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.
P. Green, None
G. P. Heresi, None
J. R. Murphy, None
J. McCarthy, Gilead: Research Contractor , Research support .