Seroprevalence of Hepatitis B virus (HBV), Hepatitis C virus (HCV) and Human Immunodeficiency Virus (HIV) in a sample of patients diagnosed with Alcohol User Disorder in Albacete (Spain)

e202205043

Authors

  • Juana Pinar-Sánchez Servicio de Medicina Interna. Hospital General Universitario Jose María Morales Meseguer. Murcia. España.
  • Beatriz Navarro-Bravo Departamento de Psicología. Facultad de Medicina. Universidad de Castilla-La Mancha. Campus de Albacete. Albacete. España.
  • María Luisa Celorrio-Bustillo Licenciada en Medicina y cirugía por la Universidad de Cantabria. Santander. España. / Médico de Familia y Master en Drogodependencias y Alcoholismo. Servicio de Salud Mental. Unidad de Conductas Adictivas. Complejo Hospitalario Universitario de Albacete. Albacete. España.
  • Pablo Bermejo López Profesor Asociado. Universidad de Castilla-La Mancha. Departamento de Ciencias de la Informática. Albacete. España.
  • José Javier Solera Santos Servicio de Medicina Interna. Complejo Hospitalario Universitario de Albacete. Albacete. España.
  • Julián Solís García del Pozo Unidad de Enfermedades Infecciosas. Departamento de Medicina Interna. Complejo Hospitalario Universitario de Albacete. Albacete. España.

Keywords:

Hepatitis B virus (HBV), Hepatitis C virus (HCV), Acquired human immunodeficiency virus (HIV), Alcohol use disorder, Screening

Abstract

BACKGROUND // Studies report a higher prevalence of HCV, HBV and HIV in the population with Alcohol Use Disorder. Our objective is to determine the seroprevalence for hepatitis B and C and the human immunodeficiency virus (HIV) in patients with alcohol use disorder, as well as to determine if there is a correct serological screening of these.
METHODS // Retrospective study of 204 patients with Alcohol Use Disorder followed up in the Addictive Behaviors Unit from Albacete. They started treatment from 2013-2014 onwards, the last patient was recruited in December of 2017.
RESULTS // Our sample has 160 men (78.4%) and 44 women (21.6%). The median age is 46.2 years. 161 patients (78.9%) had HIV serology and it was negative in all. 146 patients (71.6%) had negative hepatitis B serology and 12 (5.9%) were vaccinated. 36 patients (17.6%) had no hepatitis B serology performed. In 10 patients, hepatitis B serology was positive (4.9%; 95% CI 1.9-7.9%). 159 patients (77.9%) had negative hepatitis C serology, and 37 patients had not performed it (18.1%). 8 patients had positive serology (prevalence of 3.9%; 95% CI 1.2-6.6%). Excluding patients who did not have serology, seroprevalence was 5.9% (95% CI 2.3-9.6%) and 4.8% (95% CI 1.5-8.1%) respectively. Failure to perform serologies was associated with older age and less weekly Standard Drink Units (SDUs) consumption.
CONCLUSIONS // The seroprevalence of HBV and HCV in patients with alcohol use disorder is high. It should be ensured that 100% of patients with alcohol use disorder undergo HCV, HIV, HBV serology, reducing the loss of diagnostic opportunities.

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Published

2022-05-25

How to Cite

1.
Pinar-Sánchez J, Navarro-Bravo B, Celorrio-Bustillo ML, Bermejo López P, Solera Santos JJ, Solís García del Pozo J. Seroprevalence of Hepatitis B virus (HBV), Hepatitis C virus (HCV) and Human Immunodeficiency Virus (HIV) in a sample of patients diagnosed with Alcohol User Disorder in Albacete (Spain) : e202205043. Rev Esp Salud Pública [Internet]. 2022 May 25 [cited 2024 Jun. 17];96:9 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/296