S3261 Incidence of Acute Hepatitis A, B, C, and Co-Infection in Southeast Appalachian, KY

INTRODUCTION: The aim of this project is to evaluate coinfection of hepatitis A, B, C in Southeast Appalachian, Kentucky. METHODS: Clinical data on 152 hepatitis cases between January and April of 2019 were collected retrospectively and analyzed by age, sex, risk factors, and coinfections. RESULTS: For hepatitis A, 56.25% were male, hepatitis B 58.3% male, and C 70.24% male. The median ages for males with hepatitis A was 43, females 56; hepatitis B 50, female 52; and C 43, female 40.5. Most (79.6%) patients were diagnosed with hepatitis C and of those, 70% were male. Five (13.2%) patients had more than one type of hepatitis; A and B 3.3%, A and C (3.3%), B and C (3.3%), and A, B, C (3.3%). Patients with hepatitis A, B and C were all male. Risk behaviors among the patients included reported IV drug use (35%), and alcohol abuse (12.5%). There was a low incidence of confections (13.2%). Tattoo users had a higher incidence of hepatitis B and hepatitis C than hepatitis A. Approximately 33% of drug users were associated with hepatitis A, B, and C. CONCLUSION: In our findings, the incidence of hepatitis C (79.6%) was higher than A (10.5%) or B (7.9%). Incidence was higher in males than female; strikingly for hepatitis C. Further study with a higher number of patients might give more insight. Counseling and vaccination may prevent future incidents of hepatitis.