts are embargoed until 12:01 a.m. PDT, Wednesday Oct. 3rd with the exception of research findings presented at the IDWeek press conferences.