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Screening for hepatitis C in psychiatric population

Published online by Cambridge University Press:  13 August 2021

F. Icole ,
J.-P. Bronowicki ,
C. Jeannoel ,
P. Besancon  and
F. Boulanger
F. Icole*
Affiliation:
Pôle De La Déodatie, CHS Ravenel, Mirecourt, France
J.-P. Bronowicki
Affiliation:
Gastro-entérologie, CHRU Nancy, Vandoeuvre-lès-nancy, France
C. Jeannoel
Affiliation:
Pôle Médico-technique, CHS Ravenel, Mirecourt, France
P. Besancon
Affiliation:
Pôle Médico-technique, CHS Ravenel, Mirecourt, France
F. Boulanger
Affiliation:
Pôle Api, CHS Ravenel, Mirecourt, France
*
*Corresponding author.

Abstract

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Introduction

A meta-analysis from 2016 estimates prevalence of hepatitis C to be superior in people with severe mental illness than general population. In France, positivity for hepatitis C is estimated at 0,75% of general population and 0.3% with a detectable viral load. No recent study was conducted to determine seroprevalence of hepatitis C in population admitted in psychiatric institution.

Objectives

The aims of this study are to determine seroprevalence of hepatitis C in population admitted in psychiatric institution and describe the profile of infected patients.

Methods

From january 2020 to october 2020, screening test for hepatitis C, hepatitis B and HIV was proposed to every patient admitted at the reception unit of Ravenel Hospital. In case of positivity, viral load was realised.

Results

Between January 7th and Octobre 1st , 407 patients greed to the screening test. Among them, 17 (4,2%) were tested positive to hepatits C and viral load was detectable in 9/17 positives, which lead to a 2,2% seroprevalence of hepatitis C infection in the studied population. The patients with positive screening had a mean age of 40 years old. 82% of them were males. 16 admit using intoxicating substances and 10 were still current users at the time of the study. They were hospitalized for addictology purpose (5/17), psychosis (6/17), mood disorder (5/17), personality disorder (2/17), adjustement disorder (2/7). 10/17 had an alcohol use disorder.

Conclusions

This study confirms seroprevalence of hepatitis C infection in psychiatric population is seven times that of general population. This justifies a systematic screening of this population.

Disclosure

No significant relationships.

Keywords

liverHepatitis Ccomorbidity
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S90 - S91
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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