Document Detail


Prevalence of hepatitis A, hepatitis B, and HIV among hepatitis C-seropositive state hospital patients: results from Oregon State Hospital.
MedLine Citation:
PMID:  12755656     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Multiple studies have shown that individuals with severe mental illness are at increased risk for acquiring infection from human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV). Moreover, patients with chronic HCV infection are at risk for fulminant hepatitis from acquired infection with hepatitis A virus (HAV) or HBV, but there are limited data on the prevalence of HIV, HAV, and HBV in chronically hospitalized U.S. psychiatric patients without mental retardation who are HCV-seropositive. To address this issue, a comprehensive screening program was commenced at Oregon State Hospital (Salem, Ore.) beginning in 1999. METHOD: The computerized records of all non-geriatric adult inpatients at Oregon State Hospital on April 23, 2001, were reviewed to assess physician compliance with screening and the prevalence of infection with HIV, HAV, HBV, and HCV. RESULTS: Among the 535 patient records reviewed, 94.8% of patients were screened for HCV, of whom 20.3% were seropositive. Among HCV-seropositive patients, only 1.9% were not screened for HAV and HBV, but 23.3% were not tested for HIV. In the HCV-seropositive group, 35.9% were HAV-positive, 49.5% HBV-positive, and 2.6% HIV-positive. CONCLUSION: Chronic psychiatric inpatients have high HCV prevalence rates. Hepatitis C-seropositive individuals may be at risk for complications unless vaccinated for HAV and HBV.
Authors:
Jonathan M Meyer
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of clinical psychiatry     Volume:  64     ISSN:  0160-6689     ISO Abbreviation:  J Clin Psychiatry     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-20     Completed Date:  2003-07-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7801243     Medline TA:  J Clin Psychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  540-5     Citation Subset:  IM    
Affiliation:
University of California, San Diego, USA. jmmeyer@ucsd.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Comorbidity
Female
HIV Infections / epidemiology*
HIV-1 / immunology
Hepatitis A / epidemiology*
Hepatitis B / epidemiology*
Hepatitis C / blood,  immunology*
Hepatitis C Antibodies / analysis,  blood
Hospitalization
Hospitals, Psychiatric / statistics & numerical data
Hospitals, State / statistics & numerical data*
Humans
Male
Mass Screening
Mental Disorders / epidemiology*,  immunology
Oregon / epidemiology
Prevalence
Seroepidemiologic Studies
Chemical
Reg. No./Substance:
0/Hepatitis C Antibodies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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